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Navigating your family's health insurance plan coverage can be complicated, especially now with all of the options available in the new health insurance exchanges. But one thing is simple. If you have a child, make sure your plan includes Children's Mercy.

Find a plan that includes Children's Mercy


Covered services and programs vary by insurance plan and employer and the Missouri Department of Insurance anticipates many plans will have networks with fewer providers. It is important to check with your insurance plan for your specific benefits and coverage for services at Children's Mercy.

Commercial

 

Government Insurance Plans


If you have Medicaid coverage and do not live in Kansas or Missouri, please contact your State Medicaid Agency or Health Plan to verify that Children’s Mercy Kansas City is authorized to provide care to your child prior to seeking services. Many States have special requirements that need to be followed before seeking services from an out of State provider and if these are not followed you may not have coverage and be financially responsible for the care you receive at Children’s Mercy Kansas City. The phone number to call for this information should be located on your benefit card that is provided by your State Medicaid Agency or Health Plan when you become eligible for Medicaid coverage.

Federal Plans

 

  • TriCare/Health Net Federal Services

Managed Medicaid Plans - Kansas

 

Managed Medicaid Plans - Missouri

 

Specialty Networks


Behavioral Health (Outpatient)

 

Specialty Centers of Excellence - Transplant Networks

 

Dental

 

Vision

 

 

Medical

 

  • PHCS Limited Benefit Plan

  • Prime Healthcare (Anthem Blue Cross)

Medical

  • Ambetter from HomeState Health Plan (MO)

  • Ambetter from Sunflower Health Plan (KS)

  • Anthem Pathway/Pathway X (KS locations only)

  • BCBS of Kansas BlueChoice Solutions (JO/WY county KS locations and all MO locations)

  • Blue Access (BCBS of Kansas City)

  • Blue Select (BCBS of Kansas City)

  • HealthChoice of Oklahoma 

  • HealthPartners at UnityPoint Health

  • Mercy Anthem Alliance EPO (Anthem BCBS) 

  • Orscheln Industries utilizing HealthSCOPE

  • Oscar Health

  • PHCS Practitioners Only (All Hospital/Facility Services)

  • Preferred CommunityChoice

  • WPPA ProviDRs Care Employer Network Design (All Hospital/Facility Services)

  • All Medicaid and managed Medicaid plans outside of the states of Arkansas, Kansas, Missouri and Oklahoma unless mentioned above

Behavioral Health

  • Beacon Health Options (formerly Value Options)

  • Magellan Healthcare

  • Mercy Managed Behavioral Health

Dental

  • Envolve Dental

Home Care

  • CareCentrix

  • Humana

Therapy

  • TheraMatrix (BCBS of Michigan)

Vision

  • EyeMed

  • March Vision Care

  • Skygen USA Vision

See the out-of-pocket cost comparison to paying through an insurance plan.

View a list of commonly asked questions when selecting a healthcare plan.

Why choose Children's Mercy?


Children's Mercy is ranked as one of America's best pediatric hospitals by U.S. News and World Report. With our world-renowned Genome Center, the region's only Level IV Neonatal Intensive Care Unit (NICU) and more than 750 pediatric specialists in 40 specialties, we're the region's only hospital completely focused on treating kids — all in an environment specifically designed for the way kids need to be treated. As the region's only children's hospital, Children's Mercy is an essential provider to the community. There are many reasons our families come here, community providers refer to Children's Mercy and insurance plans cover our services including:

  • 90% of all pediatric specialists (physicians only) in the Kansas City metro are at Children's Mercy

  • Children's Mercy has 40 areas of specialties, 19 of which are only offered in the Kansas City metro by pediatric subspecialists at Children's Mercy

  • U.S. News and World Report ranks Children's Mercy as one of the best children's hospitals, ranking us in 10 specialties: cancer, cardiology and heart surgery, diabetes and endocrinology, gastroenterology, neonatology, nephrology, neurology and neurosurgery, orthopaedics, pulmonology and urology

  • 89 of the 90 Best Doctors in a pediatric subspecialty are from Children's Mercy according to the Kansas City Business Journal's 2015 Best Doctors®

  • Of the 92 pediatric subspecialists listed in 435 South 2015 Best Doctors, 91 are from Children's Mercy.

  • Children's Mercy was the first hospital in Missouri and Kansas designated a Magnet®organization, nursing's highest honor from the American Nurses Credentialing Center