In-Network Insurance Plans

William Newton Hospital ACCEPTS ALL INSURANCES. However, 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***


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:

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

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.

Allwell

Ambetter 

Preferred Health

No Medicare Replacements (with the exception of AARP UHC)


Health Partners of Kansas Payers (In-Network):

Applies only to hospital and primary care clinics.

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):

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:

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:

Aetna Commercial

Aetna Better Health (Medicaid)

BCBS Commercial

Cigna

Kansas Medicaid

Humana Commercial (No Medicare Replacements)

Medicare

RR Medicare

Sunflower Medicaid

Triwest (Healthnet)

Tricare

UHC Commercial

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
compared to an in-network plan.

Allwell

Ambetter

Preferred Health

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. 

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):

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:

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)


Updated 3.29.23