Pediatric Services
Your children's health is your priority. Our pediatric coverage ensures they receive all the care they need from infancy through adolescence, including checkups, vaccines, and specialty care.
Your children's health is your priority. Our pediatric coverage ensures they receive all the care they need from infancy through adolescence, including checkups, vaccines, and specialty care.
Children have unique healthcare needs that change rapidly as they grow. From newborn screenings to adolescent wellness exams, pediatric care focuses on preventing illness, monitoring development, and catching potential problems early when they're most treatable. Regular pediatric care establishes healthy habits and builds a foundation for lifelong wellness.
Many of our affordable health plans include comprehensive pediatric services, and some plans offer pediatric dental and vision coverage as well. This means children can have access to healthcare services covering not just medical care but also dental cleanings, eye exams, and glasses, all essential for their development and success in school.
Our affordable health plans provide pediatric coverage options that can cover your children's healthcare needs. Many plans cover well-child visits, immunizations, developmental screenings, and specialty care when needed. Your children deserve the best start in life, and our coverage helps make that possible.
Regular checkups from birth through age 18 covered at 100% with no copay. Includes physical exams, growth and development monitoring, hearing and vision screenings, and age-appropriate health guidance for parents.
All CDC-recommended vaccines covered at no cost, including DTaP, MMR, polio, hepatitis, varicella, flu shots, and school-required immunizations. Keeps your children protected against preventable diseases.
Assessments for developmental milestones, autism spectrum disorder, speech and language development, and learning disabilities. Early identification enables early intervention for the best outcomes.
Essential dental coverage for children including preventive care (exams, cleanings, X-rays, fluoride, sealants), basic services (fillings, extractions), and orthodontic coverage for medically necessary braces.
Annual eye exams covered for children to detect vision problems that can affect learning. Coverage for glasses or contact lenses ensures your child can see clearly in the classroom and beyond.
Mental health services for children including therapy for anxiety, depression, and behavioral issues, ADHD evaluation and treatment, and counseling. Children's mental health is covered equally with physical health.
Well-child visits follow the American Academy of Pediatrics schedule: multiple visits in the first year, annual visits ages 1-3, then yearly checkups through age 18. These visits catch problems early, ensure proper growth, and keep immunizations current. All covered at 100%.
When your child is ill, coverage for pediatrician visits, urgent care, and emergency care ensures they get treatment quickly. Common childhood illnesses like ear infections, strep throat, flu, and respiratory infections are treated with appropriate medications and follow-up care.
Access to pediatric specialists when needed, including pediatric cardiologists, neurologists, endocrinologists, allergists, and more. Children with chronic conditions or complex medical needs receive coordinated care from specialists who understand pediatric medicine.
Therapy services to help children develop skills, including speech therapy for language delays, occupational therapy for fine motor skills, physical therapy for gross motor development, and applied behavior analysis (ABA) for autism. Many of our plans include coverage for these services.
The American Academy of Pediatrics recommends the following schedule for well-child visits, all covered at 100% as preventive care:
Visits at 3-5 days (newborn), 1 month, 2 months, 4 months, 6 months, 9 months, and 12 months. These frequent visits monitor rapid growth and development, administer immunizations, and address feeding, sleep, and developmental concerns.
Visits at 15 months, 18 months, and 24 months. Focus on developmental milestones, language development, autism screening, and transitioning to toddler nutrition. Important immunizations continue during this period.
Annual visits ages 3-5 assess school readiness, vision, hearing, and social development. School-required immunizations are completed. Ages 6-11, annual visits focus on healthy habits, academic performance, and physical activity.
Annual visits ages 12-18 address puberty, mental health, substance use prevention, sexual health, and preparation for adult healthcare. Meningitis, HPV, and Tdap vaccines are recommended during adolescence.
Yes, well-child visits are covered at 100% with no copay when you see an in-network pediatrician. This includes the exam, routine immunizations, and standard screenings. If additional services are provided during the visit (like treating an illness), those may have separate charges.
Many plans allow children to remain on their parents' health insurance until a certain age. Coverage details vary by plan, so check your specific plan for dependent age limits. Call us to find a plan that works for your family.
Many of our plans include pediatric dental and vision coverage for children. Coverage details vary by plan, so speak with a licensed agent to find a plan that includes the dental and vision benefits your children need.
Many of our plans cover habilitative services (therapy to help children develop new skills). This can include speech therapy, occupational therapy, physical therapy, and behavioral therapy for conditions like autism. Coverage details vary by plan, so check your specific benefits.
You can choose any in-network pediatrician for the lowest out-of-pocket costs. PPO plans also allow you to see out-of-network pediatricians at higher cost. Consider factors like location, office hours, hospital affiliations, and whether the practice accepts same-day sick appointments.
Speak directly with a licensed agent