Managed Care Contracts by Facility 

Revised: January 2017

This is a list of the major plan contracts in which SSM Health facilities participate. This list does not include every contract held by an SSM Health facility.

Please direct questions regarding any contract that does not appear here/on the respective facility’s list to the SSM Health Managed Care Contracting Department at 314-989-2305.

SSM Health Cardinal Glennon Children's Hospital

SSM Health Adult Hospitals in St. Louis (except SSM Health Saint Louis University Hospital)

  • SSM Health DePaul Hospital - St. Louis
  • SSM Health St. Clare Hospital - Fenton
  • SSM Health St. Joseph Hospital - Lake Saint Louis
  • SSM Health St. Joseph Hospital - St. Charles
  • SSM Health St. Joseph Hospital - Wentzville
  • SSM Health St. Mary’s Hospital - St. Louis

SSM Health Saint Louis University Hospital

You can download and print a PDF of this list here.

SSM Health Cardinal Glennon Children's Hospital

  • Aetna, Inc. (HMO, PPO and POS)
  • America’s Choice Provider Network (Work comp and Auto Liability)
  • Anthem Blue Cross and Blue Shield (Blue Access, Blue Access Choice, Blue Preferred, Pathway, Pathway X, Regular/Traditional and out-of-state Blue Card Plans)
  • CCO, Inc. (PPO)
  • CIGNA Health Plan of St. Louis (HMO, PPO, and OAP), Cigna/Great West
  • Coventry Health Plan of Missouri (CMR, GHP ASO), Coventry National (PPO), First Health Network (PPO), CareLink
  • Evolutions Healthcare System (PPO)
  • Exclusive Choice
  • Galaxy Health Network (PPO)
  • Hannibal Regional PHO (PPO)
  • Harmony Health Plan of Illinois (Medicaid HMO)
  • Health Alliance (Commercial, Medicaid, Medicare Advantage)
  • Health Management Network (PPO)
  • HealthLink, Inc. (HMO, PPO, Open Access, Workers’ Comp)
  • HFN (PPO and EPO)
  • Home State Health Plan Missouri (Medicaid HMO)
  • Humana Choice Care (Commercial PPO and Medicare PPO)
  • Meridian Health Plan (Illinois Medicaid HMO)
  • Missouri Care (Missouri Medicaid HMO)
  • Molina Health Plan (Illinois Medicaid HMO)
  • MultiPlan, Inc. (PPO)
  • National Preferred Provider Network
  • Personal Care Insurance of Illinois (HMO and PPO)
  • Phelps County Memorial Hospital
  • Private Health Care System (aka PHCS) (PPO)
  • Smart Health
  • Three Rivers Provider Network (PPO)
  • United HealthCare of the Midwest, Inc. (Select, Select Plus, Choice,
  • Choice Plus, Options PPO)
  • USA Managed Care Organization (PPO)
  • Veterans Administration Choice Card (Direct Agreement with Veteran’s Administration)

Marketplace Products -  Participation by SSM Health Cardinal Glennon Children's Hospital

  • Anthem (In-Network for All Products)

Behavioral Health Agreements (SSM Health Cardinal Glennon)

  • Aetna Behavioral Health
  • Anthem Behavioral Health
  • E4 Health (PPO) (Department of Psychology)
  • HealthLink Behavioral Health
  • MHNet (Mental Health Network) (Department of Psychology)
  • Magellan Behavioral Health, Inc. (Behavioral Medicine)
  • Mercy Managed Behavioral Health

Known Out-of-Network Products (SSM Health Cardinal Glennon)

  • Cigna Connect Network
  • Coventry FocusedCare (Commercial)
  • United Health Care Compass, Compass Plus, Core, Core Essential

SSM Health Adult Hospitals in St. Louis

  • Aetna, Inc. (HMO, PPO, POS and Workers’ Compensation),
  • America’s Choice Provider Network (Work Comp and Auto Disability)
  • Anthem Blue Cross and Blue Shield (Blue Access, Blue Access Choice, Blue Preferred, Pathway/Pathway X, Regular/Traditional, out of state Blue Card Plans, Medicare Advantage HMO and PPO)
  • Banker’s Life
  • Blue Cross Preferred 65 (St. Clare only)
  • CCO, Inc. (PPO)
  • CIGNA Health Plan of St. Louis (HMO, PPO, OAP), Cigna/Great West
  • CompResults (PPO) (Work Comp only)
  • Coventry Health Plan of Missouri (CMR, GHP ASO), Coventry National PPO, First Health PPO, CareLink, Advantra Medicare Advantage PPO, Gold Advantage Medicare HMO, Coventry Total Care (Medicare Advantage narrow network)
  • CorVel Corporation (PPO) (Work Comp only)
  • Essence Medicare (HMO)
  • Evolutions Healthcare System (PPO)
  • ExclusiveChoice
  • Galaxy Health Network (PPO)
  • Gateway to Better Health (other Governmental Plan)
  • Harmony Health Plan of IL (Medicaid HMO)
  • Health Management Network (PPO)
  • Health Alliance (Commercial, Medicaid, Medicare Advantage)
  • HealthLink, Inc. (HMO, PPO, Open Access, Workers’ Comp)
  • HealthNet Federal Services (TriCare/CHAMPUS Military Program)
  • HFN
  • Home State Health Plan (Missouri Medicaid HMO)
  • Humana ChoiceCare (PPO)
  • Humana Choice PPO (Medicare Advantage PPO)
  • Humana Gold Plus HMO (Medicare HMO)
  • Laclede Gas (Work Comp only)
  • Meridian Health Plan (Illinois Medicaid HMO)
  • Missouri Care (Missouri Medicaid HMO)
  • Missouri Medicare Select
  • Molina Health Plan (Illinois Medicaid HMO)
  • MultiPlan (PPO)
  • National HealthcareAdvantage (Medicare Advantage SNP)
  • National Preferred Provider Network (PPO)
  • Phelps County Memorial Hospital
  • Private Health Care System (aka PHCS) (PPO)
  • Protegrity Services, Inc. (PPO) (Workers Comp only)
  • Smart Health
  • Three Rivers  Provider Network (PPO)
  • United HealthCare of the Midwest, Inc. (Select, Select Plus, Choice,
  • Choice Plus, Options PPO), AARP Medicare Complete HMO and PPO,
  • Care Improvement Plus (Medicare Advantage SNP)
  • USA Managed Care Organization (PPO)
  • Veterans Administration Choice Card (Administered by TriWest Healthcare Alliance)
  • Veterans Administration Choice Card (Direct Agreement with the Veteran’s Administration)
  • Wainwright Industries (Workers Comp only)
  • WellCare (Illinois Medicare Advantage HMO)

Marketplace Products -  Participation by SSM Health St. Louis

  • Anthem (In-Network for All Products)

Behavioral Health Agreements (SSM Health St. Louis)

  • Aetna Behavioral Health
  • Anthem Behavioral Health
  • Beacon Health Options (previously known as Value Options)
  • Cenpatico
  • E4 Health (Behavioral Medicine)
  • HealthLink Behavioral Health
  • MHNet (Mental Health Network) (Department of Psychology)
  • Magellan Behavioral Health, Inc. (Behavioral Medicine)
  • Mercy Managed Behavioral Health
  • Optum Behavioral Health

Known Out-of-Network Products  (SSM Health St. Louis)

  • Cigna Connect Network
  • Coventry FocusedCare (Commercial)
  • Missouri Care (Missouri Medicaid HMO)
  • United Health Care Compass, Compass Plus, Core, Core Essential 

SSM Health Saint Louis University Hospital

  • AARP Medicare Complete (UHC Medicare Advantage HMO and PPO)
  • Aetna, Inc. (HMO, PPO, POS and Medicare)
  • America’s Choice Provider Network (Work Comp and Auto Liability only)
  • Anthem Blue Cross and Blue Shield (Blue Access, Blue Access Choice, Blue Preferred Pathway/Pathway X, Regular/Traditional, out of state Blue Card Plans, Medicare Advantage HMO and PPO)
  • Blue Cross Preferred 65
  • CCO, Inc. (PPO)
  • CIGNA Health Plan of St. Louis (HMO, PPO, OAP), Cigna/Great West
  • CorVel Corporation (PPO) (Work Comp only)
  • Coventry Health Plan of Missouri (CMR, GHP ASO), Coventry National PPO, First Health PPO, Advantra Medicare Advantage PPO, Gold Advantage Medicare HMO
  • Essence Medicare (HMO)
  • Evolutions Healthcare System (PPO and Work Comp)
  • ExclusiveChoice
  • Galaxy Health Network (PPO)
  • Harmony Health Plan of IL (Medicaid HMO)
  • Health Alliance (Commercial, Medicaid, Medicare Advantage)
  • Health Management Network (PPO)
  • HealthLink, Inc. (HMO, PPO, Open Access, Workers’ Comp)
  • HealthNet Federal Services (TriCare/CHAMPUS Military Program)
  • HFN
  • Home State Health Plan (Missouri Medicaid HMO)
  • Humana ChoiceCare (PPO)
  • Humana (Medicare Advantage HMO, PPO and PFFS)
  • Meridian Health Plan (Illinois Medicaid HMO)
  • Missouri Care (Missouri Medicaid HMO)
  • Molina Health Plan (Illinois Medicaid HMO)
  • MultiPlan (PPO)
  • National Healthcare Advantage (Medicare Advantage SNP)
  • National Preferred Provider Network (PPO and Work Comp)
  • Private Health Care System (aka PHCS) (PPO)
  • St. Louis County Public Health (St. Louis County Corrections)
  • Three Rivers Provider Network (PPO and work Comp)
  • Prime Health Services (PPO)
  • United HealthCare of the Midwest, Inc. (Select, Select Plus, Choice, Choice Plus, Options PPO, Compass, Compass Plus), AARP Medicare Complete HMO and PPO, Care Improvement Plus (Medicare Advantage SNP)
  • USA Managed Care Organization (PPO and Work Comp)
  • Veterans Administration Choice Card (Administered by TriWest Healthcare Alliance)
  • Veterans Administration Choice Card (Direct Agreement with the Veteran’s Administration)
  • WellCare (IL Medicare Advantage HMO)

Marketplace Products -  Participation by SSM Health Saint Louis University Hospital

  • Anthem (In-Network for All Products)

Behavioral Health Agreements (SSM Health Saint Louis University Hospital)

  • Aetna Behavioral Health
  • Anthem Behavioral Health
  • E4 Health (Behavioral Medicine)
  • HealthLink Behavioral Health
  • MHNet (Mental Health Network)
  • Magellan Behavioral Health, Inc. (Behavioral Medicine)
  • Mercy Managed Behavioral Health
  • Optum Behavioral Health

Known Out-of-Network Products  (SSM Health Saint Louis University Hospital)

  • Cigna Connect Network
  • Coventry CareLink and FocusedCare (Commercial), Total Care (Medicare Advantage)
  • Humana's Medicare HMO
  • Missouri Care (Missouri Medicaid HMO)
  • United Health Care Core, Core Essential