What insurance plans do you accept?
When we contract with health plans, our goal is to include all Akron Children’s Hospital services. However, even if Akron Children’s Hospital is listed in your health plan’s Provider Directory as a participating or preferred hospital, it does not always mean that all Akron Children’s services are covered.
You should call the Member Services Department of your health plan or your employer’s Human Resources Department for questions related to the covered benefits of your health plan. Benefit plan designs can be unique by employer, as some employers create narrow networks or tiered benefits for their health plans.
Questions to Ask:
- When checking to see if your child can receive services at Akron Children’s, here are key questions you should ask your health plan:
- Specific Services: Are specific services covered such as Outpatient Laboratory, Physical or Occupational Therapy, Behavioral Health, Home Health Care, etc.?
- Specific Doctors: Is a specific doctor a participating provider in my health plan and are they fully effective with the plan? Akron Children’s may be contracted with your health plan, but the provider may not be fully participating until their credentialing paperwork is complete.
- Out-of-Pocket Costs: Are there any out-of-pocket costs I may incur?
Always check with your health plan for the most up-to-date coverage and network participation levels of coverage.
Insurance FAQ
Does Akron Children’s take my insurance?
Benefit plan design can be unique by employer (e.g., narrow networks, tiered benefits, etc.), so it is best for patients and families to call their insurance company to confirm if Akron Children’s is in-network with your insurance. You can call the Member Services phone number on the back of your Member ID card.
How do I find a pediatrician that accepts my insurance?
To find a pediatrician that accepts your insurance you should call the Member Services phone number on the back of your insurance card or check your insurance companies’ website for a list of providers that are in-network.
My insurance changed who should I notify?
If your health insurance has changed, please call your physician’s office, and notify them of your new insurance coverage.
Do you offer services for patients that have out-of-state insurance?
To find out if your insurance covers out-of-state medical care you should call the Member Services phone number on the back of your insurance card to check if your benefit plan will include these services. If you have commercial insurance through your employer, you can also contact you employer’s HR department.
Does Akron Children’s accept out-of-state Medicaid plans?
ACH is contracted with several Pennsylvania and West Virginia Medicaid plans. States have regulations which typically require their members to receive services, if offered, in their home state. Otherwise, all other out-of-state Medicaid patients should be referred to their State Medicaid or Medicaid Managed Care plans to receive scheduled/planned services.
How much will my procedure/service/appointment cost?
Patients can get an estimate for common procedures at Akron Children’s Hospital under Services/Price Estimates at https://www.akronchildrens.org/pages/Financial-Services.html. You can also call the Akron Children’s Financial Counseling Department at 330-543-2455.
Will this procedure/service/appointment be covered by my insurance?
Coverage under a patient’s benefit plan can be verified by contacting your insurance company. It is very important to validate this information as a first step by calling the Member Services number on the insurance ID card or visiting the insurance company website. For patients with commercial insurance, the plan design offered by the employer to its employees determines whether the service is a covered benefit or not. A patient/family can also call their employer’s HR department for benefit plan detail and Summary Benefit Coverage.
I have a question about a balance on my bill.
If you have questions about a bill call Akron Children’s billing office Customer Service team at 330-543-8500.
Why was my insurance not billed?
If you have questions about a bill call Akron Children’s billing office Customer Service team at 330-543-8500.
How can I apply for a payment plan for my bill?
To set up a payment plan with a Financial Counselor call 330-543-2455.
How do I apply for Financial Assistance?
To schedule an appointment with a Financial Counselor call 330-543-2455. To schedule online, log in to MyChart. Select the patient’s name. Click on “Schedule an Appointment,” and then click on “Financial Counseling.”
