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 Access  
    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  
    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)
    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

    ***Effective 8/7/2018
  • Medicaid

     

    MEDICAID In Network Out of Network
    Amerigroup HMO (KanCare)   
    Home State Health Plan HMO (MC+)
    Missouri Care HMO  (MC+)
    Sunflower State Health Plan HMO (KanCare) 
    United Health Community Plan HMO (MC+)
    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 (Commercial Plans Only)

    **Effective 11/15/2018

    ***Effective 8/7/2018
  • Medicare Advantage

     

    MEDICARE ADVANTAGE In Network Out of Network
    AARP/Secure Horizons Medicare Complete (UHC)  
    Aetna Medicare Advantage PPO**  
    Aetna Medicare Advantage HMO   
    BlueKC Medicare Advantage HMO  
    Care Improvement Plus/XL (UHC)  
    Cigna HealthSpring Medicare Advantage HMO  
    Coventry Advantra HMO & PPO
    Humana Choice PPO
    Humana Gold Choice PFFS
    Humana Gold Plus 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 (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 
    Preferred Care Blue PPO
    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
    CompCareHumana d/b/a Lifesync  
    Humana d/b/a LifesyncMHNet 
    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

A Service Provided by Truman Medical Centers

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