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What should I bring to my child's appointment?
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Please bring your insurance card, a list of all medications, vitamins and herbal supplements your child is currently taking, and your child’s current immunization record. Use this link to print a Medication Tracking Form.
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Do I need to let my insurance company know that my child is going to be in the Hospital? What will they cover?
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Always tell your insurance company when your child is going to be admitted to the Hospital. There are so many types of insurance plans; it's hard for us to tell you if you need to get prior approval for your child's Hospital stay. Contact your insurance company or your employer with specific questions about what is - or is not - covered by your plan.
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Do I need to let my insurance company know that my child was treated in the Emergency Room or Urgent Care Center?
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Individual insurance plans vary, but it's always a good idea to contact your insurance company if your child went to the Emergency Room or Urgent Care. This will help to process and pay the claim for services.
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Do I need to let my insurance company know that I just had a baby or adopted a child?
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It's fine to let your insurance company know that you've had a baby or adopted a child. However, you must notify your employer of the change in dependents. Your employer will then start the formal process of adding dependents to the plan. Most plans allow you to add dependents within 30 days from the date of birth or from the final adoption date.
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How do I know if my insurance company will cover my visit or certain services?
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Coverage varies with each insurance company and employer. Generally, the Hospital staff does not know whether a particular service will be covered. - The insurance company that issued your health insurance policy is the best source of information about your coverage. If you are covered under a group policy through work, your employer can tell you what is covered. In all cases, you are the "responsible party" - not your insurer. Therefore you are responsible for all payments for hospital and medical services, even if they are not covered services.
- Even "medically necessary" services may not always be covered by your insurance contract. Please refer to your member handbook or call your insurance company with questions.
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Will my insurance plan pay for my child's treatment?
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Start by making sure that the treatment facility accepts your insurance plan. Each insurance plan is different. Even within the same company there may be several plans. One plan may cover a certain treatment while another does not. Also, just because Children's Hospital (or one of our facilities) is listed in your plan, it may not be approved for all the services we offer. Contact your specific insurance plan to find out whether your child's treatment will be covered.
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Will my insurance company cover the services of all professionals (such as the surgeon, radiologist, or pathologist) involved in my child's treatment?
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Each professional needs to have a separate contract with the insurance companies. The Hospital doesn't know if each professional who cares for your child has a contract with your insurance company. You need to check with your insurance company or your employer about this.
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Need more information?
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Patient Account Representatives can help you Monday through Friday, 7 a.m. - 5:00 p.m. Call (614) 722-2055 or email us at Children'sPatientAccounts@NationwideChildrens.org.
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