Accepted Insurance Providers

The following insurance providers are accepted by St. John Health System affiliates and employed st. john clinic providers.

  • 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
    • Medicare Advantage
    • 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
     
  • Healthcare Highways
     
  • Health Choice
     
  • Medicare and Medicaid
  • MultiPlan / PHCS / PHCS Savility
  • Oklahoma Health Network
  • OSMA
  • Preferred Community Choice (PCC)
    • PPO
    • PCC Select - EPO
  • Project Woman***
  • SoonerCare Choice (accepted by Family Medical Care only)
     
  • Sunflower State - KanCare
  • Tricare East / Humana Military
     
  • Tri-West/VA Choice
  • UnitedHealthcare (UHC)
  • UHC West (formerly Pacificare)
  • UnitedHealthcare Community Plan of Kansas
  • WorkNet

*St. John does not participate in BluePreferred, Blue Advantage, BlueLincs, BlueLincs HMO, BluePlan65 Select or BCBS Employee Assistance Programs.

**CommunityCare will not offer the Senior Health Plan to residents of Rogers County for 2018. Patients who wish to remain in-network with St. John may select the Original Medicare option (also referred to as Traditional Medicare, Medicare Fee-for-Service and Medicare Part A & Part B). For more information, please call the St. John PulseLine at 918-744-0123.

***Project Woman is not accepted at St. John Clinic Urgent Care locations.


Health Insurance Marketplace

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

The Health Insurance Marketplace is a way for individuals and families to find health insurance that fits their budget and needs. While St. John has been included in Marketplace networks in the past, insurance carriers have limited their participation over the past couple of years. As a result, St. John was not included as an in-network provider in any individual/family plans for 2018. 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). Financial assistance may be available to some patients if they need care through St. John but do not have insurance. Please contact a St. John financial counselor at 918-744-2451 for more information.

St. John shares frustration with patients and loved ones that the health system is not in network in 2018 Marketplace plans. To voice concern on this matter, call the U.S. Centers for Medicare & Medicaid Services at 1-800-318-2596 or visit www.healthcare.gov/contact-us for more options. Click here for more information about the Marketplace.