Provider search
Make sure you choose a Primary Care Provider (PCP) who accepts Dell Children’s Health Plan CHIP or STAR. Click on Find a Doctor or download a provider directory from the list below. Call Member Services at 1-855-921-6284 to have a provider directory mailed to you at no cost. Member Services is open from 8 a.m. to 6 p.m. Monday through Friday, excluding state holidays.
Download a Provider directory:
Machine readable Provider directory
You should always be able to reach your PCP 24/7 by calling your doctor’s office number. If the office is closed, you may be sent to an answering service. They will know how to reach the doctor or ask you to leave a phone number so the doctor can call you back.
Dell Children’s Health Plan also offers a 24-hour nurse hotline. You can reach them at 1-855-712-6700.
Remember that you can change your PCP at any time. Call Dell Children’s Health Plan Member Services at 1-855-921-6284 to make the change. Member Services can tell you when you can go to your new PCP.
You may not get to change your PCP if:
- The new PCP is not in the Dell Children’s Health Plan network, or
- The new PCP is not taking new patients
Referrals to specialists
Sometimes your PCP will need you to see a specialist or another provider for care or services he or she can’t provide. This is called a referral. Your doctor may also need us to approve certain services before you get them. This is called prior authorization.
You can get OB/GYN, family planning, and behavioral health services without a referral from your doctor. This is called self-referral. To get these services, make an appointment with a doctor in our network. You can find a list of doctors using the Find a Doctor search tool.
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 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.
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 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.
