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Managed care plan listing — effective 01/01/2023
Commercial Payor | Products | Hospitals | ASCs | ||
---|---|---|---|---|---|
In | Out | In | Out | ||
Aetna | HMO/POS/PPO/NAP | ||||
Aetna I-35 Preferred (Preferred, Premier Plus, Connect, KC Care Network Plus) |
EPO/PPO | ||||
Beech Street/Viant (Multi-Plan) |
PPO | ||||
Blue Access | PPO | ||||
Blue Care | HMO | ||||
Blue Cross & Blue Shield | Traditional | ||||
BlueSelect & BlueSelect Plus | EPO/PPO | ||||
Blue Cross High Performance Network (HPN) |
HMO | ||||
Blue Cross Blue Sheld of KANSAS (BlueCare EPO/Solutions EPO) |
EPO | ||||
Cigna | HMO/POS/PPO | ||||
Cigna SureFit/LocalPlus | HMO/PPO | ||||
Cigna+Oscar (LocalPlus, Open Access) |
HMO/PPO | ||||
First Health | PPO | ||||
Freedom Network | PPO | ||||
Freedom Network Select | PPO | ||||
HMCC PHO | (all products/plans) | ||||
Humana | HMO/POS/PPO | ||||
Humana PPOx | PPO | ||||
MultiPlan | PPO | ||||
Preferred Care (Blue Cross) |
PPO | ||||
Preferred Care Blue (Blue Cross) |
PPO | ||||
Preferred Health Professionals "PHP" (Blue Cross) |
PPO | ||||
Private Health Care Systems "PHCS" (MultiPlan) |
PPO | ||||
Savility (MultiPlan) |
POS | ||||
United Healthcare | HMO/POS/PPO | ||||
United Healthcare (CORE Product) |
HMO | ||||
Well Care | PPO (HCA employees) |
Managed Medicare | Products | Hospitals | ASCs | ||
---|---|---|---|---|---|
In | Out | In | Out | ||
AARP Medicare Advantage Plan 1 | HMO-POS | ||||
AARP Medicare Advantage Choice Plan 1 | PPO | ||||
AARP Medicare Advantage Choice Plan 2 | PPO | ||||
AARP Medicare Advantage Patriot | PPO | ||||
AARP Medicare Advantage Plan 2 (by UnitedHealthcare) |
HMO-POS | ||||
Aetna Medicare Eagle | HMO | ||||
Aetna Medicare Elite (fka Coventry Freedom Plus) |
PPO | ||||
Aetna Medicare Premier | HMO | ||||
Aetna Medicare Premier Plus | PPO | ||||
Blue Medicare Advantage Essential | PPO | ||||
Blue Medicare Advantage Flex (no Part D) |
PPO | ||||
Blue Medicare Advantage Spira Care | HMO | ||||
Blue Secure | HMO | ||||
Cigna Fundamental Medicare | HMO | ||||
Cigna Preferred Medicare | HMO | ||||
Cigna True Choice Medicare | PPO | ||||
Erickson Advantage Liberty with Drugs | HMO-POS | ||||
Erickson Advantage Liberty without Drugs | HMO-POS | ||||
Erickson Advantage Signature with Drugs | HMO-POS | ||||
Humana Choice | PPO | ||||
Humana Community (H7621-001) |
HMO | ||||
Humana Gold Plus | HMO | ||||
Humana Honor | PPO | ||||
Humana Value Plus | HMO | ||||
Kansas Health Advantage | SNP | ||||
MO Medicare Select/AllyAlign | SNP | ||||
NHC Advantage/AllyAlign | SNP | ||||
Simply Blue | PPO | ||||
Simply Blue (Advantage) |
PPO | ||||
Wellcare Assist (Wellcare by Allwell) |
HMO | ||||
Wellcare Community Assist (MO only, not Allwell) |
PPO | ||||
Wellcare Giveback (Wellcare by Allwell) |
HMO | ||||
Wellcare No Premium (Wellcare by Allwell) |
HMO | ||||
Wellcare No Premium Open (MO only, not Allwell) |
PPO | ||||
Wellcare Low Premium Open (MO only, not Allwell) |
PPO | ||||
Wellcare Patriot Giveback Open (MO only, not Allwell) |
PPO | ||||
Wellcare Premium Hybrid Open (KS only, Wellcare by Allwell) |
PPO |
Managed Medicaid | Products | Hospitals | ASCs | ||
---|---|---|---|---|---|
In | Out | In | Out | ||
Aetna Better Health KS | HMO | ||||
HealthyBlue MO (f/k/a Missouri Care) |
HMO | ||||
Home State Health Plan MO | HMO | ||||
Sunflower State Health Plan KS | HMO | ||||
UnitedHealth Community Plan KS | HMO | ||||
UnitedHealth Community Plan MO | HMO |
Health Insurance Exchange | Products | Hospitals | ASCs | ||
---|---|---|---|---|---|
In | Out | In | Out | ||
Aetna (CareLink) |
EPO | ||||
Ambetter by Home State Health Plan MO (Essential, Secure, Balanced) |
EPO | ||||
Ambetter by Sunflower Health Plan KS (Essential, Secure, Balanced) |
HMO | ||||
BlueSelect & BlueSelect Plus (Choice, Standard, Saver) |
EPO | ||||
Preferred Care Blue (Saver) |
PPO | ||||
Cigna (Simple Choice, Connect) |
EPO | ||||
Medica (Select) |
EPO | ||||
Oscar (Classic, Simple, Elite) |
EPO | ||||
United (Standard, Essential, Advantage, Value) |
EPO |
Work Comp PPOs | Hospitals | ASCs | |||
---|---|---|---|---|---|
In | Out | In | Out | ||
Coventry Health Care Workers Compensation | |||||
CCO/Rockport | |||||
Comp Results | |||||
Corvel | |||||
Paradigm Specialty Networks | N/A | ||||
Premier | |||||
WorkCompMC/OHM |
Behavioral Health | Hospitals | ASCs | |||
---|---|---|---|---|---|
In | Out | In | Out | ||
Aetna Behavioral Health | |||||
Beacon / Value-Options Behavioral Health | |||||
Cigna Behavioral Health (Evernorth) |
|||||
Humana (d/b/a Lifesync) |
|||||
New Directions Behavioral Health | N/A after 12/31/21 | ||||
Preferred Mental Health Management | |||||
United Behavioral Health (d/b/a Optum) |
TRICARE | Hospitals | ASCs | |||
---|---|---|---|---|---|
In | Out | In | Out | ||
Healthnet |
Veterans Affairs (VA CCN) | Hospitals | ASCs | |||
---|---|---|---|---|---|
In | Out | In | Out | ||
Optum Health |
HCA Midwest Health accepts most major health insurance plans in the Kansas City area. Because this list can change, please verify that the facility and your doctor accepts your insurance plan prior to your visit.
This list is subject to change at any time and without notice.