Insurance Plans


Enroll for Missouri Health Insurance Coverage

“Finance”

The next enrollment period begins November 1, 2016!

Enrollment begins November 1, 2016. Missouri is participating in the health insurance marketplace operated by the federal government. To learn about plan choices available in Missouri and to enroll in a plan, visit www.healthcare.gov. For questions, call toll free 800-318-2596. This is a 24-hour hotline that handles consumers’ questions.

• Download Health Insurance FAQs
• Visit EnrollMissouri.org Website
• Video - What is the Health Insurance Marketplace
• Video - Marketplace Enrollment Process
• Video - Marketplace Applications Process

* The TMC Discount is not health insurance and the discount only applies when used at a TMC facility (our hospital, or at one of our clinics). Being eligible for the TMC Discount does not mean you are automatically compliant with federal health insurance requirements.

 

Insurance Plans Accepted

The following list of insurance plans are accepted at Truman Medical Centers (TMC), doing business as University Health. This list does not change frequently, however we recommend that you contact us at (816) 404‑3040 to verify that your insurance plan is accepted.

If you do not see your insurance plan listed, please contact your plan administrator or insurance provider directly and ask that they add Truman Medical Centers to your plan or network.

Although University Health accepts most health insurance plans, you may find that some physicians may not participate in the same insurance plans that University Health offers. Please check with your physician to ensure that they participate with your insurance plan or network before seeking services at University Health.

All healthcare plans require pre-certification or authorization by the insurance company for any in-patient service and for some out-patient procedures. It is the responsibility of the physician’s office or you as a member of the plan to ensure this process is completed. Prior to admission for any inpatient services or scheduling an out-patient procedure, please contact your physician’s office to confirm that pre-certification is in place.

  • Commercial

    COMMERCIAL
    In Network
    Out of Network
    Aetna HMO/POS/PPO/NAP 
    •  
    Beech Street/Viant PPO 
    Blue Access  
    Blue Care HMO 
    Blue Cross & Blue Shield Traditional  
    Blue Select PPO  
    Cigna HMO/POS/PPO  
    Coventry HMO/POS/PPO  
    Coventry One PPO  
    First Health PPO 
    Freedom Network PPO  
    Freedom Network Select PPO 
    Great West PPO  
    Healthcare Preferred PPO 
    Humana HMO/PPO/POS 
    MultiPlan PPO * 
    Preferred Care PPO 
    Preferred Care Blue PPO  
    Preferred Health Professionals PPO (PHP)  
    Private Health Care Systems PPO (PHCS)  
    TriCare/TriWest VA (BCBS)
    United Healthcare HMO/POS/PPO 
    Tricare/United Military Veterans Services (UHC)


    * MultiPlan includes the following Payors: AHC, BCE Emergis, Beech Street, BPS HealthCare, ForMost, Health EOS, HN HealthNetwork, MedNetwork, PHCS, Preferred Plan, ProAmerica, United Payors and United Providers
    ** No Out-of -Network Penalty
    *** Terminating 12/31/2016
    **** Effective 1/1/2017
  • Medicaid

    MEDICAID
    In Network
    Out of Network
    Amerigroup HMO (KanCare)
    Aetna Better Health HMO(Healthcare USA   
    Home State Health Plan HMO 
    Missouri Care HMO  
    Sunflower State Health Plan HMO (KanCare) 
    United Health Community Plan HMO (KanCare)


    * MultiPlan includes the following Payors: AHC, BCE Emergis, Beech Street, BPS HealthCare, ForMost, Health EOS, HN HealthNetwork, MedNetwork, PHCS, Preferred Plan, ProAmerica, United Payors and United Providers
    ** No Out-of -Network Penalty
    *** Terminating 12/31/2016
    **** Effective 1/1/2017
  • Medicare Advantage

    MEDICARE ADVANTAGE
    In Network
    Out of Network
    Aetna Medicare Advantage  
    Care Improvement Plus/XL (UHC)**   
    • 
    Coventry Advantra HMO & PPO  
    Humana Gold+Plus HMO  
    Humana Gold+Plus Choice PPO  
    AARP/Secure Horizons Medicare Complete (UHC)  
    Blue KC Medicare Advantage HMO
    Cigna HealthSpring Medicare Advantage HMO


    * MultiPlan includes the following Payors: AHC, BCE Emergis, Beech Street, BPS HealthCare, ForMost, Health EOS, HN HealthNetwork, MedNetwork, PHCS, Preferred Plan, ProAmerica, United Payors and United Providers
    ** No Out-of -Network Penalty
    *** Terminating 12/31/2016
    **** Effective 1/1/2017
  • Health Insurance Exchange

    HEALTH INSURANCE EXCHANGE
    In Network
    Out of Network
    Blue Select PPO/EPO
    Compass United HealthCare HMO***
    Humana PPOx 
    Preferred Care Blue PPO 
    Cigna Connect EPO****


    * MultiPlan includes the following Payors: AHC, BCE Emergis, Beech Street, BPS HealthCare, ForMost, Health EOS, HN HealthNetwork, MedNetwork, PHCS, Preferred Plan, ProAmerica, United Payors and United Providers
    ** No Out-of -Network Penalty
    *** Terminating 12/31/2016
    ****Effective 1/1/2017
  • Workers Compensation

    WORKERS' COMPENSATION
    In Network
    Out of Network
    Aetna  
    Comp Results  
    FirstHealth  
    Premier 
    Logicomp


    * MultiPlan includes the following Payors: AHC, BCE Emergis, Beech Street, BPS HealthCare, ForMost, Health EOS, HN HealthNetwork, MedNetwork, PHCS, Preferred Plan, ProAmerica, United Payors and United Providers
    ** No Out-of -Network Penalty
    *** Terminating 12/31/2016
    ****Effective 1/1/2017
  • Behavioral Health

    BEHAVIORAL HEALTH
    In Network
    Out of Network
    Aetna Behavioral Health 
    Cenpatico Behavioral Health
    Cigna Behavioral Health  
    CompCare  
    Humana d/b/a Lifesync  
    MHNet 
    New Directions Behavioral Health  
    United Behavioral Health (now d/b/a OPTUM)  
    St. John’s Mercy Managed Behavioral Health 
    Beacon Health Options


    * MultiPlan includes the following Payors: AHC, BCE Emergis, Beech Street, BPS HealthCare, ForMost, Health EOS, HN HealthNetwork, MedNetwork, PHCS, Preferred Plan, ProAmerica, United Payors and United Providers
    ** No Out-of -Network Penalty
    *** Terminating 12/31/2016
    ****Effective 1/1/2017

Procedure Charge Look-up

For questions about the prices of procedures performed at Truman Medical Centers, please call the Pricing Inquiry Line at 816-404-3040 from 7:30 a.m. to 4:30 p.m. Monday through Friday.