ssm health medical group insurances accepted

Accepted Insurance Plans 

SSM Health Medical Group Managed Care Contracts
This list represents the major plans in which SSM physicians and facilities participate, however, it does not include every contract held by every SSM provider, or those accepted at SSM Health Express Clinic at Walgreens (learn more). Many plans have variations and some have certain limitations. Therefore, all may not apply to every physician. If your insurance plan is not listed below or you would like to verify that the physician you are interested in seeing participates in your insurance plan, please call the Central Business Office (CBO) of the Medical Group in that physician’s service area.

SSM Health Medical Group NORTH CBO: 314-209-8121
SSM Health Medical Group SOUTH CBO: 314-966-6469
SSM Health Medical Group WEST CBO: 636-669-2411

ATTENTION MEDICARE PATIENTS - If you are on Medicare or becoming eligible and have questions about your Medicare insurance options, you are invited to contact the SSM Health Medical Group Medicare Insurance Helpline

In-Network

  • Advantra (Coventry’s Medicare Advantage HMO and PPO)
  • Aetna Better Health (Medicaid HMO)
  • Aetna, Inc. (HMO, PPO, POS and Workers’ Compensation)
  • Anthem Blue Cross and Blue Shield (Blue Access, Blue Access Choice, Blue Preferred Regular/Traditional, out of state Blue Card Plans, Medicare Advantage HMO and PPO, Pathway )
  • CCO, Inc. (PPO)
  • ChoiceCare Network (Subsidiary of Humana) (PPO)
  • CIGNA Health Plan of St. Louis (HMO, PPO, OAP, and Flex)
  • CompResults (PPO) (Work Comp only)
  • CorVel Corporation (PPO) (Work Comp only)
  • Coventry CareLink HPN (Market Place product)
  • Coventry Health Plan of Missouri (HMO, POS, PPO, ASO)
  • Coventry National (PPO)
  • Coventry Total Care (Medicare Advantage narrow network)
  • Essence (Medicare Advantage Specialist Only)
  • Evolutions Healthcare System (PPO)
  • ExclusiveChoice (SSM Health St. Louis Employee Benefit Program)
  • First Health (PPO)
  • Galaxy Health Network (PPO)
  • Gold Advantage (Coventry Medicare Advantage PPO)
  • Great West (PPO, HMO and OAP)
  • Harmony Health Plan of IL (Medicaid HMO)
  • HealthLink, Inc. (HMO, PPO, Open Access, Workers’ Comp)
  • Health Management Network (PPO)
  • Home State Health Plan (Medicaid HMO)
  • Humana Choice Care (PPO)
  • Humana Choice PPO (Medicare Advantage PPO)
  • Meridian of Illinois (Medicaid HMO)
  • Molina of Illinois (Medicaid HMO)
  • MultiPlan (PPO)
  • National Preferred Provider Network (PPO)
  • Phelps County Memorial Hospital (Phelps County Employee Benefit Plan)
  • Private Health Care System (aka PHCS) (PPO)
  • Three Rivers Provider Network (PPO)
  • TriCare/CHAMPUS (HealthNet Federal Services) (Military Program)
  • United HealthCare of the Midwest Commercial (HMO, POS, Options PPO)
  • United HealthCare Medicare Advantage (AARP Medicare Complete, Care Improvement Plus, Medicare Solutions)
  • USA Managed Care Organization (PPO)
  • WellCare (Medicare Advantage HMO)

Out-of-Network

  • Cigna Connect Network
  •  Coventry Focused Care HPN
  •  Humana Gold Choice PFFS (Medicare Advantage)
  •  Humana Gold Plus HMO (Medicare Advantage)
  • Missouri Care (Medicaid HMO)
  • United Healthcare – All Compass Products