|
*
|
ADVANTRA (Medicare Product for Group Health Plan (GHP) – subsidiary of Coventry) |
|
*
|
AETNA EPO |
|
*
|
AETNA HMO/PPO |
|
*
|
AETNA OPEN ACCESS |
|
AETNA SELECT |
|
*
|
ALLIANCE/ ALLIANCE CHOICE (Part of Anthem Blue Cross and Blue Shield) |
|
ANTHEM BLUE CROSS AND BLUE SHIELD (Part of WellPoint) |
|
*
|
ALTON MULTISPECIALTY GROUP (AMS PCP referral required) |
|
BCE EMERGIS (Part of Multi Plans) |
|
BEECH STREET (subsidiary of Concentra - Part of SSM MCO) |
|
*
|
BLUE CHOICE HMO/OPEN ACCESS ( Part of Anthem Blue Cross and Blue Shield) |
|
*
|
BLUE CARD/ BLUE PREFERRED (Part of Anthem Blue Cross and Blue Shield) |
|
*
|
CARE MANAGEMENT RESOURCES - CMR (Part of GHP – subsidiary of Coventry) |
|
CCN PPO (Integrated with First Health Network 1/2007 – subsidiary of Coventry) |
|
CCO INC (Part of SSM MCO) |
|
CHOICECARE (Part of Humana) |
|
*
|
ESSE (PCP referral required) |
|
*
|
ESSENCE HEALTHCARE |
|
*
|
EVERCARE (UHC product) |
|
EVOLUTIONS HEALTHCARE - PPO (Part of SSM MCO) |
|
*
|
EXCLUSIVE CHOICE (SSMHC Employee Medical Plan) |
|
FIRST HEALTH NETWORK (Subsidiary of Coventry) |
|
GALAXY HEALTH NETWORK (Part of SSM MCO) |
|
*
|
GOLD ADVANTAGE (GHP Medicare Product) |
|
GREAT WEST HEALTHCARE (fka One Health Plan) |
|
*
|
GROUP HEALTH PLAN – (GHP – subsidiary of Coventry) |
|
*
|
HEALTHCARE USA (MO Medicaid MC+, subsidiary of Coventry) |
|
HEALTH DYNAMICS, Inc.- PPO (Part of SSM MCO) |
|
*
|
HEALTHLINK HMO (Merged with UniCare – subsidiary of WellPoint) |
|
*
|
HEALTHLINK PPO (Merged with UniCare – subsidiary of WellPoint) |
|
HEALTH MANAGEMENT NETWORK (HMN) PPO (Part of SSM MCO) |
|
HEALTH NETWORK AMERICA, INC. (fka Wellmark Health Network, Inc) |
|
HEALTHSTAR, INC. PPO & EPO (Acquired by ppoNEXT - Part of SSM MCO) |
|
HFN, INC. (Part of SSM MCO) |
|
INTEGRATED HEALTH NETWORKS & SERVICES, INC. PPO (part of First Health Network) |
|
MEDICAID OF MO (Confirm coverage through WEBMD for each DOS) |
|
MEDICARE OF MO (Administered by Arkansas Blue Cross and Blue Shield) |
|
MEDICARE OF IL (Administered by WPS) |
|
*
|
MEDICARE COMPLETE (UHC Medicare Product) |
|
*
|
MERCY HEALTH PLAN HMO/OPEN ACCESS/PPO (MHP) |
|
*
|
MERCY HEALTH PLAN PREMIER PLUS HMO (Medicare Product for MHP) |
|
*
|
MERCY CARE PLUS (MO Medicaid MC+) (fka -Community Care Plus & Mercy MC +) |
|
MULTI PLAN, INC. (MPI) |
|
NATIONAL PREFERRED PROVIDER NETWORK (NPPN) PPO |
|
NATIONAL PROVIDER NETWORK (Part of SSM MCO) |
|
NON-OPTIONS PPO (UHC product) |
|
OPTIONS PPO (UHC product) |
|
ppoNEXT (fka HealthStar, Inc. – Part of SSM MCO) |
|
PRINCIPAL HEALTH CARE (PHC) PPO |
|
PRIVATE HEALTH CARE SYSTEMS – PHCS (acquired by MultiPlan) |
|
PROAMERICA (acquired by MultiPlan) |
|
PROVIDER NETWORKS of AMERICA (Part of SSM MCO) |
|
*
|
SECURE HORIZONS (UHC Medicare product) |
|
*
|
SSM MCO |
|
THREE RIVERS PPO (Merged with Health Star, Inc. - Part of SSM MCO) |
|
*
|
TRICARE (fka CHAMPUS) |
|
UNICARE (Merged with HealthLink, Inc) Part of Anthem Blue Cross and Blue Shield |
|
UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS (UPREHS) |
|
UNITED FOOD & COMMERCIAL WORKERS’ UNION – LOCAL 655 (Part of ALLIANCE BC/BS) |
|
UNITED HEALTHCARE CHOICE & CHOICE PLUS (known as UHC NON-OPTIONS PPO) |
|
UNITED HEALTHCARE SELECT & SELECT PLUS (known as UHC NON-OPTIONS PPO) |
|
UNITED PAYORS & UNITED PROVIDERS PPO (UP & UP) (acquired by MultiPlan) |
|
*
|
UNITY HEALTH NETWORK (fka Unity PHO Network) |
|
USA HEALTH NETWORK |
|
USA MANAGED CARE ORGANIZATION (USA-MCO) |
|
WELLMARK HEALTH NETWORK, INC. (WHN) PPO – (acquired by MultiPlan) |
|
WELLPOINT (parent company for BlueCross BlueShield of MO, Anthem, HealthLink and UniCare) |
