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Metro Heart Group,
Improving the quality of life.
of Metro Heart Group is to provide compassionate, quality cardiovascular care.
of Metro Heart Group is to be a principal participant and leadership group in the St. Louis health care market. All members are dedicated to improving the health, happiness and well being in our communities.



Participating Insurance Plans
The following represent contracted insurance carriers through Metro Heart Group of St. Louis as of the above noted date. This listing should be used as a reference for appropriate referral* only. Authorizations for referrals are noted with an (v), pre-certifications are required ON ALL PLANS and are the responsibility of the referring provider.
REMINDER:

Not all MHG providers are on all plans. Please call our office prior to any and all referrals and specify the member’s plan.
*Refererral is defined by each plan contractual agreement.

* Indicates Insurances Plans that require a referral
* AETNA EPO/ HMO
* AETNA HMO/PPO
* AETNA OPEN ACCESS/ Point Of Service (POS)
* ALLIANCE/ ALLIANCE CHOICE (Part of Anthem Blue Cross and Blue Shield) AMERICHOICE (part of UHC)
ANTHEM BLUE CROSS AND BLUE SHIELD (Part of WellPoint)
* ALTON MULTISPECIALTY GROUP (AMS PCP referral required)
BEECH STREET (subsidiary of Concentra - Part of SSM MCO)
* BLUE ACCESS CHOICE PPO/ CHOICE HSA PPO (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)
* ESSENCE HEALTHCARE
* EVERCARE (UHC product)
* EXCLUSIVE CHOICE (SSMHC Employee Medical Plan)
FIRST HEALTH NETWORK (Subsidiary of Coventry)
GREAT WEST HEALTHCARE (fka One Health Plan)
* HEALTHCARE USA (MO Medicaid MC+, subsidiary of Coventry)
* HEALTHLINK HMO (Merged with UniCare – subsidiary of WellPoint)
* HEALTHLINK PPO (Merged with UniCare – subsidiary of WellPoint)
MEDICAID OF MO (Confirm coverage through WEBMD for each DOS)
MEDICARE OF MO (Administered by WPS)
MEDICARE OF IL (Administered by WPS)
* MEDICARE COMPLETE (UHC Medicare Product)
* MERCY HEALTH PLAN HMO/OPEN ACCESS/PPO (MHP)
MULTI PLAN, INC. (MPI)
NATIONAL PREFERRED PROVIDER NETWORK (NPPN) PPO
PRINCIPAL HEALTH CARE (PHC) PPO
PRIVATE HEALTH CARE SYSTEMS – PHCS (acquired by MultiPlan)
* SECURE HORIZONS (UHC Medicare product)
* 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 OPTIONS PPO)
* UNITY HEALTH NETWORK (fka Unity PHO Network)
USA MANAGED CARE ORGANIZATION (USA-MCO)
WELLPOINT (parent company for BlueCross BlueShield of MO, Anthem, HealthLink and UniCare)
* AETNA Health Fund (HSA/ HRA)
* BLUE ACCESS PPO/ HSA PPO (Part of Anthem Blue Cross and Blue Shield)
* BLUE PREFERRED HMO/ Plus POS (Part of Anthem Blue Cross and Blue Shield)
* CIGNA HealthCare of St. Louis, Inc.
* CIGNA Care Network
* CIGNA Choice Fund Plan
AmeriChoice (part of UHC)
* FEP HMO (Part of Anthem Blue Cross and Blue Shield)
* Golden Rule Life Insurance (subsidiary of United Health Care - UHC)
* Group Health Plan POS/Open Access POS (GHP - subsidiary of Coventry)
* Group Health Plan HMO/Open Access HMO (GHP - subsidiary of Coventry)
Integrated Health Networks & Services, Inc. PPO (Part of FHN - subsidiary of Coventry)
Mercy Medicare Advantage (Medicare Product for MHP)
* Molina HealthCare (fka Mercy Care Plus, a MO Medicaid MC+ Plan)
* Indicates Insurances Plans that require a referral

Remember, Not all physicians are on all plans --- Please ask!

This website is for general information purposes only and is not intended to treat, diagnose or provide consultations with respect to any particular health condition or episode. Metro Heart Group will not respond to any requests for medical records or to any health-related issues or questions via the internet; these requests must be submitted to your physician's office in writing. Please contact the applicable Metro Heart Group office location for instructions on how to obtain such information or assistance.

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