All Accepted Commercial Healthcare Plans
All of the full-time faculty physicians of Washington University School of Medicine participate in the health insurance plans listed below. However, coverage and products change periodically. It is always best for patients to verify their current coverage directly with their plan administrator by providing them this identification number 430-65-3611 for Washington University Physicians.
These products are Missouri based unless otherwise indicated.
**Disclosures:
- All Accepted Commercial Healthcare Plans exclude Ministry Plans, Limited Benefits, Practitioner & Ancillary only, Practitioner only, MEC/Minimal Essential Coverage, Specific Services and Non-Network plans.
- Hospital and Academic System Employers can exclude Washington University physicians from the contracted plans that are listed. It is important to verify eligibility with your employer group benefit department before scheduling.
Mental Health Services
Some plans do not include mental health services and require access to a separate mental health network. Please check the back of your ID card or contact your health plan for details regarding the mental/behavioral health networks available for your health care needs.
Aetna
- Aetna Choice POS II
- Aetna Choice POS II Open Access
- Aetna Elect Choice
- Aetna Elect Choice EPO
- Aetna Health Fund
- Aetna Local Best – Coventry Product
- Aetna National Advantage Program
- Aetna Open Access HMO
- Aetna Open Access Managed Choice POS
- Aetna Open Access PPO
- Aetna Open Choice PPO
- Aetna Quality Point of Service Aetna Choice POS
- Aetna Select
- Aetna Select Open Access
- Aetna Signature Administrators PPO
- Aetna TeamCare Labor Plan
- Aetna US Access
- Aetna Workers Compensation Access
- Aetna Meritain Local Best
- Aetna Meritain Select
Anthem/Elevance
- Anthem Alliance Options
- Anthem BCBS Blue Access Choice PPO
- Anthem BCBS Blue Access Choice POS
- Anthem BCBS Blue Access PPO
- Anthem BCBS Blue Preferred options
- Anthem BCBS Federal Basic Options
- Anthem BCBS Federal Standard Options
- Anthem BCBS Health Access
- Anthem BCBS Preferred Care Blue – Kansas City MO Plan/Product
- Anthem BCBS Traditional Products
Baxter Regional PHO
Beech Street/Capp Care – PPO and Workers’ Compensation
Best Doctors, Inc.
Blue Cross Blue Shield of Illinois
- BCBS IL PPO
- BCBS IL Choice Select PPO
- BCBS IL Exchange – for MO will follow Blue Card Access
Cigna
- Cigna Alliance Health
- Cigna BJC Signature
- Cigna BJC Signature Choice
- Cigna BJC Signature Choice Plus
- Cigna BJC Transplant
- Cigna BJC Mental Health
- Cigna Choice Fund
- Cigna Choice Fund Local Plus
- Cigna Choice Fund Local Plus IN
- Cigna – GW
- Cigna Health Partners
- Cigna HMO Open Access
- Cigna Indemnity
- Cigna Life (HAP) MVP Healthcare
- Cigna Local Plus
- Cigna Local Plus One
- Cigna Local Plus IN
- Cigna Network Open Access
- Cigna Open Access Plus
- Cigna Physicians Care
- Cigna POS Open Access
- Cigna PPO
- Cigna Significa PPO
- Cigna Tufts Health Plan CareLink
Community Partners Health (CPHP)
CompResults – Workers’ Compensation
Consociate Health or Consociate Care
- BJC Centers of Excellence
- BJC Health Solutions
- Decatur Memorial Hospital
Corvel Corp. – Workers’ Compensation and PPO
Coventry Health Care of Missouri – Please see Aetna section
Coventry Health Care of Kansas – HMO/POS/PPO Coventry One
Current Health Network CHN – PPO
Envolve (Formerly OptiCare) – Ophthalmology Services ONLY through Home State
**First Health/Coventry Health Care National Network
- PPO
- HSHS Live 360 – If a First Health logo appears on the front of the insurance card, coverage is available with authorizations (contracted). If a First Health logo does not appear on the front of the insurance card, coverage is not available (non-contracted).
Health Alliance Medical Plans – All Products Accepted; See Medicare tab for participating products/plans
HealthLink – HMO/PPO/POS, Open Access and Workers’ Compensation
HFN – EPO/PPO/HFNID/HFN10 and HFN20
Humana Choice Care Network
- Humana Choice POS
- Humana ChoiceCare Network PPO
- Humana ChoiceCare + Network PPO
- Humana Employer HMO
- Humana National POS Open Access
- Humana National POS Open Access Plus
- Oscar + Humana National Network
Mail Handlers (Formerly First Health/Coventry National Network) Administered by Aetna – PPO/Workers’ Compensation
Mercy Springfield Health
**MultiPlan – PPO
OccuNet, LLC – Workers’ Compensation and Sports Related Injury
**Private Health Care Systems (PHCS) – PPO
Point Comfort – Refugee Plan
Quality Health Management – PPO
Rockport Healthcare Group – Workers’ Compensation
TriCare West Region – Administered by HFN
TriCare East Region – Administered by Humana
UniCare – Platinum OA III and Platinum PPO Classic
United Health Care
- UHC All Savers
- UHC Bind on Demand
- UHC Choice
- UHC Choice Plus
- UHC Choice Plus UMR
- UHC EPO
- UHC Navigate
- UHC Options PPO
- UHC POS
- UHC Select
- UHC Select Plus
- UHC Oxford Health UHC Choice, Choice Plus
USA Managed Care Organizations (Formerly USA Health Network) – PPO and Workers’ Compensation
VA CCN (Formerly Triwest) Administered by OPTUM – Authorizations Required
Veterans Choice Program
WellFirst
- WellFirst HealthLink- PPO IL & MO authorizations may be required for some services
- WellFirst First Health- EPO, PPO authorizations required for all services
- WellFirst HealthCare Exchange EPO ACA IL & MO- authorizations required for all services
WU Student Health Services – Excludes Medical School Students & Dependents
WUSM Student Health Services Medical Students & Dependents – Excludes Danforth Campus Students
Mental/Behavioral Health Networks:
Washington University Physicians participate in the following mental health networks:
- Cenpatico Behavioral Health
- Evernorth Behavioral Health
- Optum Behavioral Health
- Mercy Behavioral Health
