Health Insurance Information

Children's Hospital accepts all health care plans, and many companies have contractual agreements with us. Patient families should check with their health insurance provider to see if the provider has a contract with us. If no contract exists, the insurance company may require the patient have an out-of-network referral. We will accept the insurance regardless of the referral; however, the insurance company may not cover as much of the cost of the visit as it would for an in-network hospital.

The balance of any bill after insurance payments are made is the responsibility of the patient's parent or guardian. 

Children’s Hospital has agreements with the following TennCare networks:  

• United Health Care Community Plan (UHCP, formerly known as AmeriChoice) -- United Health Care Community Plan
• Blue Care (BlueCross) -- BlueCare
• TennCare Select (Blue Cross) -- TennCare Select, TennCare Select BPN Network

 Children’s Hospital has an agreement with the following Government network:  

• CoverKids of Tennessee
• Tricare -- Prime and Select

 Children's Hospital participates in the following commercial health insurance plans:  

• Aetna Health Plans -- HMO, Open Access HMO, Aetna Select, Aetna Open Access Select, EPO, Open Access EPO, QPOS-Aetna Quality Point of Service, Aetna Choice POS and POSII, Managed Choice, Health Network Option, Open Choice-PPO, Open Access Managed Choice
• Amera-Net -- PPO+
• BeechStreet -- PPO, Concentra
• Blue Cross Blue Shield of Tennessee
  • Blue Cross Network P (Preferred) -- BluePreferred PPO, BlueCard Program
  • Blue Cross Network S (Select) -- BlueSelect PPO, POS, BlueCard Program
  • Blue Cross Network K -- Network K, PPO, POS (limited availability)
• BlueGrass Family Health Plans -- PPO
• CIGNA / Great West Health -- Open Access Plus-PPO, HMO and Open Access HMO, PPO, EPO, Cigna POS, Indemnity
• Coventry Healthcare / First Health -- PPO
• Evolutions Healthcare Systems -- Select, Select Plus
• First Health / Coventry Healthcare -- First Health PPO
• Galaxy Health Network -- PPO
• Great West Health / CIGNA -- Open Access Plan, POS, PPO
• Health Payor's Organization, Ltd -- PPO
• Humana ChoiceCare -- PPO, HMO, POS-Open Access, PPO, Humana Classic, HumanaOne, CHA, PPOx, HMOx, Choice POS 
• Interplan Health Group -- PPO
• Multiplan / PHCS -- PPO
• National Preferred Provider Network (NPPN) -- PPO
• PPO Next -- National Access, National Access Plus
• PRIME Health Services -- PPO
• Private Healthcare Systems (PHCS) / Multiplan -- PPO / TPA’s
• Provider Select, Inc -- PSI-PPO
• The Initial Group -- PPO / TPA’s
• Three Rivers Provider Network -- PPO
• United HealthCare / United HealthCare of the River Valley -- United Choice, United Choice Plus, United of the River Valley, Options PPO
• USA Managed Care Organization -- PPO

East Tennessee Children's Hospital recognizes that unexpected medical problems can create unexpected financial problems. Our staff is here to assist you in finding resources that may help cover your medical expenses. Every patient we treat with no insurance coverage is automatically eligible for discounts. Click here to learn more about our Financial Assistance Program.