Enroll for Missouri Health Insurance Coverage

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.

* 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 Care HMO  •
    Blue Cross & Blue Shield Traditional   •
    Blue Select PPO   •
    Blue Select Plus PPO  •  
    Cigna HMO/POS/PPO   •
    Cigna Connect  •
    Cigna Surefit    •
    Coventry HMO/POS/PPO   •
    First Health PPO  •
    Freedom Network PPO   •
    Freedom Network Select PPO  •
    Great West PPO (GWH-Cigna)  •
    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)   •
    TriWest Veterans Administration (BCBS) •
    Tricare/United Military Veterans Services (HNFS)*** •
    United Health Care HMO/POS/PPO •


    * 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 (Commercial Plans Only)

    **Effective 11/15/2018

  • Medicaid

     

    MEDICAID In Network Out of Network
    Aetna Better Health of KS**** •
    Home State Health Plan HMO (MC+) •
    Missouri Care HMO  (MC+) •
    Sunflower State Health Plan HMO (KanCare)  •
    UnitedHealthcare Community Plan HMO (MC+) •
    UnitedHealthcare 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 (Commercial Plans Only)

    **Effective 11/15/2018

    ***Effective 8/7/2018

    ****New KanCare Kansas Medicaid provider is Aetna Better Health effective 1/1/2019. It replaces Amerigroup. All KanCare payors are still considered out of network with TMC.

  • Medicare Advantage

     

    MEDICARE ADVANTAGE In Network Out of Network
    AARP/Secure Horizons Medicare Complete (UHC)   •
    Aetna Medicare Advantage PPO** •  
    Aetna Medicare Advantage HMO    •
    Allwell / Home State Health Medicare Advantage   •
    BlueKC Medicare Advantage HMO   •
    Cigna HealthSpring Medicare Advantage HMO   •
    Coventry Advantra HMO & PPO •
    Humana Choice PPO •
    Humana Community HMO •
    Humana Gold Choice PFFS •
    Humana Gold Plus HMO •
    United Health Care Medicare Advantage •


    * 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 (Commercial Plans Only)

    **Effective 11/15/2018

    ***Effective 8/7/2018

  • Health Insurance Exchange

     

    HEALTH INSURANCE EXCHANGE In Network Out of Network
    Ambetter •
    Blue Select EPO •
    Cigna Connect EPO •
    Humana PPOx  •
    Medica (Select and Connect)  •


    * 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 (Commercial Plans Only)

    **Effective 11/15/2018

    ***Effective 8/7/2018

  • Workers Compensation

     

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


    * 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 (Commercial Plans Only)

    **Effective 11/15/2018

    ***Effective 8/7/2018

  • Behavioral Health

     

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


    * 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 (Commercial Plans Only)

    **Effective 11/15/2018

    ***Effective 8/7/2018

All services provided by Truman Medical Center, Inc.

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