Accepted Insurance Providers

The following insurance providers are accepted by St. John Health System affiliates.

  • Aetna
    • HMO
    • POS
    • PPO
  • Amerigroup - KanCare
  • Blue Cross Blue Shield*
    • BlueCard
    • BlueChoice PPO
    • BlueOptions
    • BlueTraditional
    • Plan 65
       
  • Cigna Health Care
     
  • CommunityCare HMO programs
    • Commercial HMO
    • CommunityCare Plus
    • CommunityCare Plus Select
    • CommunityCare Select
    • CommunityCare Select Plus
    • IDEA
    • IDEA Select
    • IDEA Select Plus
    • Individual Health Plan
    • Saint Francis Employee HMO
    • Senior Health Plan
    • SHOP HMO Select Marketplace
    • SHOP HMO Standard Marketplace
    • St. John Employee HMO
    • State Plan
       
  • CommunityCare PPO programs
    • CommunityCare PPO Select
    • CommunityCare PPO Standard
    • Individual Health Plan
    • PCC Select Plus
    • Saint Francis Employee PPO
    • SHOP PPO Select Marketplace
       
  • Coventry Health & Life Insurance Co. / First Health
     
  • Galaxy Health Network
     
  • Health Choice
     
  • Medicare and Medicaid
  • MultiPlan / PHCS Savility
  • Oklahoma Health Network
  • OSMA
  • Preferred Community Choice (PCC)
    • PPO
    • PCC Select - EPO
  • Project Woman**
  • Sunflower State - KanCare
     
  • SoonerCare Choice (accepted by Family Medical Care only)
  • Tricare South / Humana Military
  • UnitedHealthcare (UHC)
  • UHC West (formerly Pacificare)
  • UnitedHealthcare Community Plan of Kansas
  • WorkNet

*St. John does not participate in BluePreferred, BlueLincs HMO or BluePlan65 Select.
**Project Woman is not accepted at St. John Clinic Urgent Cares.

 

Health Insurance Marketplace

(also referred to as Health Insurance Exchange, Affordable Care Act and Obamacare)

UnitedHealthcare is the only health insurance carrier offering individual and family plans on the Health Insurance Marketplace that include St. John Health System as an in-network provider for 2016. While St. John is offered in many Blue Cross and Blue Shield of Oklahoma (BCBS) Marketplace options for small business plans, BCBS did not include St. John as an in-network provider for individual and family plans on the Marketplace as they did in 2014 and 2015. CommunityCare has opted to not offer individual or family plans in the Marketplace this year, but St. John will continue to participate in CommunityCare small business Marketplace plans.

Before individuals seek or receive elective care from a St. John hospital or physician, they should check with their insurance provider to determine whether St. John is in network. For those whose policies do not cover St. John at the in-network level, care may still be obtained at St. John but may be subject to higher out-of-pocket costs (e.g., deductible and coinsurance). Click here for more information about the Marketplace.