Accepted Health Plans and Insurance Providers

As the only pediatric hospital in South Florida dedicated exclusively to children, Nicklaus Children's Hospital, and its multispecialty physician group, Nicklaus Children’s Pediatric Specialists, LLC, is proud to be an in-network provider for the majority of health insurance plans providing coverage to our patients. In support of our mission to inspire hope and promote lifelong health by providing the best care to every child, our Managed Care team works closely with our health insurance partners to ensure a wide array of coverage and access options for patients.

Listed below are the health insurance plans participating with Nicklaus. In addition, we also accept a variety of Behavioral Health, Dental and Vision plans. If you have any questions, please email payer.credentialing@nicklaushealth.org. In addition, we always recommend contacting your health insurance plan directly to verify Nicklaus’ participation status based on the specifics of your insurance benefit plan design.

We are grateful for the opportunity to care for your children.

COMMERCIAL INSURANCE PLANS(HMO/PPO/POS/EPO)
  • Aetna
  • AvMed Health Plans*
  • Blue Cross Blue Shield of Florida
  • Cigna HealthCare
*Excluding Jackson Select Product
  • Humana
  • Imagine Health
  • Multiplan
  • UnitedHealthcare
MEDICAID HMO & HEALTHY KIDS PLANS

Medicaid HMO:

  • Aetna Better Health
  • AmeriHealth Caritas of Florida
  • Community Care Plan
  • Humana
  • Molina Healthcare of Florida
  • Simply
  • Sunshine Health
    • CMS Title 19 & 21
    • Child Welfare
    • SMI
  • UnitedHealthcare
  • US Virgin Islands Government

Healthy Kids:

  • Aetna Better Health
  • Community Care Plan
  • Simply/Clear Health Alliance
HEALTHCARE EXCHANGE PLANS
  • Aetna QHP
  • AmBetter Sunshine
  • Molina
  • UnitedHealthcare​
MILITARY PLANS
  • TriCare Humana
  • ChampusVA
INTERNATIONAL PLANS
  • Best Doctors
  • Global Health Claim Services
  • Guardian Life of the Caribbean
  • Epic Health Solutions
  • Point Comfort Underwriter
  • Quality Health Management
  • Salubris
  • Worldwide Concierge Healthcare Services

Authorization requirements vary by each plan/group. Please contact your health plan directly to verify if your insurance plan is participating with Nicklaus Children’s and to verify authorization requirements as some insurance plans utilize narrow networks which may exclude our facility.

Please note that some non-employed physicians and credentialed medical staff members of Nicklaus Children's Hospital may not accept all of the health plans listed above. Also note that participation in these plans is not a guarantee of payment or coverage.