In-Network Insurance Plans
William Newton Hospital ACCEPTS ALL INSURANCES. The WNH rural health clinics DO NOT accept Medicare Advantage (Part C) HMO plans. Original Medicare (Parts A & B) is accepted by all WNH facilities, providers, and clinics.
It is the patient’s responsibility to check to see if your insurance is in-network. Higher out-of-pocket costs may result when not in-network. If you have out-of-network insurance, you will be asked to sign a waiver promising to pay.
Our list of out-of-network plans includes those that are most common in our area. It is not all-inclusive.
***NOTE: THIS LISTING IS SUBJECT TO CHANGE AND MAY VARY BY INDIVIDUAL PROVIDERS. TO ENSURE YOU ARE IN-NETWORK, PLEASE CALL YOUR INSURANCE COMPANY TO VERIFY***
As of April 2, 2024
William Newton Hospital & WNH-Based Specialty Clinics
Applies to William Newton Hospital, WN Surgery & Specialties, WN Orthopaedics, WN Foot & WN Ankle, WN Cardiology, & WN Interventional Radiology, WN Pediatrics, Sunflower OB/GYN at William Newton Hospital. This information does not apply to any WNH primary care clinics (Health Professionals of Winfield, William Newton Hillside Family Medicine, and William Newton Clinics in Cedar Vale, Dexter, Moline, Sedan, and Udall). Please see below for this listing.
In-Network Plans: |
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Aetna Commercial Aetna Better Health (Medicaid) BCBS Commercial Cigna (Hospital & Surgery & Specialties ONLY) Kansas Medicaid Humana Commercial (Hospital & Surgery & Specialties ONLY - No Medicare Replacements) Medicare |
RR Medicare Sunflower Medicaid Triwest (Healthnet) Tricare UHC Commercial (In-network with most plans; No marketplace exchange plans) UHC Community Plan (Medicaid) UHC Medicare Advantage - AARP only UHC Dual Complete WPPA - ProviDrs Care (below for a list of plans affiliated with WPPA) |
Out-of-Network Plans:We still accept these, but you may have a higher out-of-pocket cost
compared to an in-network plan. |
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Allwell Ambetter Preferred Health UHC Exchange Plans (marketplace plans) No Medicare Replacements (with the exception of AARP UHC) |
Health Partners of Kansas Payers (In-Network):Applies only to hospital and primary care clinics. |
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PAYER/TPA American Medical Security (AMS) Central Reserve Life Cigna Cigna/GW (Great West) Continental General Insurance Company Corporate Plan Management Inc Cypress Benefit Administrators GEHA – Government Employees Health Association Humana Choice Care & Humana One NAHGA Claims Preferred Health Professionals |
WPPA Payers (In-Network): |
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ProviDRs Care works in tangent with payers and does not pay claims. A payer will be either an insurance company or a third-party administrator and is responsible for the adjudication and payment of claims. The name of the payer can be found on a member’s ID card. ProviDRs Care works with the following payers: |
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Allied Benefit Systems Allied National Auxiant Benefit Administrative Systems (BAS) BMI – Joplin Corporate Plan Management (CPM) Employee Benefit Management Services (EBMS) Freedom Claims Management Inc (FCM) Freedom Life / Us Health Group Group & Pension Administrators (GPA) Group Services & Administrations (GSA) HealthCare Solutions Group (HSG) HealthComp HealthEZ HealthSCOPE Benefits, Inc. |
HealthSmart Benefit Solutions (Mutual Assurance Admin) HealthPlan Services Insurance Program Managers Group Lucent Health Medica Meritain Health Mid-American Benefits, Inc. National Foundation Life / Us Health Group Regional Care Inc (RCI) Self-Insured Services Company (SISCO) The Loomis Company Total Plan Services (TPS) Trustmark Health Benefits ValueHealth Benefit Administrators (formerly Benefit Management) |
William Newton Hospital Primary Care Clinics
Applies to Health Professionals of Winfield, William Newton Hillside Family Medicine, and William Newton Clinics in Cedar Vale, Dexter, Moline, Sedan, and Udall.
In-Network Plans: |
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Aetna Commercial Aetna Better Health (Medicaid) BCBS Commercial Cigna (Not William Newton Hillside Family Medicine) Kansas Medicaid Humana Commercial (No Medicare Replacements, not William Newton Hillside Family Medicine)) Medicare |
RR Medicare Sunflower Medicaid Triwest (Healthnet) Tricare UHC Commercial (In-network with most plans; No marketplace exchange plans) UHC Community Plan (Medicaid) WPPA - ProviDrs Care (See below for a list of plans affiliated with WPPA) |
Out-of-Network Plans:We still accept these, but you may have a higher out-of-pocket cost |
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Allwell Ambetter Preferred Health UHC Exchange Plans (marketplace plans) |
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Our primary care clinics are out-of-network with all Medicare Replacement/Advantage plans. Our individual providers may be in-network for some plans, but the clinic itself is not in-network. |
Health Partners of Kansas Payers (In-Network):Applies to William Newton Hospital, Health Professionals of Winfield, and William Newton Clinics in Dexter, Cedar Vale, Moline, and Sedan. William Newton Hillside Family Medicine is NOT in-network with HPK. |
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PAYER/TPA American Medical Security (AMS) Central Reserve Life Cigna Cigna/GW (Great West) Continental General Insurance Company Corporate Plan Management Inc Cypress Benefit Administrators GEHA – Government Employees Health Association Humana Choice Care & Humana One NAHGA Claims Preferred Health Professionals |
WPPA Payers (In-Network): |
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ProviDRs Care works in tangent with payers and does not pay claims. A payer will be either an insurance company or a third-party administrator and is responsible for the adjudication and payment of claims. The name of the payer can be found on a member’s ID card. ProviDRs Care works with the following payers: |
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Allied Benefit Systems Allied National Auxiant Benefit Administrative Systems (BAS) BMI – Joplin Corporate Plan Management (CPM) Employee Benefit Management Services (EBMS) Freedom Claims Management Inc (FCM) Freedom Life / Us Health Group Group & Pension Administrators (GPA) Group Services & Administrations (GSA) HealthCare Solutions Group (HSG) HealthComp HealthEZ HealthSCOPE Benefits, Inc. |
HealthSmart Benefit Solutions (Mutual Assurance Admin) HealthPlan Services Insurance Program Managers Group Lucent Health Medica Meritain Health Mid-American Benefits, Inc. National Foundation Life / Us Health Group Regional Care Inc (RCI) Self-Insured Services Company (SISCO) The Loomis Company Total Plan Services (TPS) Trustmark Health Benefits ValueHealth Benefit Administrators (formerly Benefit Management) |