East Tennessee 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.
For questions about insurance, call the East Tennessee Children's Hospital Billing and Collection Department (Patient Accounts) at (865) 541-8187.
For questions regarding balances after insurance and payment arrangements, please contact Children's Hospital Self Pay at (865) 544-4343.
Children's Hospital has agreements with the following health insurance networks:
East Tennessee Children's Hospital recognizes that medical problems can sometimes create financial problems. Our staff is here to assist you in finding resources that may help cover your medical expenses. There are options for every family. In order to qualify for other hospital assistance programs all possible insurance options must be exhausted by the family.
All patient charges are the same regardless of insurance coverage. Discounts will vary based on specific contracts with individual insurance companies.
All families are expected to set up payment arrangements to begin the first month they are billed. If that is a hardship, please apply for financial assistance (see below).
Children's Hospital will help provide financial assistance to all families. Financial Assistance is available as to any hospital charges, including emergency charges. We offer assistance in the following ways:
Please contact a Patient Account Representative at 865-541-8187 Monday through Friday between 8 a.m. - 4:30 p.m. for help.
We offer charity care for any family who earns less that 200% of the current Federal Poverty guidelines. For example: In 2015, a family of four could earn up to $47,700.00 to qualify. These amounts are updated annually. • There are no automatic charity adjustments given. Families must apply for all possible insurance coverage before we will consider you for charity care. Once you have exhausted all insurance options we will assist you with an application for charity care.
To apply for charity care:
Please mail your completed application to:
East Tennessee Children's Hospital
P.O. Box 15010
Knoxville, TN 37901-5010
Attn: Business Office Director
Applications will be processed within 2 weeks of receipt. A letter will be mailed to confirm approval or denial. If approved it is for the hospital bills only. The letter you receive can be used to show assistance at Children's Hospital. This will many times qualify your family for assistance with other providers who cared for your child. Those offices must be contacted separately to verify if they will offer assistance. Some of the most frequent providers are:
If your family is denied or does not request financial assistance, our self pay department will assist in setting up a monthly plan that works for your family's budget.
If you are in need of Self Pay Assistance, please call the Self Pay Patient Account Representatives at 865-544-4343 or 1-888-296-8111 Monday through Friday between 8:30 a.m. to 4 p.m.
Our staff's goal is to exceed your expectations and help you in understanding your financial responsibility. Please do not hesitate to contact us in Patient Accounts with any questions or concerns. Again our number is (865) 541-8187. Thank you for choosing East Tennessee Children's Hospital for your child's health care needs. It is always our pleasure to serve you.