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Billing, Insurance and Financial Assistance

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 if 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, 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 scheduling appointments. It may be necessary to plan your appointments at specific locations to ensure your coverage.
To ensure 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 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. Please contact your insurance plan to obtain this information.
Are you covered by health insurance?
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 and for 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. Please check with your insurance carrier to determine when you are next eligible for these visits before scheduling. Well-child checks, too, are covered according to specific schedules. Please check with your insurance carrier to determine when your child is next eligible for these visits before scheduling.
Enroll 365 can help you choose a plan.
Major managed care plans
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Aetna
Commercial HMP/POS and PPO products; commercial behavioral health product -
Aetna Better Health of Kansas
KanCare HMO (Kansas Medicaid); KanCare HMO behavioral health (Kansas Medicaid) -
Aetna Medicare
Medicare Advantage HMO and PPO products (includes legacy Coventry Medicare Advantage products) -
Allwell from Sunflower Health Plan (KS)
Medicare Advantage HMO and PPO products -
Ambetter from Sunflower Health Plan (KS)
Health Insurance Marketplace HMO product -
Ambetter from Home State Health (MO)
Health Insurance Marketplace HMO product -
Blue Cross Blue Shield of Kansas
Commercial HMO/POS and PPO products including: Premier Blue; Blue Choice; Solutions (not available for residents of Wyandotte and Johnson counties in Kansas) -
Blue Cross Blue Shield of Kansas City
Commercial HMO/POS and PPO products including: Blue Access (PPO); Blue Advantage (HMO); Blue Care (HMO); Blue Select Plus (PPO); Preferred Care (PPO); Preferred Care Blue (PPO); traditional/indemnity and commercial behavioral health product -
Blue Cross Blue Shield of Kansas City Medicare Advantage
Medicare Advantage HMO and PPO product -
Cenpatico Behavioral Health
KanCare – Sunflower State Health Plan (Kansas Medicaid); MO HealthNet – Home State Health Plan (Missouri Medicaid) -
CIGNA Behavioral Health
Commercial behavioral health HMO/POS and PPO products -
CIGNA-Health Springs
Medicare Advantage HMO product -
CIGNA Healthcare
Commercial HMO/POS and PPO products -
Coventry Health Care
Commercial HMO/POS and PPO products; commercial behavioral health product -
First Health (a Coventry Health Care company)
Commercial PPO leased network -
Freedom Network
Commercial PPO leased network by preferred health professionals (PHP) -
Freedom Network Select
Commercial PPO leased network by preferred health professionals (PHP) -
Great West Healthcare (a CIGNA Healthcare company)
Commercial HMO/POS and PPO products -
Humana
Commercial HMO/POS and PPO products
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Humana Medicare Advantage
Medicare Advantage HMO and PPO products -
LifeSynch Behavioral Health
Commercial HMO/POS and PPO products; commercial HMOx/POSx and PPOx products; Medicare Advantage HMO/POS and PPO products -
Medicaid Kansas Traditional
Medicaid traditional -
Medicare
Medicare traditional -
Medicare Advantage PFFS products (offered by payers under different names)
Medicare PFFS (accept under member's out-of-network benefits) -
Medicare Supplemental (offered by payers under different names)
Medicare supplement plans -
Mental Health Associates (MHNet)
Commercial behavioral health product; MO Health Net – Healthcare USA (Missouri Medicaid) -
MultiPlan
Commercial PPO product (complementary network) -
New Directions Behavioral Health
Commercial behavioral health HMO product -
OptumHealth Behavioral Health
KanCare – UnitedHealthcare community plan (Kansas Medicaid); commercial behavioral health products -
Oscar
Commercial product for Kansas residents who live in Wyandotte or Johnson counties and Missouri residents who live in Clay, Jackson or Platte counties -
Preferred Health Professionals (PHP)
Commercial PPO product -
Preferred Health Systems (a Coventry Health Care company)
Commercial HMO/POS and PPO products including: Preferred Health Care Network and Preferred Plus of Kansas -
Private Healthcare Systems (PHCS) (a MultiPlan Company)
Commercial PPO product (complementary network) -
Sunflower State Health Plan
KanCare HMO (Kansas Medicaid) -
TriCare (Healthnet)
HMO and PPO products -
UnitedHealthcare
Commercial HMO/POS and PPO products -
UnitedHealthcare Community Plan
KanCare HMO (Kansas Medicaid) -
UnitedHealthcare Medicare Advantage
Medicare Advantage HMO and PPO products