Contracted Insurance Plans and Physician Groups by Plan Type

Valley Children’s Healthcare contracts with the following health plans for hospital and physician services. Plans may be subject to change.

If you have questions about the contracted insurance providers listed below, please call us at (559) 353-7238 to speak with a contracting representative. 

If you have questions about the status of a referral, please call (559) 353-8800 or call the practice directly at the practice's phone number listed on the Services & Departments directory page.

Health Plans

  • Aetna EPO/HMO/PPO
    • Valley Children’s Pediatric Specialists are not contracted with Aetna HMO for Fresno and Madera Counties
  • Adventist Health Plan, Inc. / Adventist Medical Center - Hanford
  • Anthem Blue Cross HMO / Prudent Buyer PPO
  • Anthem Blue Cross Medi-Cal
  • Blue Shield HMO / PPO
  • Capp Care (Beachstreet)
  • Central California Alliance for Health Medi-Cal
  • Champus (TRICARE)
  • Choice Care
  • Cigna/Greatwest
  • Delano Regional Medical Group
  • First Health / CCN / Coventry
  • Foundation HealthCare Administrators / California Foundation for Medical Care
  • Health Management Network
  • Health Net HMO / PPO
    • Valley Children’s Pediatric Specialists are not contracted with Health Net HMO for Fresno and Madera Counties
  • HealthNet Medi-Cal (CalViva Health)
  • Health Plan San Joaquin Medi-Cal
  • HealthSmart
  • Kaiser HMO / Medi-Cal
  • Kern Family Health Medi-Cal
  • Multiplan/PHCS
  • Managed Care Systems
  • Networks by Design
  • Pacific Health Alliance
  • Santa Barbara Health Initiative (CenCal Health)
  • Sutter Hospital System (Modesto Memorial EPO, Memorial Los Banos, Sutter Tracy)
  • TriStar Benefit Administrators (Wawona Packing, Lyons Magnus)
  • United HealthCare West (formerly PacifiCare)
  • Universal Care

Contracted Physician Groups

  • AllCare IPA
  • Bakersfield Family Medical Center / Heritage Physician Network
  • Employee Health Systems IPA
  • FirstChoice Medical Group
  • GEMCare IPA
  • Independence Medical Group IPA
  • Key Medical Group IPA / Foundation for Medical Care of Tulare and Kings Counties
  • LaSalle Medical Associates IPA
  • Prime Community Care Central Valley 
  • Saint Agnes Medical Group IPA
  • Sutter Gould Medical Foundation


  • CCS
  • Medi-Cal
  • Medicare

Valley Children’s is contracted for all Covered California Exchange Products.  

Additional Patient Referral Resources

Physician Referral Guidelines