As a patient, it is your responsibility to understand your benefits and to know if your plan is contracted with our providers. Midwest Medical Specialists may not be at the highest benefit level or participate in every product offered from the health plans listed below. This list is not meant to be all-inclusive, and your specific plan may vary. We recommend contacting your insurance company and providing them with the name of your provider and our Tax ID number (48-1169310) for verification purposes.
MMS does not accept new patients with Medicaid primary plans (Kancare/KMAP, Aetna Better Health, Missouri Healthnet, UHC Community plan, Healthy Blue, Home State Health, Sunflower Health, etc.). We also cannot treat Medicaid patients as Self-Pay. Please contact your Medicaid plan to locate a provider that is accepting new patients.
List of accepted insurances – individual plan coverage may vary:
Commercial plans
90 Degree Benefits
Aetna HMO and PPO
Allied
AllSavers
American Postal Workers Union (APWU)
Bind Benefits (Surest)
Blue Cross Blue Shield (excludes Anthem Pathway X, BCBS of Kansas High Performance Network, Wellmark HMO, Prime Healthcare EPO, and any EPO plans outside of the Blue KC area)
Care Coordinators by Quantum Health
Centivo by CentrusHealth KC
Cigna (excludes EPO plans outside of the KC area)
Cigna+Oscar (excludes regular Oscar Health)
Coresource
First Health Network
Freedom Network Select
Government Employees Hospital Association (GEHA)
GoldenRule
Gravie Administrative Services
HealthEZ
HealthPartners
Healthscope Benefits
Humana (excludes PPOx plans)
Imagine360 Administrators
Loomis
Lucent Health
Luminare (formerly Trustmark)
Mail Handlers Benefit Plan (MHBP)
Medica Choice plans (excludes Medica EPO plans)
MedMutual
Meritain Health
Multiplan
National Association of Letter Carriers (NALC)
Oxford Health
PHCS
Preferred Health Professionals
ProviDRs Care Network
Quiktrip Corporation (referral required)
S&S Health
Tricare West (referral required)
UMR
United Healthcare (excludes Core plans and any EPO plan offered outside the KC area)
VA / Optum CCN (referral required)
WellFit through Centrus Health KC
WPS Health Insurance
ACA Exchange plans
Aetna CVS Health
Cigna Connect EPO (Kansas City only)
United Healthcare (excludes Core plans and any EPO plan offered outside the KC area)
Medicare / Medicare Advantage plans
Medicare/Railroad Medicare (Part B)
Aetna Medicare HMO and PPO
AARP/UHC Medicare Advantage
Cigna Medicare PPO and HMO
Humana Medicare PPO and HMO (excludes Humana Community HMO)
United Healthcare Dual SNP Community Plans
Shared Health Plans
Participation is subject to your specific share plan. Please see our Billing FAQ for more details.
We do not accept
AllWell (also called WellCare)
Ambetter
Anthem Pathway X
Blue Cross of Kansas High Performance Network
Blue Cross Wellmark HMO
Blue Cross Prime Healthcare EPO
Blue Cross EPO plans outside of the Blue KC area
Cigna EPO plans outside of the KC area
EmblemHealth plans
Humana PPOx plans
Medica EPO exchange plans
Molina Healthcare (Affinity)
Oscar Health plans
Peoples Health Network
Workers’ Compensation cases
Motor Vehicle Accident cases
Other Misc. Liability cases (Slip and Fall, etc.)
If you are scheduled with us and your insurance is either inactive or out of network with our office, you will be considered a self-pay patient and must pay in full at the time of your visit. Please note that this does not apply to new Medicaid patients; they cannot be seen as self-pay and must seek care elsewhere.
If you are currently on a COBRA plan, on hospice care, or in a skilled nursing or rehabilitation facility, we highly appreciate notification prior to any scheduling/scheduled visits so that coverage can be confirmed.