California families: Yes, we are in network with most major PPO insurance plans in California including Aetna, Anthem, Blue Cross Blue Shield, Blue Shield of California, Cigna, HealthNet, Tricare, and UnitedHealth (Optum Behavioral Health).
Our current Medi-Cal coverage includes San Francisco Health Plan, Alameda Alliance for Health, Contra Costa Health Plan, Partnership HealthPlan, and Blue Shield Promise Health Plan.
Texas families: As of April 1, 2025, we are in-network for all clinical services with Aetna, Cigna, and BlueCross BlueShield of Texas PPO plans as well as Tricare for military families. We also accept Optum (UnitedHealthcare PPO plans) for behavioral health visits. Superbills are available for out-of-network medical services in the interim. We're actively working to expand our network and will be adding more insurance plans soon!
Please note that this information is not a guarantee that services will be covered by your insurance company. Medication-related appointments are considered a medical service and may be covered differently by your insurance when compared to behavioral health services (for example, ADHD screenings, program consultations, or therapy). It is important to verify both types of benefits with your insurance provider to ensure coverage as co-pays, co-insurance, and deductibles for our services are based on your individual coverage plan. For detailed benefits information, we recommend you call the Member Services phone number on the back of your insurance card.
You can also reach out to us at billing@claritypediatrics.com with billing or insurance questions.