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.

 

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