GUIDE TO CHILDREN’S HEALTHCARE IN THE MADISON AREA

Children’s healthcare in Madison is top notch. And parents know finding a healthcare provider for your child can be stressful – how do you know where to go and who to trust? We are so thankful for our Madison community and our compassionate providers that take the time to truly listen and care for our kids.

Our Guide to Pediatric Healthcare is sponsored by SSM Health. SSM Health is a not-for-profit, fully integrated health system. In Wisconsin, SSM Health offers:

• Comprehensive primary and specialty health care services through a broad network of locations across south-central Wisconsin and northern Illinois.
• Various insurances accepted
• Ancillary health services, like lab testing, imaging, and pharmacy services within our locations

Below you will find a list of Madison area pediatric providers, sorted by specialty. We’ve highlighted some of our favorites with extra details you will find helpful as you search.

We hope this list is a great launching point as you find healthcare providers for your family!

We also have an entire category on Madison Mom dedicated to Health + Wellness.

Specialized Care for the Littlest Patients

SSM Health St. Mary’s Hospital – Madison has a team of specialized pediatric hospitalists providing inpatient care to those children who need it 24/7. SSM Health St. Mary’s Hospital – Madison also has pediatric specialists to treat patients in numerous areas, some of which include:

• Cardiology
• Neurology
• Gastroenterology
• ENT
• All surgeries covered by specialized pediatric surgeons, including pediatric orthopedic surgeries
• Additional pediatric medical and surgical specialty consultations available

Additionally, the SSM Health St. Mary’s Hospital – Madison pediatric inpatient care team includes:

• Specialized pediatric radiologists
• Pediatric speech, occupational and physical therapists
• Pediatric respiratory therapists
• Pediatric dietary and nutrition specialists
• Level III NICU, able to admit patients up 3 months old

Pediatrics patients receiving inpatient care and their families can take advantage of these resources as well:

• The playroom gives patients and siblings a place to play, relax and be kids.
• The family lounge offers an indoor place for families to gather and relax – our fish tank is always a hit with lounge visitors!
• The Ronald McDonald Family Room, located on the third floor of the hospital, offers a quiet space for families to rest, reflect and take time for themselves without needing to leave their child in the hospital. It includes living space, laundry, kitchen facilities, and bedrooms for families to use seven days a week.
• The Gardens of St. Mary’s offer a calming outdoor space for families to renew and recharge.

SSM Health Express Clinic or Urgent Care locations are here to treat your family’s minor injuries and illnesses.

Urgent care is the middle option between your primary care physician and emergency department. When you need immediate care, urgent care can treat medical problems sooner than a doctor’s office visit can be scheduled. Urgent cares tend to symptoms ranging from skin conditions to flus and colds to minor sprains or moderate injuries.

SSM Health Express Care and Urgent Care locations offer walk in availability and do not schedule appointments. Patients are treated based on the severity of their injury or illness.

Insurance Accepted: See above – same as hospital listing for SSM Health.

SSM Health pediatric specialists and staff are committed to helping our youngest patients grow into healthy, thriving adults. We provide personalized, compassionate care for patients from birth through adolescence, including routine well child exams and treatment for childhood illnesses. We understand the unique needs of our patients and their families and will communicate with you regularly, so you can be confident your child is getting the best care possible.

There are three traditional types of pediatric appointments:

Insurance Accepted: See above – same as hospital listing for SSM Health.

Let’s be real, having kids can be a LOT. At Associated Physicians, we get it! It can seem overwhelming and even lonely at times. Our Pediatric team is here for your kiddos, but we’re here for YOU too. We want you to lean on us to ensure the best for your children. Supporting YOU right alongside your children is our goal.

Associated Physicians, LLP is Dane County’s longest-serving, independent, multi-specialty medical practice, so we’re proud to have provided expert personalized health care for generations of families in Madison and the surrounding communities.

Our board-certified physicians are specialists in Internal Medicine, Pediatrics, Obstetrics and Gynecology, and Podiatry. And our adjunct services, including on-site physical therapy, behavioral health, nutrition counseling, laboratory, radiology, and the anticoagulation clinic give you greater access and health care options.

Insurance Accepted: We accept many different insurance plans.

At Madison Smile Solutions our goal is to educate and care for patients using the latest technology in a comfortable, modern setting. Dr. Kaveh can give you the smile you’ve always wanted in a relaxing environment with the help of sedation dentistry. He puts an emphasis on patient comfort for a positive dental experience.

Insurance Accepted: Delta Dental, Humana, Cigna, WEA Trust, Principal, Anthem, Ameritas

At Dental Health Orthodontics a beautiful smile is the side-effect of superior orthodontic treatment. Our orthodontists start the process with a free consultation to meet, assess, and discuss options that are best suited to each patient. The American Association of Orthodontists recommends an initial check-up with an orthodontist at the first sign of orthodontic problems or no later than 7 years old. While few children need treatment at this young age, early detection of certain orthodontic problems ensures treatment can be timed appropriately to a child’s growth and development.

Insurance Accepted:Ameritas, Assurant, American Dental Plan of Wisconsin (ADP), Delta Dental, Group Health Cooperative, Guardian, MetLife, Momentum Insurance Plans, United Concordia Dental. They also accept CareCredit financing and work with patients to figure out a payment plan that works for them.

SSM Health Davis Duehr Dean Eye Care is a comprehensive eye clinic that offers ophthalmology, optometry, contact lenses and a full service optical store.

• Comprehensive pediatric and adult eye exams
• Pediatric and adult eye disease management and care
• Refractive and cataract surgery consultations and post-op care
• Glaucoma diagnosis and treatment
• Guaranteed contact lens fitting
• Latest in fashion eyewear and a one-year warranty on all frames and lenses
• Optical Finishing Lab
• Full spectrum of sub-specialties, including oculoplastics, cornea and retina care

Insurance Accepted:

• The Alliance – Commercial
• Anthem Blue Cross and Blue Shield – Commercial, Blue Card (does not participate in Blue Priority)
• Care Wisconsin Family Care – Medicaid, Medicare Advantage
• Children’s Community Health Plan (CCHP) – Medicaid
• Dean Health Plan – Commercial, Medicaid, Medicare Advantage
• Dean ASO
• Dean Gold – Medicare
• Employers’ Coalition on Health (ECOH) – Commercial
• FortCare PPO (SSM Health St. Mary’s Hospital – Madison only; PCP services in Fort Atkinson and Whitewater)
• GHC Eau Claire – Commercial, Medicaid
• HealthEOS – Commercial
• Humana Military – Tricare (East Region)
• Independent Care Health Plan (iCare) – Medicaid, Medicare Advantage
• MultiPlan, Inc. – Commercial
• Three Rivers Provider Network – Commercial
• United HealthCare – Options PPO only • UHC Plan of the River Valley – Commercial
• VA Community Care Network (VA CCN) – All services require prior authorization
• WEA Trust – IYC (It’s Your Choice) Access Health Plan
• WellFirst – SSM Health employee health plan
• WPS – Commercial (does not participate in Healthy U)
• VSP
• Superior Vision

Caring for little ones and their families is what we do. Our pediatric ophthalmologists, orthoptists and technicians work together with your primary care providers to deliver the best care from now and well into the future. The future is bright for you and your children here at UW Eye Clinics.

Insurances Accepted

Through comprehensive, individualized medical and rehabilitative services our therapists help people return to work, daily activities and play. We also help your children achieve new skills, growth and development. The goal of our departments is to allow you or your child to reach a maximum level of functioning. We practice hands on, evidence based therapy to provide you with the best in care.

Our occupational therapists utilize the most current evaluation tools and clinical standards in determining the appropriate treatment for each child. We start by communicating directly with parents/guardians to determine the family’s goals and priorities. Then, through individualized evaluations, our therapists find solutions to help maximize independence and increase participation in daily activities, including self-care, learning and play.

Insurance Accepted: See above – same as hospital listing for SSM Health.

CI Pediatric Therapy Centers has been making therapy fun & functional for over twelve years!

We have eight locations throughout South-Central Wisconsin and beyond. From infants to young adults, we offer a wide array of therapeutic services, including skilled therapy services of occupational, speech-language, and physical therapy, and free developmental screeners.

In addition to in-person sessions, the team at CI is also excited and honored to be able to continue to serve children and families through virtual platforms like telehealth sessions [OT, PT, Speech] and virtual recreational classes through CI Connect. We love to get kids and parents moving, learning, reading, crafting, gaming and more! 

We will help you contact your insurance to verify coverage and benefits as your plan may have exclusions. The CI team will submit any necessary insurance authorizations at your request. Our job is to make navigating the insurance process smooth and simple for our families!

Insurance Accepted: Aetna, The Alliance, Auxiant, ChampVA, GHC, Dean (SSM), Health EOS, Humana, Physician’s Plus, Tricare, United Health Care, Unity (Quartz), UMR, and WPS.

At SSM Health, we understand it’s not easy coping with a mental health issue. As with any other medical condition, treating emotional and behavioral conditions such as anxiety, depression, or addiction are why we exist. Our team of counselors, psychiatrists, nurses, and specialized therapists work to provide support, expertise, and individualized care to our patients of all ages and their families.

Whether you have a child who needs inpatient therapy, a parent who needs help coping with the symptoms associated with aging, or a friend who needs drug or alcohol treatment, please know we are here. It is our privilege to be a part of the healing and recovery.

Insurance Accepted: See above – same as hospital listing for SSM Health.

SSM Health Express Virtual Care is affordable and available to anyone – whether you’re an established SSM Health patient or seeing us for the first time, we’ve got you covered. Common conditions we treat include:

• Allergies
• Cold, cough, flu, fever
• Sinus Infections
• Urinary Tract Infections (UTI)
• Diaper rash
• Head lice
• Skin conditions: insect stings and bites, rashes, & minor bumps
• Heartburn
• Minor aches, pains, and infections
• Minor cuts, scrapes, burns
• Minor sprains & strains

How does SSM Health Express Virtual Care work? Choose to speak to a trusted SSM Health provider through a virtual video visit or fill out a five-minute questionnaire to receive a treatment plan from a provider.

Insurance Accepted: Maximum out of pocket is $39 – $59; less if you have insurance.