STARTING NOVEMBER 1ST, 2024

 THIS IS AN UPDATED LIST OF INSURANCE PAYORS WE WILL BE ABLE TO ACCEPT AT ST.LOUIS PEDIATRIC ASSOCIATES

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6 Degrees Health – Commercial• Humana – Commercial, Medicare Advantage

• Aetna, Inc. – Commercial, First Health, National Advantage, Medicare AdvantageMedica - SSM employee health plan, Medica Employee Health Plan, Medicare Advantage, Govt.

• Aetna Better Health of Illinois – IL Medicaid HMO (f/k/a Illinicare Health)Marketplace (excluding Balance by Medica which is NOT in network)

• Alliance Coal• Mercy Managed Behavioral Health

• Ambetter• Meridian Health Plan - IL Medicaid HMO

• American Health Advantage of Missouri• Meritain – see Aetna

• Anthem Blue Cross and Blue Shield - Commercial, Govt. Marketplace, Medicare Advantage, Blue• Molina Health Plan - IL Medicaid HMO, MMAI

Card• MultiPlan, Inc. – Commercial

• Blue Cross Blue Shield of Illinois - IL Medicaid HMO• New Horizons PACE (Program of All-inclusive Care for the Elderly)

• Centivo• NHC Advantage – Medicare Advantage SNP

• Cigna Behavioral Health – Facility Services• Optum Behavioral Health

• CIGNA Health Plan of St. Louis - Commercial, Cigna/Great West• Oscar – Govt. Marketplace

• CompResults – Work Comp• Phelps County Memorial Hospital

• Corvel – Work Comp• Point Comfort Underwriters

• Coventry Worker Comp / Enlyte• PPHP – Provider Partner’s Health Plan (SNP)

• Employer’s Choice – HealthLink Narrow Network• Private Health Care System (aka PHCS) – Commercial

• Employer’s Choice – HealthScope Narrow Network• Provider Network of America (PNOA) – Commercial

• Essence, Inc. – Medicare Advantage• Smart Health - STL based Ascension Employees

• Hannibal Regional PHO - Commercial• Tricare East - Humana Military

• Health Alliance - Commercial, Medicare Advantage• Tricare West - HealthNet Federal Services

• Health Systems, Inc. (Phia Group)• United HealthCare of the Midwest, Inc. – Commercial (excluding Gov’t Marketplace individual

• HealthLink, Inc. – Commercial, Work CompExchange benefit plans), Community Plan/Medicaid, Medicare Advantage, Medicare Advantage

• Healthy Blue – MO Medicaid HMOSNP

• HFN - Commercial• VA Community Care Network (VA CCN) – Allservices require prior authorization, Medical Only

• Home State Health Plan - MO Medicaid HMO, Govt. Marketplace, Medicare Advantage• WellCare (Wellcare by Allwell and Wellcare)

• Hope Trust• YouthCare – IL Medicaid through Meridian

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INSURANCES WE WILL NOT BE ABLE TO ACCEPT

• Balance by Medica

• Beacon Health Options

• Cigna Connect

• Cigna SureFit

• Cigna LocalPlus

• Coventry FocusedCare

• Anthem Alliance Network

• Magellan Behavioral Health

• UnitedHealthcare – Gov’t Marketplace (individual Exchange benefit plans)

• VA Community Care Network (VA CCN) – Behavioral Health