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Healthcare Coverage Options

Patients who need insurance or assistance with coverage or visits can look into the following options:

No Healthcare Coverage?

If you do not have healthcare coverage you can go to the Idaho Healthcare Exchange at YourHealthIdaho.org or call (855) 944-3246 to get information and premium rates for health insurance.

Unable to Afford Premiums for Healthcare Coverage?

If you can not afford the premiums for healthcare coverage you can apply for Idaho Medicaid at HealthandWelfare.idaho.gov or call (877) 456-1233.

Do Not Qualify for Medicaid and are Unable to Afford an Office Visit or Immunizations?

​If you do not qualify for Medicaid and are unable to pay for healthcare premiums, or you have no coverage today and your child has an illness, you can contact Panhandle Health District at (208) 415-5270. Ask about obtaining a treatment voucher to be used at our office or at other providers in the county that are participating in this program.

If your child is under the age of 1 and you do not have Medicaid or health insurance, you may qualify for all wellness visits and immunizations to be provided at no cost to you by applying for our Wee Care program. Please contact Shelley C. at (208) 772-8940 to apply or learn more about this program.

If your child is 18 or younger and needs immunizations, they can be obtained at our office at no cost. The parent or patient will need to sign a waiver stating that they are unable to pay the cost associated with the administration of the free vaccine.

Contracted Insurance Companies and Networks

Coeur d'Alene Pediatrics has contracts in place for most insurance companies and Idaho Medicaid. It is recommended that you check with your particular insurance company to make sure our office is a contracted provider with them.

Contracted Insurance Companies

Aetna Allegiance
Altius through North Idaho Health Network only Asuris
Ameriplan Ameriplan through Blue Cross/Blue Shield of Minnesota
Assurant Health Blue Cross of Idaho
Blue Cross/ Blue Shield/ Regence (all states) Bridgespan through Regence in Idaho only
Champva Cigna/Great West Cigna
Coventry EBMS
GEHA Plan 115 Group Health
Health Partners through Cigna only Humana if Tricare only
Idaho Medicaid Idaho Physicians Open Access Plus Network
Interwest Health through PHCO only Medica
North Idaho Health Network PHCO
Premera Blue Cross of Washington Providence Healthcare through First Choice or Blue Cross/Blue Shield
Regence Blue Cross/ Blue Shield of Idaho Tricare
Trustmark Life Insurance Co. United Healthcare

Contracted Networks

Idaho Physicians Network:

Ameriben Solutions Assurant
EBMS Fiserv Health
Loomis Company MBA
Timber Products Manufacturers Trust Moda Health

First Choice Health Network:

Pacific Source TPSC
Zenith Administrators​  

Provider​ Network of America (PNOA):