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Insurance information

If you have questions about your insurance, please read your insurance card, policy or other material from your insurance provider to find a phone number to call for information. If your employer provides insurance, you may also call your employer's benefits office for assistance.

Cook Children's Medical Center contracted insurance plans

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Commercial

*Does NOT include Physician Only Plans

Behavioral health

* Effective April 14, 2014, Optum Behavioral Health Plan (UBH) will no longer cover services provided by Cook Children's Behavioral Health. Learn more about what you can do.

Transplant networks

Managed Medicaid (STAR)

Children's Health Insurance Program (CHIP/CHIP Perinate)

Medicaid Rural Service Area (MRSA)

Traditional Medicaid

Important: As of January 15, 2014, Cook Children's Medical Center has contracts with the above managed care organizations. Please note that not all of the above plans are accepted by all affiliated companies of Cook Children's Healthcare System. Be sure to verify with your health care provider and your insurance provider regarding your individual plan.

Insurance billing information

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Self-pay

Self-pay means that you are responsible for paying 100 percent of the bill. We request payment when services are provided. If you cannot pay in full at that time, you will receive a bill within approximately one week. If this bill remains unpaid, you may be referred to a collection agency. If you need assistance, please call 682-885-4432 or if calling from area codes other than 817 or 682, call toll free, 888-852-6635.

HMO

If you are a member of an HMO (health maintenance organization.) you may be required to pay a co-payment. Your co-payment will be requested at the time of service. The co-payment amount will be determined by your HMO. When the co-payment is paid in full, you will not receive a bill from Cook Children's.

Commercial insurance

If you have insurance that is not an HMO plan, Cook Children's will send a bill to your insurance company. The company will pay Cook Children's and will send a statement to you noting that payment has been made. You will be asked to pay any deductibles, co-payments or unmet out-of-pocket expenses that apply. For your convenience, most major credit cards are accepted.

Medicaid/CSHCN/CHIP

If you have insurance from these programs, Cook Children's will send a bill to them. If you have CHIP (also known as TexCare Partnership) you may owe a co-payment to Cook Children's.

Medicare

If you have Medicare insurance, Cook Children's will send a bill to Medicare. You will receive a bill for any remaining charges.

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