The insurance plans listed below are accepted at Johnson County Pediatrics. If your insurance is not listed please contact your insurance provider and ask if Children's Mercy Johnson County Pediatrics is in network. If you have additional insurance questions or concerns please call (913) 384-5310 or click here to send an email. It is the responsibility of the parent/guardian to review your child's insurance plan and what it covers.
Our practice does not accept Medicaid plans. In Kansas, Medicaid plans include KanCare, Amerigroup RealSolutions in Healthcare, Sunflower Health Plan, UnitedHealthCare Community Plan and Aetna Better Health of Kansas. To find a Medicaid provider please call the phone number on your card. We do not accept Ambetter insurance. (Ambetter erroneously published on the Ambetter website that Children's Mercy facilities and some providers were in-network. That was a mistake. We apologize for any confusion.)
Children's Mercy has been excluded from some plans offered on HealthCare.gov, meaning any services, appointments or labs done by Children's Mercy will not be covered. For more information please click here. The physicians at Johnson County Pediatrics want to encourage all of our families to review their insurance provider network listing to make sure Children's Mercy is part of the network. We encourage families to ensure they enroll with a plan that includes Children's Mercy and its physicians. For more information on the Kansas health insurance marketplace click here.
Information on the plans we accept:
Aetna – For any plan that requires a PCP, the child's PCP MUST be one of our physicians in order for our services to be covered.
Please note: Aetna Better Health of Kansas is a Medicaid plan we do not accept.
BCBS and BCBS Out of State – All PPO Products
BCBS of Kansas City Blue Care – For any plan that requires a PCP, the child's PCP MUST be one of our physicians for our services to be covered.
New in 2021, we accept BCBS of Kansas City (Blue KC). Also new in 2021, we accept BCBS of Kansas Solutions. (Not offered in Johnson and Wyandotte counties). We do not accept Blue Cross Blue Shield Kansas City: Blue Select. There are several other BCBS plans that also have the word "Select" in their titles. We do accept many of those plans, including Blue Cross Blue Shield Kansas City: Blue Select Plus. To determine if we are in network please call your insurance provider or call our offices at (913) 384-5500.
Cigna (All Products) – For any plan that requires a PCP, the child's PCP MUST be one of our physicians in order for our services to be covered. We do accept Cigna Connect Network. We will not appear in the on-line directory, but all of Johnson County Peds providers are active.
First Health – Or Coventry NATIONAL Network
Freedom Network Select
Humana – HMO, PPO, Choicecare, HumanaOne, National POS Open Access. Although for any plan that requires a PCP, the child's PCP MUST be one of our physicians in order for our services to be covered.
Medica, Select by Medica, for patients in Johnson and Wyandotte counties; Medica Connect - Kansas counties outside of Wyandotte and Johnson counties.
National Preferred Provider Network (NPPN)
Preferred Care Blue
Preferred Health Professionals (PHP) – SMMC Employee Plan, FMH Benefit Services
United Healthcare – Johnson County Peds does not accept United Healthcare Medicaid. We do not accept UHC Community Plan. We also do not accept UHC Compass. Beginning Jan. 1, 2021, we will be in network with United's product, Bind. Bind is an "on demand" plan.
Narrow Network Plans
In 2021, we will be adding narrow network plans. Usually offered through private employers, a narrow network is a type of health plan that requires members to receive care in their preferred, narrow network of a select group of doctors, hospitals, outpatient facilities, laboratories, etc.
Aetna I-35 Preferred
BlueKC High Performance Network
Cigna Sure Fit
Cigna Local Plus
UHC Core Essential
If your insurance is not listed please call our office to verify if we can still see your child – we may have added new companies. Johnson County Pediatrics does not accept Medicaid or Managed Medicaid plans