Insurance Coverage

If you are enrolled in a managed care plan (HMO, PPO or POS), your treatment at The University of Kansas Health System in Kansas City may be covered by insurance. To verify whether you're eligible for treatment at our health system, follow these tips.

• Before scheduling an initial appointment, call your health plan/insurance company and ask if you have access to our services.
• We encourage you to refer to questions to ask your insurance company when speaking to your insurance provider.

If The University of Kansas Health System is not a participating provider in your plan, you may still be able to receive treatment here. Your insurance company may help with obtaining authorization. It is important to note that some benefit plans use what are referred to as "narrow" or "limited" networks. That means they narrow or limit the choices of doctors and hospitals that their customers can use. Additionally, some plans, such as HMOs, have primary care physician referral and/or other authorization guidelines. If you have an HMO insurance plan, please let us know when you schedule appointments. It may be necessary to plan your appointments at specific locations to ensure your fees are covered.

To make sure we are the best fit for your healthcare needs, speak with your insurance company.

Once you have verified The University of Kansas Health System is within your insurance network, patient access specialists will work with you to ensure you receive the full benefit from your insurance company by:

• Answering your questions about insurance verification and/or prepayment requirement
• Responding to insurer requests for additional medical information

DISCLAIMER: The University of Kansas Health System's participation with any product or insurance plan is subject to change without notice. Additionally, insurance companies offer a variety of plans and may change the names and benefits at any point. Your level of coverage depends on the specific benefits outlined in your plan.

To ensure that The University of Kansas Health System and its physicians and other providers are in network, it is your responsibility to verify that The University of Kansas Health System is a participating provider and your benefit plan allows you access the day of a visit and/or admission. Contact your insurance plan to obtain this information.

If you're choosing a health insurance plan at work or on your own, you may want to check the networks. Most plans offer the best coverage for doctors and hospitals that are in their networks.

That means you'll want to find each health plan's network list and search for your doctors, other providers and The University of Kansas Health System.

Networks change from year to year, so be sure to check, even if you plan to stay in the same plan you had last year.

Note: Medicare annual wellness visits can be scheduled once every 12 months. Check with your insurance carrier to determine when you are next eligible for these visits before scheduling. Well-child checks are also covered according to specific schedules. Check with your insurance carrier to determine when your child is next eligible for these visits before you schedule.

The University of Kansas Health System is in-network for the following major managed care plans. If your plan is not listed here, please refer to your coverage or contact your insurance carrier for guidance on where to locate in-network providers.

If you are considering a plan other than those listed here, we encourage you to visit the plan’s website or call to ensure your healthcare team members are in network for the plan you choose. 

Please note that our Great Bend locations may appear differently on insurance plans compared to how The University of Kansas Health System is listed in the Kansas City area. On insurance plans, our Great Bend entities may be listed under any of the following names:

• UKHS GB LLC
• UKHS Great Bend Medical Pavilion
• UKHS Great Bend St. Rose Medical Pavilion
• UKHS Great Bend Family Medicine
• University of Kansas Great Bend

Questions are common regarding the differences between original Medicare plans and Medicare Advantage plans. These comparisons from the Kansas Hospital Association may be helpful: