Accepted Insurance Plans

Washington University Orthopedics participates with most medical insurance plans. However, private or company insurance plans and plan networks change frequently. Please verify coverage before your appointment.

Aetna all plans including:
Aetna, Better Health of Missouri (effective 4/30/2017, no longer doing business in the State of Missouri)
Aetna, Choice POS
Aetna, Choice POS (Open Access)
Aetna, Choice POS II
Aetna, Choice POS II (Open Access)
Aetna, Elect Choice EPO
Aetna, Health Fund
Aetna, Managed Choice (POS)
Aetna, Advantage Medicare Plans
Aetna, Open Access Elect Choice
Aetna, Open Access HMO
Aetna, Open Access Managed Choice
Aetna, Open Access Select
Aetna, Open Choice (PPO)
Aetna, Quality Point of Service
Aetna, Select
Aetna, National Advantage Program (NAP)
Aetna, USAccess
Aetna, Worker's Compensation Access

All Savers - UHC
Anthem Blue Cross Blue Shield Missouri, BlueCard Program
Anthem Blue Cross Blue Shield Missouri, Blue Preferred Options (not the Blue Preferred plan)
Anthem Blue Cross Blue Shield Missouri, Blue Access
Anthem Blue Cross Blue Shield Missouri, Blue Access Choice
Anthem Blue Cross Blue Shield Missouri, Regular or Traditional

Barnes Care MCO (Workers Compensation)
BeechStreet
Best Doctors, Inc,
Blue Cross Blue Shield Illinois, BlueCard Program
Blue Cross Blue Shield Missouri, BlueCard Program
Blue Cross Blue Shield Missouri, Blue Preferred Options (not the Blue Preferred plan)
Blue Cross Blue Shield Missouri, Blue Access Choice
Blue Cross Blue Shield Missouri, Blue Access 
Blue Cross Blue Shield Missouri, Regular or Traditional

Cigna, all plans including:

  • Cigna Healthcare EPO (St Louis Metro Network)
  • Cigna Healthcare HMO* (St Louis Metro Network)
  • Cigna Healthcare HMO Open Access (St Louis Metro Network)
  • Cigna Healthcare Indemnity (St Louis Metro Network)
  • Cigna Healthcare Network Open Access (St Louis Metro Network)
  • Cigna Healthcare Open Access Plus (St Louis Metro Network)
  • Cigna Healthcare POS (St Louis Metro Network)
  • Cigna Healthcare POS Open Access (St Louis Metro Network)
  • Cigna Healthcare PPO (St Louis Metro Network)
  • Cigna Healthcare PPO Plus (St Louis Metro Network)
  • Cigna Connect (a Health Insurance Exchange Plan)
  • Cigna-GWH

Community Partners Health Plan Inc.
Comp Results PPO, Workers Compensation
Corvel
Coventry One - HMO/POS/PPO (does not include Coventry One Select)
Coventry Health Care National Network PPO
Coventry Management Resources (CMR)
Coventry Medicare Advantage Plans (excludes Total Care HMO and Coventry Total Care HMO-POS)
Coventry HMO POS PPO (does not include Coventry Select Network)
Coventry ASO
Coventry Healthcare of IL - AKA - Personal Care HMO,POS, PPO
Coventry Healthcare of KS – Includes: Springfield and Joplin, MO areas
CoxHealth Network

Decatur Memorial Hospital

Essence Healthcare Medicare Advantage (NOTE: does not include adult primary care physicians , routine vision, dental and mental/behavioral health providers)

First Health Network

HFN Inc
Hannibal Regional PHO
Harmony Health Plan of Illinois, Inc (Effective 5/1/2015)
Health Alliance HMO/POS/PPO
Health Alliance Medicare Advantage Plans (includes MMAI Medicare/Medicaid)
HealthLink HMO, Open Access, POS, PPO, CompManagement
Home State Health Plan
Humana ChoiceCare PPO
Humana Medicare Advantage Plans

Mail Handlers - Administrated by Aetna
Missouri Care (effective 12/1/2015)
Molina Healthcare of IL
MultiPlan

OccuNet, LLC

Private Health Care Systems PPO (PHCS PPO)

Quality Health Management

Rockport Healthcare Group

St. Johns Health System PPO - Springfield, MO

TriCare Prime and Extra (Healthnet Federal Services - North Region)
TriWest Prime and Extra (United Healthcare Military & Veterans Services)

USA Managed Care Organization
Unicare - Unicare Platinum OA III – See HealthLink
Unicare - Unicare Platinum PPO Classic – See HealthLink
Union Pacific Railroad Employee Health System
United HealthCare: Choice /Choice Plus, Select/Select Plus, EPO, POS, Options PPO, Navigate, All Savers
United HealthCare Community Plan - Missouri Medicaid (effective 5/1/2017)

United HealthCare Medicare Advantage Plans:

  • AARP or UnitedHealthcare Medicare Solutions MedicareComplete Choice PPO, UnitedHealthcare Group Medicare Advantage NPPO, and UnitedHealthcare Group Medicare Advantage PPO, and Care Improvement Plus
  • AARP or UnitedHealthcare Medicare Solutions Medicare Complete HMO
  • AARP or UnitedHealthcare Solutions Medicare Complete Essential HMO
  • AARP or UnitedHealthcare MedicareComplete Plus Plan 1
  • UnitedHealthcare Dual Complete (Special Needs Plan)

VA HealthCare Choice Program

Washington University Student Health Services


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