Managed Care Contracts by Facility

Revised: January 2017

This is a list of the major plan contracts in which SSM Health MidMo facilities participate. This list does not include every contract held by an SSM Health facility.

Please direct questions regarding any contract that does not appear here/on the respective facility’s list to 573-761-7142

  • Aetna, Inc. (HMO, PPO, POS)
  • Aetna Better Health (Medicaid HMO)
  • Anthem Blue Cross Blue Shield (Blue Access, Blue Access Choice, Blue Preferred, Pathway/Pathway X, Regular/Traditional, out of state Blue Card Plans, Medicare Advantage HMO and PPO), Missouri Banker's Association
  • CCO, Inc. (PPO)
  • Cigna Health Plan of St. Louis (HMO, PPO, OAP), Cigna/Great West
  • CompResults (PPO) (Work Comp only)
  • Corizon Health, Inc.
  • Coventry Health Plan of Missouri (CMR, ASO), Coventry National PPO, First Health PPO,  Advantra Medicare Advantage PPO, Gold Advantage Medicare HMO
  • HealthLink, Inc. (HMO, PPO, Open Access, Workers' Comp)
  • Home State Health Plan (Missouri Medicaid HMO)
  • Humana ChoiceCare (PPO)
  • Humana Choice PPO (Medicare Advantage PPO)
  • Missouri Medicare Select
  • MultiPlan
  • Private Health Care System (aka PHCS) (PPO)
  • United HealthCare of the Midwest, Inc. (Select, Select Plus, Choice, Choice Plus, Options PPO), AARP Medicare Complete HMO and PPO, Care Improvement Plus (Medicare Advantage SNP)
  • United Military West (TriCare/CHAMPUS Military Program)
  • Veterans Administration Choice Card (Administered by TriWest Healthcare Alliance)
  • Veterans Administration Choice Card (Direct Agreement with the Veteran's Administration)

Participation in Marketplace Products

  • Anthem (In-Network for All Products)

Behavioral Health Agreements

  • Aetna Behavioral Health
  • Anthem Behavioral Health
  • Cenpatico
  • Cigna Behavioral Health
  • E4 Health
  • HealthLink Behavioral Health
  • Magellan Behavioral Health, Inc.
  • Mercy Managed Behavioral Health
  • MHNet (Mental Health Network)
  • Optum Behavioral Health

  • Aetna Better Health (Medicaid HMO)
  • Aetna, Inc. (HMO, PPO and POS)
  • Anthem Blue Cross and Blue Shield (Blue Access, Blue Access Choice, Blue Preferred, Pathway, Pathway X, Regular/Traditional and out-of-state Blue Card Plans) 
  • CCO, Inc. (PPO)
  • CIGNA Health Plan of St. Louis (HMO, PPO, and OAP), Cigna/Great West
  • Coventry Health Plan of Missouri (CMR,  ASO), Coventry National (PPO), First Health Network (PPO)
  • Corizon Health, Inc.
  • Coventry Health Plan of Missouri (CMR, GHP ASO), Coventry National PPO, First Health PPO, Advantra Medicare Advantage 
PPO, Gold Advantage Medicare HMO
  • Coventry of Kansas 
  • HealthLink, Inc. (HMO, PPO, Open Access, Workers’ Comp)
  • Home State Health Plan Missouri (Medicaid HMO)
  • Humana Choice Care (Commercial PPO and Medicare PPO)
  • Missouri Care (Missouri Medicaid HMO) 
  • Missouri Medicare Select 
  • MultiPlan, Inc. (PPO)
  • United HealthCare of the Midwest, Inc. (Select, Select Plus, Choice, Choice Plus, Options PPO)
  • Veterans Administration Choice Card (Administered by TriWest Healthcare Alliance)
  • Veterans Administration Choice Card (Direct Agreement with Veteran’s Administration)
  • Participation in Marketplace Products
  • Anthem (In-Network for All Products)
Behavioral Health Agreements
  • Aetna Behavioral Health
  • Anthem Behavioral Health
  • Cigna Behavioral Health
  • E4 Health (PPO) (Department of Psychology)
  • HealthLink Behavioral Health

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