Financial Assistance

Families with special financial needs also may be eligible for financial assistance to cover all or part of the services received. Learn More »

Why Refer to Nemours

  • Exceptional Quality & Safety
  • Among the Best Patient Satisfaction
  • Clinical Trials and Research Breakthroughs
  • Leading the Way in Electronic Health Records

Read More »

Accepted Insurance

Nemours participates with most major insurance and HMO plans. However, patient-families should check with their health insurance provider for the most up-to-date and accurate information regarding coverage of services and physicians at Nemours.

Health Insurance We Accept in Delaware

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service toll free: (866) 390-3610.

Aetna/U.S. Healthcare
  • Aetna Elect Choice
  • Aetna Select
  • Corporate Health Administrators
  • Corporate Health Insurers
  • Freedom Choice
  • Managed Choice
  • Open Choice
  • Senior Choice
  • U.S. Access
  • Traditional Choice
  • University Health Plan
AmeriHealth of DE
  • AmeriHealth Administrators
  • AmeriHealth Personal Choice
  • Healthcare Delaware
  • Personal Choice
  • Healthy Children's Program
American Psych Systems HMO

Benefit Concepts

Blue Cross/Blue Shield of DE
  • BlueCare
  • BlueSelect
  • BlueChoice
  • BlueClassic
  • CareLink
Cigna/Great West Health Care
  • Cigna Healthcare PPO
  • Cigna Referral Plan
  • Select Source Plus
  • Point of Service HMO
  • CoMED HMO
Cigna Transplant Network

Coventry Healthcare of DE
  • Coventry Healthcare PPO / HMO
  • Health America HMO
  • Health Assurance
Coventry Transplant Network

Delta Dental


Devon (formerly Americare PPO)

Evolutions Healthcare
(formerly Guardian)

First Health PPO
(formerly Affordable)

HealthNet (commercial products)

HealthPartners

Horizon Blue Cross
Blue Shield of New Jersey

Independence Blue Cross
  • Blair Mill
  • GPPPN
  • Keystone Healthplan East
  • AmeriHealth of NJ
Insurance Administrators
of America

Integrated Health Plan PPO

Intergroup PPO

Interlink Transplant Network

LifeTrac Transplant Network

Multiplan PPO

National Transplant Network

OneNet PPO

PHCS Private Healthcare Hospital Systems

Plan Vista Solutions
(aka National Preferred
Provider Network)

Preferred Healthcare PPO

United Healthcare

Health Insurance We Accept in Pennsylvania

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service toll free: (866) 390-3610.

Aetna/U.S. Healthcare *
  • Amerihealth Mercy
  • AmeriHealth of NJ and DE
Benefit Concepts

Blue Cross/Blue Shield of DE

Cigna/Great West Health Care

Coventry Healthcare of DE

Delta Dental

Devon

Evolutions Healthcare

First Health

Healthpartners

Horizon BCBS of NJ

Independence Blue Cross
  • Amerihealth
  • Keystone Healthplan East
  • Personal Choice


Insurance Administrators
of America

Intergroup PPO

Interlink Transplant

Keystone Health Plan East

LifeTrac Transplant

Multiplan PPO

National Transplant

OneNet PPO

Plan Vista Solutions
(aka National Preferred
Provider Network)

Preferred Healthcare PPO

United Healthcare

* Other Aetna/U.S. Healthcare products are considered in network at our Wilmington, DE locations only.

Health Insurance We Accept in New Jersey

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service toll free: (866) 390-3610.

Aetna/U.S. Healthcare

Benefit Concepts

Blue Cross/Blue Shield of DE

Cigna/Great West Health Care

Coventry Health Care of DE
  • Health America
  • Health Assurance
Delta Dental

Devon (formerly Americare)

Evolutions Healthcare System (formerly Guardian Resources)

First Health
(formerly Affordable)

HealthNet
(commercial products)


Horizon Blue Cross Blue Shield of New Jersey

Independence Blue Cross
  • Amerihealth
  • Keystone Healthplan East
  • Personal Choice
Intergroup PPO

Medicaid of New Jersey (traditional)

Multiplan

Plan Vista Solutions
(aka National Preferred
Provider Network)

United Healthcare

Health Insurance We Accept in Florida

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service toll free: (866) 390-3610.

 
Jacksonville Area
Accountable Health Plan

Aetna

Avmed

Beech Street

Blue Cross/Blue Shield

Capital Health Plan

Children’s Medical Services (CMS)

Cigna/Great West

Evolutions Healthcare Systems

First Coast Advantage

First Health

Florida Health Care Plan

Florida Medicaid/Medipass

Florida Medicare

Georgia Medicaid/Georgia
Better Health/Peachcare

HealthEase (Wellcare)

Healthy Kids (excluding
Amerigroup and Simply)


Humana, Inc.

Multiplan

Ped-I-Care
Title 19 and Title 21

Prestige Health Choice

Smart Health - St. Vincent's

Staywell (Wellcare)

Sunshine State Health Plan

Three Rivers
Provider Network

Tricare/Humana
Military Health Services

United Healthcare, Inc.

United Healthcare Community Plan

Universal Health Care

Vista Healthplan/Coventry
Healthcare of Florida

Volusia Health Network
 
Orlando Area

The new Nemours Children's Hospital brings new, expert specialty care services to our region's children and families. Please understand that your insurance may not be the same at the hospital and our clinics. As we continue to grow, so will our list of accepted insurance plans. Because this information is subject to change, it's always best to contact your insurance provider for the most accurate information.

For more information, please review Understanding Your Insurance Coverage (PDF). You're also welcome to call one of our friendly financial counselors at (407) 650-7703.

Nemours Children's Hospital

For Inpatient, Surgical, Rehabilitation, and Diagnostic Services, Nemours Children's Hospital is currently contracted with:

Aetna
Blue Cross/Blue Shield
Children Medical Services
Molina Medicaid
Prestige Medicaid
Simply Medicaid
Sunshine Medicaid
Wellcare (Healthease & Staywell)

 


Nemours Children's Clinics

Accountable Health PPO

Aetna HMO, POS, PPO

AvMed

Beechstreet PPO

Blue Cross/Blue Shield

Children’s Medical Services (CMS) Medicaid

Cigna HMO, POS, PPO

Coventry/first Health Health PPO

Evolutions Healthcare

Florida Healthcare Plan HMO, Healthy Kids

Florida Medicaid/Medipass

Florida Medicare

Greatwest HMO, POS, PPO, Open Access

Healthchoice

Health First Health Plans
 

 

Healthease Medicaid,
Healthy Kids

Humana HMO, POS, PPO

Multiplan PPO

Ped-I-Care Medicaid HMO

Prestige Health Choice Medicaid

Staywell Medicaid, Healthy Kids

Sunshine State Medicaid

Three Rivers

Tricare All Products

United All Products, Healthy Kids

Universal Medicaid

Vista Healthplan HMO, PPO, Healthy Kids

Volusia Health Network PPO, EPO
Behavioral Pediatrics in Orlando

Nemours behavioral pediatrics in Orlando only participates in these behavioral health plans:

  • Aetna (all plans)
  • Blue Cross/Blue Shield (PPO only)
  • Children’s Medical Service (Pedicare Title 21)
  • Florida Healthcare Plan (includes Healthy Kids)
  • Healthchoice
  • Tricare (HMO requires authorization from Tricare)
  • United Behavioral Health (Dr. Gavin does not participate in this plan)
  • United Healthcare (Dr. Gavin does not participate in this plan. Please note: not all plans with United Healthcare have mental health benefits, so please verify with Member Benefits.)
 
Pensacola Area
Accountable Health Plan

Aetna

Alabama Medicaid/
Patient First

Beech Street

Blue Cross/Blue Shield

Capital Health Plan

Children’s Medical
Services (CMS)

Cigna/Great West

Evolutions Healthcare Systems

First Health

Florida Health Care Plan

Florida Medicaid/Medipass

Florida Medicare

HealthEase (Wellcare)

Healthy Kids (excluding
Amerigroup and Simply)


Humana, Inc.

Multiplan

Prestige Health Choice

Smart Health - Sacred Heart

Sunshine State Health Plan

Three Rivers
Provider Network

Tricare/Humana
Military Health Services

United Healthcare, Inc.

United Healthcare
Community Plan

Universal Healthcare

Vista Healthplan/Coventry
Healthcare of Florida