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Managed care plan listing — effective 01/01/2024
| 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 | ||||
| Centrus CIN (Nebraska Furniture Mart) |
EPO | ||||
| Cigna | HMO/POS/PPO | ||||
| Cigna 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 (Choice, Choice Plus, Oxford, Surest, Golden Rule, All Savers, Select, Options, Harvard, Student Resources, National, Options, etc.) |
HMO/POS/PPO | ||||
| United Healthcare (CORE) |
HMO | ||||
| Well Care | PPO (HCA employees) | ||||
| Managed Medicare | Products | Hospitals | ASCs | ||
|---|---|---|---|---|---|
| In | Out | In | Out | ||
| AARP Medicare Advantage Patriot | PPO | ||||
| AARP Medicare Advantage (from UHC KC-0001; 0002; 0003; 0004; 0005) |
HMO-POS | ||||
| Aetna Medicare Assure | HMO D-SNP | ||||
| Aetna Medicare Eagle | HMO | ||||
| Aetna Medicare Premier & Plus | HMO/PPO | ||||
| Aetna Medicare SmartFit (HMO-POS & PPO) |
HMO-POS | ||||
| Aetna Medicare Value Plus Plan | HMO | ||||
| Aetna Medicare SmartSaver Elite | HMO | ||||
| Blue KC Essential | PPO | ||||
| Blue KC Giveback | PPO | ||||
| Blue KC Secure | HMO | ||||
| Blue KC Simply Blue | PPO | ||||
| Blue KC Valor | PPO | ||||
| Cigna Preferred Medicare | HMO | ||||
| Cigna True Choice Medicare | PPO | ||||
| Cigna True Choice Courage Medicare | PPO | ||||
| Erickson Advantage Freedom | HMO-POS | ||||
| Erickson Advantage Liberty with Drugs | HMO-POS | ||||
| Erickson Advantage Liberty without Drugs | HMO-POS | ||||
| Erickson Advantage Signature | HMO-POS | ||||
| Humana Choice | PPO | ||||
| Humana Gold Plus | HMO | ||||
| Humana USAA Honor | PPO | ||||
| Kansas Health Advantage | SNP | ||||
| MO Medicare Select/AllyAlign | SNP | ||||
| NHC Advantage/AllyAlign | SNP | ||||
| UnitedHealthcare (see AARP & Erickson Advantagea) |
HMO-POS/PPO | ||||
| UHC Dual Complete KS-S001; KS-s002 | HMO-POS D-SNP | ||||
| Wellcare Assist (Wellcare by Allwell) |
HMO | ||||
| Wellcare Dual Access, Dual Access Open & Dual Liberty | HMO D-SNP/PPO D-SNP | ||||
| Wellcare Giveback (Wellcare by Allwell) |
HMO | ||||
| Wellcare No Premium (Wellcare by Allwell) |
HMO | ||||
| Wellcare No Premium Open (Wellcare by Allwell) |
PPO | ||||
| Wellcare Patriot Giveback Open (MO only, not 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 (Standard, Clear, Everyday, Choice, Focused, Complete, Premier, Elite) |
EPO | ||||
| Ambetter by Sunflower Health Plan KS (Clear, Standard, Everyday, Choice, Elite, Focused, Complete) |
EPO | ||||
| BlueSelect & BlueSelect Plus (Choice, Standard, Saver) |
EPO | ||||
| Preferred Care Blue (Saver, Standard) |
EPO | ||||
| Medica (Select) |
EPO | ||||
| Oscar (Classic, Simple, Elite) |
EPO | ||||
| United (Standard, Essential, Advantage, Value, Focus) |
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 | |||||
| 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. This list should be used as general guidance. Because plan participation can be subject to 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.