Provider search
Make sure you choose a Primary Care Provider (PCP) who accepts Dell Children’s Health Plan STAR or CHIP. Click on Find a Doctor or download a provider directory from the list below.
Call Member Services at 1-855-921-6284 (TTY 7-1-1) to have a provider directory mailed to you at no cost. Member Services is open from 8 a.m. to 5 p.m. Central Time Monday through Friday, excluding state holidays. Calls received from 5 p.m. to 8 a.m. will be directed to voicemail.
Download a Provider directory:
Machine readable Provider directory
You should always be able to reach your primary care provider 24 hours a day seven days a week by calling your provider’s office number. If the office is closed, you may be sent to an answering service. They will know how to reach the provider or ask you to leave a phone number so the provider can call you back.
Dell Children’s Health Plan also offers a 24-hour Nurse HelpLine. You can reach them at 1-855-712-6700 (TTY 7-1-1).
Remember that you can change your provider at any time. Call Dell Children’s Health Plan Member Services at 1-855-921-6284 (TTY 7-1-1) to make the change. Member Services can tell you when you can go to your new provider.
You may not get to change your provider if:
- The new provider is not in the Dell Children’s Health Plan network, or
- The new provider is not taking new patients
Referrals to specialists
Sometimes your primary care provider (PCP) may need you to see a specialist or another provider for care or services they cannot provide. This is called a referral. Your provider may also need approval from us before you can receive certain services. This is called prior authorization.
You do not need a referral from your PCP to receive: OB-GYN, family planning or behavioral health services. This is called self-referral. To receive these services, schedule an appointment with an in-network provider. You can use our Find a Doctor search tool to find a participating provider.
Specialist as Primary Care Provider
Please complete the form to request a specialist as your primary care provider.
Urgent and after-hours care locations
Click here to find a list of urgent and after-hours care locations.
Behavioral health
To find a behavioral health provider, use this search tool.
Vision
To learn more about vision services, call Member Services at 1-855-921-6284 (TTY 7-1-1) to learn more about your vision benefits, or see your member handbook.
Dental
Many dental services are covered by your health plan. Please read your member handbook or call Member Services for more information at 1-855-921-6284 (TTY 7-1-1).
Breast pumps, diabetic, asthma and respiratory supplies, and labs
Use this list of Durable Medical Equipment (DME) suppliers to find in-network providers for breast pumps, diabetic supplies, asthma and respiratory care supplies, and labs. If you need help finding a provider near you, please call Member Services at 1-855-921-6284 (TTY 7-1-1) or use the Find a Doctor tool.
For providers: Please contact Provider Relations at SHPProviderServices@seton.org to make any changes to a provider’s address, phone number, group affiliation or other updates.
