We Accept Most Major Insurance Plans
Nearly 100 insurance plans covering our 100% kid-focused care.
If your child isn't feeling well, the last thing you want to worry about is coverage. We're here to make this process as stress-free as we can. And that's why we accept insurance from a wide variety of major carriers, a list that's currently over 88 insurance plans and counting. So you can focus on what counts: your kids and the care they need.
View accepted insurance plans
If you've got Medicaid, we've got you.
Akron Children’s proudly accepts Medicaid and treats all children covered by it. And not just for primary care. From ear infections to asthma to heart conditions, rest easy knowing we’re here and we’ve got you covered.
Have questions? Contact your insurance provider today.
Need a reliable ride? Visit our transportation page.
No child turned away.
We were founded on the principle of serving the needs of our community. Within our doors, this means treating all children as if they were our own, and turning no child or family away based on their ability to pay. And we stand by that. So know that no matter what healthcare needs your family may be facing, we’re here to help every step of the way.
Insurance plans
Akron Children’s contracts with many of the health insurance companies listed in the first two columns below, with known exceptions highlighted in italics. Known out-of-network insurance providers are also included for easy reference. If you would like to know the details of what your specific health plan covers, please call the phone number on your insurance card.
This list is for reference purposes only, is not exhaustive, may change, and does not guarantee payment for services. Always check with your health plan for the most up-to-date coverage and network participation levels of coverage.
The plans will filter after you enter at least two characters.
Medicaid Plans
Aetna Better Health OhioRise (Ohio Medicaid) Aetna Better Health of West Virginia (West Virginia Medicaid) AmeriHealth Caritas (Ohio Medicaid) AmeriHealth Caritas (Pennsylvania Medicaid) Anthem Medicaid (Ohio Medicaid) Buckeye Health Plan (Ohio Medicaid) CareSource (Ohio Medicaid) Delta Dental TriState Advantage (Ohio Medicaid) DentaQuest Dental (Ohio Medicaid) Envolve Dental (Ohio Medicaid) Envolve Vision (Ohio Medicaid) EyeMed Vision (Ohio Medicaid) Highmark Wholecare (Pennsylvania Medicaid - Except Medicaid Assured plans) Humana Healthy Horizons (Ohio Medicaid) Liberty Dental (for Anthem Ohio Medicaid members only) March Vision (Ohio Medicaid) Molina Healthcare (Ohio Medicaid) Pennsylvania Traditional Access (Pennsylvania Medicaid) SkyGen Dental (Ohio Medicaid) Superior Vision (Ohio Medicaid) The Health Plan of West Virginia (West Virginia Medicaid) United Healthcare Community Plan (Ohio Medicaid) United Healthcare Community Plan Dental (Ohio Medicaid) UPMC For You (Pennsylvania Medicaid) Wellpoint West Virginia (West Virginia Medicaid)In-Network Insurance
Aetna (Except Cleveland Clinic Employee Health Plan (EHP)) Aetna Dental Aetna Vision America’s Choice Provider Network Anthem/Blue Cross Blue Shield (Except the following: Blue High-Performance Network, Highmark HMO and POS, CHIP Highmark Healthy Kids, Highmark Keystone, Anthem Pathway or Pathway X plans including prefixes-JWR, JWV, JWT, YFS, YSY or Prime Healthcare prefix-PHU, or University Hospitals Employee Medical Plan prefix-VUHS) Anthem Blue Vision Anthem Dental Anthem Medicare Plan Anthem Dual Special Needs Plan Antidote Marketplace Plan AultCare Beechstreet CareSource MyCare Cenpatico Behavioral Health Cigna Cigna Dental Care Access Cofinity Davis Vision (Versant Health) Delta Dental Dentegra Dental DenteMax Dental Dental Care Plus Dental Enterprise Group Planning Evernorth Behavioral Health EyeQuest Vision First Health Network GEHA-United Healthcare Choice Plus network GEHA Dental Guardian Dental Health Ohio Network HealthSmart (DirectCare America/Primary Health Services) Humana (except the following: Medicare) Humana Dental Magellan Behavioral Health Marietta Memorial Health System/MedBen Medical Mutual including MedFlex (Except the following: Medicare, CLE-Care HMO, or MetroHealth Skyway/Skycare plans - unless verification of benefits indicates ACH is in-network) Medical Mutual Individual HMO Network Marketplace Plan Medical Mutual Traditional Vision MetLife Dental MultiPlan Northern Ohio Handicap Fund (NOHF) Ohio Crippled Children’s Fund (OCCF) Ohio Health Choice (Ohio PPO Connect) Ohio Health Group Ohio Preferred Network OSU Health Plan/Avita Health System Paramount Marketplace Plan Paramount-Hospital services only (Except Medicare) Preferred Provider of Michigan (PPOM) PrimeNet Principal Plan Dental Network Private Health Care Systems (PHCS) Quality Care Partners (QCP) Spectera Eyecare Vision SummaCare SummaCare Marketplace Plan SummaCare Medicare Plan Superior Vision (Versant Health) The Health Plan (Except West Virginia Public Employees Insurance Agency (PEIA)) The Health Plan Medicare Plan TriCare/Humana Military (Except the TriCare Prime Remote Service area) United Behavioral Health (UBH/Optum) United Healthcare (Except the following: MyCare or Medicare) United Healthcare Commercial Dental United Healthcare Marketplace Plan UPMC Commercial–Pediatric Burn Only–if medical approval received, contracted via MMO network.Out-of-Network Insurance
Anthem Marketplace Plan Anthem MyCare Buckeye AmBetter Marketplace Plan Buckeye MyCare Buckeye Wellcare Medicare CareSource Marketplace Plan Carelon Behavioral Health ComPsych Behavioral Health Geisinger Health Plan (Pennsylvania Medicaid) Health Partners Plan (Pennsylvania Medicaid) Highmark Health Options (West Virginia Medicaid) Keystone First (Pennsylvania Medicaid) Molina Marketplace Plan Molina MyCare Oscar Marketplace Plan SkyGen Dental (West Virginia Medicaid) SpringTide Health United Healthcare Community Plan (Pennsylvania Medicaid) United Healthcare Medicare HMO United Healthcare MyCare UPMC Commercial Plans VSP VisionWhen 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.
- If you get your insurance through an employer that is self-funded, the benefit plan can vary, and there may be narrow networks or tiered benefits that may or may not include Akron Children’s.
- Even if Akron Children’s has a contract with your insurance company, some doctors and providers may not be fully approved. They must finish a process called “credentialing” with your insurance company first.
- If your insurance company is on this list, it doesn’t mean they will pay for all services provided at Akron Children’s. Certain products or services may be excluded.
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?
How do I apply for financial assistance or free care?
Akron Children’s offers a financial counseling program to help families apply for third-party coverage from commercial insurance companies, Medicaid, and other state and local programs. If insurance coverage is not available, Financial Counseling will help families find other financial help they may be eligible to receive.
How to Apply for Financial Assistance:
The Financial Assistance Application, Financial Assistance Policy and this Plain Language Summary are available in different languages.
- Call a financial counselor at 330-543-2455 and request a free copy to be mailed or emailed
- Email our financial counselors at FinCounsel@akronchildrens.org to request a copy via mail or email
- Write to Financial Counseling at One Perkins Square, Akron, OH 44308 and request that copies be mailed, free of charge
- Go in person to our Admitting Office located on the third floor of the Main Hospital Building on our Akron Campus at 214 W. Bowery St., Akron, OH, 44308
Documentation Requirements:
To apply, you must provide documentation to verify any information that may affect your eligibility, including information regarding your place of residence and income.
More information can be found on the financial assistance page.
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 who accepts my insurance?
To find a pediatrician who accepts your insurance you should call the Member Services phone number on the back of your insurance card or check your insurance company’s website for a list of providers who 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 who 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 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 details 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.”
Will insurance be billed for the COVID-19 vaccine shot?
Currently, there is no charge for the vaccine itself. We may bill your insurance a vaccine administration fee as this helps us support the costs of the public vaccination program. However, you will not be required to make a copay at the visit. In addition, you will not receive any bill or “balance bill” from Akron Children’s regardless of whether your insurance pays or not. We will still give you the vaccine at no charge even if you are uninsured or your insurance does not cover the vaccine.
Are you wondering what a procedure will cost? Get an estimate for common procedures from one of our locations near you.
What is an estimate?
An estimate is the predicted amount you will pay for a medical service based on your insurance and what patients have been charged in the past.
How accurate are estimates?
Prices may vary and an estimate is not a quote or guarantee. We try our best to give you an accurate estimate, however many factors go into the final cost. The actual price you pay may be higher or lower than the estimate.
How do I get an estimate?
If you have a MyChart account, you may use your MyChart app to get an estimate. Don’t have MyChart? Click here for an estimate or Contact a financial counselor.
In compliance with state law, Akron Children’s is providing this price list, which includes charges for room and board, emergency department, operating room, physical therapy and other procedures. The hospital’s charges are the same for all patients, but a patient’s responsibility may vary, depending on payment plans negotiated with individual health insurance companies. Uninsured or underinsured patients should consult with our admitting and billing staff to determine whether they qualify for discounts. The prices listed are our standard fees before insurance, and are correct as of Jan. 1 of the current year.
You may contact the staff at 330-543-8500, or 1-800-933-7440.
There are two ways to schedule:
- To schedule by phone, 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.”
You will need the following documentation for your appointment with a financial counselor:
- Driver’s license or valid ID
- Pay stubs from the previous month
- Health insurance information (if applicable)
- Social security numbers for all family members
Akron Children’s is dedicated to providing medical care to infants, children, teens and burn victims of all ages, regardless of their ability to pay.
