Guide to Children’s Healthcare | In + Around Madison, WI

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 one of the largest integrated health care delivery systems in the country. Established in 1904 and based in Madison, SSM Health Dean Medical Group provides:

• Medical and health services through a network of locations throughout southern Wisconsin
• Health insurance services through Dean Health Plan
• Ancillary health 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.

At SSM Health St. Mary’s Hospital – Madison, our goal is to serve the community and play an active role in it. For the third consecutive year, U.S. News & World Report recognized SSM Health St. Mary’s Hospital – Madison as one of the best hospitals in Wisconsin. From pediatrics to senior health, we take the time to listen and understand the needs of all our patients. We consistently offer the latest advances in medical services through individualized patient treatment.

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)

Treat minor injuries and illnesses at an SSM Health Express Clinic or Urgent Care location.

This Urgent Care locations does not schedule appointments. Patients are attended to based upon their level of illness. Please note that our medical staff is obligated to attend to the most serious cases first.

Holiday Hours:

• Holidays (when on a weekday): 7 am – 4 pm
• Holidays (when on a weekend): 8 am – 5 pm

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.

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

Many of our patients have already been to a dentist and they had been recommended to have a mouthful of fillings and crowns. We don’t do that. Our passion is to heal your cavities. Even the American Dental Association encourages a non-restorative (no fillings) approach as opposed to getting out the drill every time a cavity is found. We don’t even have a drill because there now exists a better way to treat tooth decay and we have it!

Insurance Accepted: Delta Dental, Cigna, MetLife, Ameritas, Guardian, Aetna, United Concordia, ForwardHealth and BadgerCare and most others accepted.

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

Dane County’s leading pediatric and family health experts. We have a beautiful, first class office that is kid and family-friendly. We specialize in pediatrics, pregnancy, and family wellness, with an emphasis on Neuro-Developmental Disorders.

A chiropractic treatment for a child begins with an extensive examination to determine the exact issue and the best route for treatment. Even if your child is too young to communicate, or too shy, a chiropractor has the skills to work with them to find out exactly what is going on before proceeding with treatment, if it is determined treatment is needed. Gentle and non-invasive adjustments are then made to the spine. Children will often become relaxed and even fall asleep following treatment, a good sign that it has been effective. If you are concerned about your child’s spinal health, call our team at ADIO Chiropractic to set up a consultation today.

Insurance Accepted: No – Cash Only

Now more than ever, parents are looking for safe and effective options for their families to improve and maintain their health. We are here to be a resource for those families and for our community.

Dr. Jill Mork is a Pediatric + Prenatal Certified Chiropractor that cares for newborns on up. She is also certified in the Webster Technique, which is a specific technique for pregnancy. She focuses on family care and strives to empower families to take control of their health and well being!

Our office is family friendly and our goal is to create a culture of community and support.

Insurance Accepted: No, however, they accept HSA/FSA cards for payment, as well as cash, check, and credit/debit cards.

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.

Our team of experienced and caring speech, occupational and physical therapists provide therapy services tailored to the unique needs of your child.

Aspire will help your child overcome barriers in communication, social skills, sensory processing, handwriting, food sensitivity, movement challenges, and more through individual sessions or with peers in small groups and camps.

Whether in our two convenient clinics or at your daycare, preschool, private school or home, Aspire meets your child “where they are” in every way possible.

How can Aspire help you?

Insurance Accepted: Quartz, Dean, Blue Cross Blue Shield, The Alliance, Cigna, WPS, WEA, Medicaid, Badgercare, CLTS Waiver Funding

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.