Skip to main content

Insurance

We appreciate your trust in selecting Children's Mercy as your health care provider. We contract with many insurance plans and networks to provide health care services to their participants.

If you don't find your insurance plan listed below, please check with your employer or insurance company to see if you have access to health care services at Children's Mercy. Some insurance plans do not include Children’s Mercy, which can make a difference for families navigating care. For more information, please visit choosechildrensmercy.org or contact Financial Customer Service at (816) 701-5100.

Covered services and programs vary by insurance plan and employer. It is important to check with your insurance plan for your specific benefits and coverage for services at Children's Mercy. Should you have questions regarding your insurance coverage, please contact your insurance carrier directly.

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

  • 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

  • Liberty Dental

Home Care

  • CareCentrix

  • Humana

Therapy

  • TheraMatrix (BCBS of Michigan)

Vision

  • EyeMed

  • March Vision Care

  • Skygen USA Vision