Insurances Accepted

Forms

You are expected to complete the Patient Registration Form.  All other forms need to be completed only if they apply to your child’s need.

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Insurance

  • Aetna

    • Aexcel Plus PPO

    • Aexcel PPO

    • Aexcel PPO (Aetna HealthFund)

    • Open Choice PPO

  • American Republic Insurance Company

    • First Health

    • PHCS PPO

  • Anthem Blue Cross

    • Blue Cross PPO (Prudent Buyer)

    • Lumenos Plans (PPO)

    • PPO Share

    • Premier Plus PPO

  • Anthem Blue Cross Blue Shield

    • Blue Access Choice (PPO) (Missouri)

    • Blue Access Network (Indiana)

    • Blue Access PPO

    • Blue Cross PPO (Prudent Buyer)

    • Health Choice (Health Choice PPO)

    • National PPO (BlueCard PPO)

    • PPO (Colorado)

    • PPO (Connecticut)

    • PPO (Nevada)

    • PPO/EPO

    • Preferred Blue

    • Preferred Blue for PPO (New Hampshire)

    • Premier (Connecticut)

  • Arkansas Blue Cross Blue Shield

    • Arkansas FirstSource PPO

    • Blue Select (PPP)

    • Blue Solution PPO

    • BlueCare PPO

    • Comprehensive Blue PPO

    • HSA Blue PPO

    • True Blue PPO

  • Assurant Health

    • Assurant Health Access

    • Cigna PPO

  • Blue Cross Blue Shield

    • BlueCard PPO

    • BlueCard PPO Basic

  • Blue Cross Blue Shield of Alabama

    • Blue Advantage (PPO)

    • Preferred Provider Organization (PPO)

  • Blue Cross Blue Shield of Arizona

    • Acclaim PPO/EPO

    • Alliance PPO/EPO

    • Indemnity

    • PPO/EPO Statewide

    • Secure HMO Network

  • Blue Cross Blue Shield of Florida (Florida Blue)

    • BlueOptions

  • Blue Cross Blue Shield of Georgia

    • Anthem Medicare Preferred PPO

    • Blue Choice PPO

    • Blue Choice PPO, PPO, EPO

    • BlueChoice Preferred Provider Organization (PPO)

  • Blue Cross Blue Shield of Illinois

    • BasicBlue PPO

    • Blue Choice PPO

    • Blue Choice Preferred Bronze PPO

    • Blue Choice Preferred Gold PPO

    • Blue Choice Preferred Security PPO

    • Blue Choice Preferred Silver PPO

    • Blue PPO Bronze

    • Blue PPO Gold

    • Blue PPO Silver

    • Participating Provider Organization [PPO]

    • TraditionalBlue PPO

  • Blue Cross Blue Shield of Kansas

    • AffordaBlue

    • BasicBlue

    • Blue & U Classic (Copay)

    • Blue & U First

    • Blue Choice

    • Traditional

  • Blue Cross Blue Shield of Kansas City

    • BlueAccess

    • BlueCard Traditional

    • Preferred-Care Blue

  • Blue Cross Blue Shield of Louisiana

    • Blue Cross and Blue Shield of Louisiana Multi-State Plan

    • BlueMAX

    • BlueSaver

  • Blue Cross Blue Shield of Massachusetts

    • Advantage Blue

    • Blue Care Elect (PPO/EPO)

    • Blue Precision/PPO Blue Options v.4

    • PPO Network with Hospital Choice Cost Sharing feature

    • Preferred Blue PPO

    • Preferred Blue PPO Options v.4

  • Blue Cross Blue Shield of Michigan

    • Community Blue/Blue Preferred Plus PPO

    • Michigan Conference of Teamsters Welfare Fund (MCTWF) PPO

    • MIChild

    • MPSERS

    • PPO Plans – Group Enrollees

    • Traditional – Group Enrollees

  • Blue Cross Blue Shield of Minnesota

    • Allina Health Network (Blue Plus)

    • Blue Access Choice

  • Blue Cross Blue Shield of Mississippi

    • Network Blue

  • Blue Cross Blue Shield of Montana

    • Blue Preferred Bronze PPO

    • Blue Preferred Bronze/Silver/Gold/Platinum PPO

    • Blue Preferred Gold PPO

    • Blue Preferred PPO (PPO)

    • Blue Preferred Security PPO

    • Blue Preferred Security PPO

    • Blue Preferred Silver PPO

  • Blue Cross Blue Shield of Nebraska

    • Beatrice BlueChoice

    • Boone County BlueChoice

    • Methodist BlueChoice

  • Blue Cross Blue Shield of New Mexico

    • Blue PPO Bronze/Silver/Gold

    • Blue PPO Evolution

    • Blue PPO Options

    • Blue PPO Platinum

    • Blue Security PPO

    • Blue Transitions (EPO)

    • BlueDirect (PPO)

    • BlueNet EPO

    • Preferred Provider Organization (PPO)

  • Blue Cross Blue Shield of North Carolina

    • Blue Care

    • Blue Options

  • Blue Cross Blue Shield of North Dakota

    • Preferred Blue PPO

  • Blue Cross Blue Shield of Oklahoma

    • Blue Advantage Bronze PPO

    • Blue Advantage Gold PPO

    • Blue Advantage PPO

    • Blue Advantage Silver PPO

    • Blue Choice Bronze PPO

    • Blue Choice Gold PPO

    • Blue Choice Silver PPO

    • Blue Preferred Bronze PPO

    • Blue Preferred Gold PPO

    • Blue Preferred Security PPO

    • Blue Preferred Silver PPO

    • BlueChoice (PPO)

    • BlueOptions PPO

    • BluePreferredBluePreferred PPO

  • Blue Cross Blue Shield of Rhode Island

    • BlueSolutions

    • Bryant University Healthplan

    • HealthMate Coast-to-Coast

    • VantageBlue

  • Blue Cross Blue Shield of South Carolina

    • BlueCard PPO Basic

    • Preferred Blue – PPO

  • Blue Cross Blue Shield of Tennessee

    • Blue Advantage PPO

  • Blue Cross Blue Shield of Texas

    • Blue Choice Platinum PPO

    • Blue Choice Silver PPO

    • BlueChoice PPO Plan

    • BlueOptions

    • EPO

    • UT Select PPO

  • Blue Cross Blue Shield of Vermont

    • BCBSVT Network Providers

    • New England Health Plan

  • Blue Cross Blue Shield of Wyoming

    • Participating Provider (PPO)

  • Blue Cross of Idaho

    • Connected Care (East)

    • PPO

  • Blue Cross of Northeastern Pennsylvania

    • AffordaBlue

    • BlueCare Custom PPO

    • BlueCare EPO

    • BlueCare PPO

    • BlueCare QHD EPO

    • BlueCare QHD PPO

  • Blue Shield of California

    • Active Choice Plans

    • Base PPO 30

    • Blue Shield of California PPO Network

    • Point of Service (POS)

    • Premier PPO 15

    • Shield Spectrum PPO 750 – 80/60

    • Trio ACO HMO

  • Blue Shield of Northeastern New York

    • EPO

    • PPO

  • Capital Blue Cross

    • PPO

    • PPO Choice 1

    • PPO Choice 2

  • CareFirst Blue Cross Blue Shield

    • BlueChoice Advantage

    • BluePreferred

    • HealthyBlue Advantage

    • Preferred Provider Organization (PPO)

  • Caterpillar

    • UHC PPO Network Plan

  • CBA Blue

    • BlueCard PPO

  • CHAMPVA

    • CHAMPVA

  • Cigna

    • Choice Fund PPO

    • Cigna PPO

  • Cofinity

    • PPO

  • DMC Care

    • DMC Care

  • Empire Blue Cross Blue Shield

    • Empire EPO Essential

    • Empire PPO

    • Empire Prism EPO

    • Empire Prism PPO

    • PPO

    • Value EPO

  • First Health (Coventry Health Care)

    • First Health Network PPO

  • Florida Blue: Blue Cross Blue Shield of Florida

    • BlueOptions

  • GeoBlue

    • GeoBlue Expat

    • GeoBlue Traveler

  • GWH-Cigna (formerly Great West Healthcare)

    • PPO

  • HAP (Health Alliance Plan)

    • HAP Preferred

  • Harbor Health Plan

    • Harbor Health Advantage

  • Health Net

    • National PPO – First Health

  • HealthPlus of Michigan

    • HealthPlus Options

    • HealthPlus Options PPO

    • HealthPlus PPO

  • HighMark Blue Cross Blue Shield

    • BCBS PPO

    • PPOBlue

  • Highmark Blue Cross Blue Shield of Delaware

    • BCBS EPO

    • BCBS PPO

    • PPO

    • PPO Blue Total Health

  • HighMark Blue Shield

    • PPOBlue

  • Horizon Blue Cross Blue Shield of New Jersey

    • Horizon Advantage EPO (with BlueCard PPO)

    • Horizon PPO

  • Humana

    • Humana Preferred PPO

    • Humana Select Network PPO

    • Humana/ChoiceCare Network PPO

    • HumanaChoice (PPO)

    • HumanaPPO

  • Independence Blue Cross

    • National BlueCard PPO

    • Personal Choice PPO

  • Magellan Health

    • Behavioral Health Program

  • McLaren Health Plan

    • McLaren Health Advantage

  • Medicaid

    • Fee For Service (FFS)

    • Medicaid

  • Medical Mutual

    • SuperMed Plus (PPO)

  • Memorial Hermann

    • MultiPlan

    • PHCS

  • Moda Health

    • PHCS

  • Molina Healthcare

    • MI: Molina Healthcare of Michigan MIChild Health Plan

    • Molina Silver 87 HMO

    • Molina Silver 94 HMO

  • Multiplan PHCS

    • Multiplan

    • PHCS

  • Paramount Healthcare

    • Advantage

    • CDHP

    • Elite – Michigan Residents

    • Elite – Ohio Residents

    • Employer Select

    • Flex / Flex Plus (PHC)

    • Flex / Flex Plus (PICO)

    • Individual Marketplace

    • MAP

    • Medigap

    • Michigan HMO

    • Ohio HMO (PHC)

    • Ohio HMO (PICO)

    • PPO

    • Prestige – Michigan Groups

    • Prestige – Ohio Groups (PHC)

    • Prestige – Ohio Groups (PICO)

    • Steps2Health / Medical Home (PHC)

    • Steps2Health / Medical Home (PICO)

    • Traditional Plan

  • POMCO

    • POMCO-PHCS/Multiplan

  • Premera Blue Cross

    • AK Global with BlueCard PPO/Traditional

    • AK HeritagePlus with BlueCard PPO/Traditional

    • AK HeritageSelect with BlueCard PPO/Traditional

    • Foundation & Foundation Plus 1 with BlueCard PPO/Traditional

    • Global with BlueCard PPO/Traditional

    • Heritage & Heritage Plus 1 with BlueCard PPO/Traditional

    • Heritage Prime with BlueCard PPO/Traditional

    • Heritage Signature with BlueCard PPO/Traditional

    • Premera BlueCard PPO/Traditional Network

  • Priority Health

    • PriorityPPO

  • Regence Blue Cross Blue Shield

    • Oregon Select OHSU

    • Preferred (PPO)

    • RealValue

  • Total Health Care

    • Employer Sponsored HMO

    • Employer Sponsored HMO PPN

    • Employer Sponsored POS

    • Employer Sponsored POS PPN

    • Individuals & Families HMO

    • Medicaid and Healthy Michigan Plan HMO

    • MIChild HMO

    • SHOP HMO

    • Total Gold Complete

    • Total Gold Premier

    • Total Gold Signature

    • Total HMO Standard

    • Total Platinum Complete

    • Total Platinum Premier

    • Total Platinum Signature

    • Total Platinum Ultimate

    • Total Value Complete

    • Total Value Plus

    • Total Value Signature

    • Totally You

  • Triple-S Salud: Blue Cross Blue Shield of Puerto Rico

    • Commercial (PPO)

    • Federal

    • Federal BCBS

  • UnitedHealthcare

    • UnitedHealthcare Options Non-Differential PPO

    • UnitedHealthcare Options PPO

    • UnitedHealthcare Options PPO with Harvard Pilgrim

  • UnitedHealthOne

    • UnitedHealth Allies

    • UnitedHealthcare Navigate

    • UnitedHealthcare Navigate Plus

  • US Health Group

    • Private Healthcare Systems (PHCS) (PPO)

  • Wellmark Blue Cross Blue Shield

    • Alliance Select (Iowa)

    • Blue Choice (Iowa and Bordering Counties)

    • Blue Rewards POS

    • Blue Select (South Dakota)

  • Workers’ Compensation

    • Farmers Insurance

    • Liberty Mutual