Plan Features Almost all health plans cover physician and hospital services.
Plans differ, however, with regard to the mix of child health professionals used.
Many use a combination of pediatricians, family physicians, and nurse practitioners to deliver primary care services to children. Plans also vary with regard to the availability of adult versus pediatric subspecialists and the availability of general hospitals versus hospitals specializing in the care of children. Understanding how each plan organizes its comprehensive network of pediatric services is critical to the care of all children, particularly those with chronic conditions. The following list of questions can help guide purchasers in assessing health care plans' pediatric network capacity.