Medicare Plans

Are you Medicare eligible?

This federal government program is designed for all Americans over age 65, regardless of income. Younger patients with disabilities may also be eligible. You can sign up for traditional Medicare Part B, where the government pays for physicians services directly or you can sign up for one of several private Medicare Advantage plans administered by private insurers that pays for your medical treatment. You can renew your coverage in the traditional Medicare Part B or Medicare Advantage Plan during open enrollment (or change periods) or you can switch plans during open enrollment.

WashU Medicine physicians participate in the following Medicare options including Traditional Medicare Part B and the Advantage Plans listed below; however, we recommend that you verify with the plan’s customer service representative that your Washington University provider is in its provider network prior to your appointment.

Medicare options – Missouri only unless stated otherwise

Medicare – Medicare Part B (called traditional Medicare) is managed by the government agency called Centers for Medicare and Medicaid Services or CMS. This plan issues a red, white and blue enrollment card. For information or to enroll call 800-633-4227.

U.S. Department of Veterans Affairs – ChampVA

Aetna – WashU Medicine will no longer schedule patients after 12/31/2026

  • Aetna Medicare Assure (HMO D-SNP) – Previously Aetna Medicare Assure Gold Prime (HMO-DSNP) – Terms 12/31/2026
  • Aetna Medicare Assure (HMO D-SNP) – Terms 12/31/2026
  • Aetna Medicare Choice Plus (HMO-POS) – Plan Name change for 2025; Previously Aetna Medicare Option 1 (HMO-POS) – Terms 12/31/2026
  • Aetna Medicare Choice (HMO-POS) – Plan Name change for 2025; Previously Aetna Medicare Option 2 (HMO) – Terms 12/31/2026
  • Aetna Medicare Discover Value Plus (HMO) – Offered in select Missouri counties. – Terms 12/31/2026
  • Aetna Medicare Elite (PPO) – Terms 12/31/2026
  • Aetna Medicare Gold Advantage (HMO) – Terms 12/31/2026
  • Aetna Medicare Premier (PPO) – Terms 12/31/2026
  • Aetna Medicare Premier Plus (PPO) – Terms 12/31/2026
  • Aetna Medicare Premier Preferred (HMO-POS) – Offered in select counties in Illinois, including a 5 county service area expansion in the Springfield submarket – Terms 12/31/2026
  • Aetna Medicare Premier Preferred (HMO-POS) – Terms 12/31/2026
  • Aetna Medicare SmartFit (PPO) – Offered in select Missouri and Illinois counties. – Terms 12/31/2026
  • Aetna Medicare Value (PPO) – Terms 12/31/2026
  • Aetna Medicare Eagle (HMO-POS) – MA Only plan offered in select counties in Missouri and Illinois – Terms 12/31/2026
  • Aetna Medicare Eagle (HMO-POS) – MA Only plan offered in select counties in Missouri – Terms 12/31/2026
  • Aetna Medicare Eagle (PPO) – NMA Only plan offered in select counties in Illinois – Terms 12/31/2026
  • Aetna Medicare Essentials (PPO) – Available in select counties in Illinois – Terms 12/31/2026

Anthem/Elevance

  • Anthem BCBS Medic Blue Access Basic PPO
  • Anthem BCBS MediBlue Access PPO
  • Anthem BCBS MediBlue Dual eligible D-SNP
  • Anthem BCBS Medicare Advantage HMO
  • Anthem BCBS Medicare Advantage PPO
  • Anthem BCBS Medicare Preferred
  • Anthem BCBS MediBlue Plus HMO

CoxHealth

  • CoxHealth Medicare Advantage HMO

Devoted Managed Medicare

Essence HealthCare – WashU Specialists Only, Primary Care Physicians are Excluded

  • Essence Advantage (HMO)
  • Essence Advantage Plus (HMO)
  • Essence Dual

Humana

  • Humana – Gold Choice Network PFFS
  • Humana – Gold Plus HMO (Illinois and Missouri)
  • Humana – Gold Plus HMO-SNP
  • Humana – Medicare PPO
  • Humana – Medicare PPO Employer PPO Plus

United HealthCare (UHC)

  • UHC – AARP Medicare Advantage Choice Plan 3 Regional PPO
  • UHC – AARP Medicare Advantage Choice Plan 2 Regional PPO
  • UHC – AARP Medicare Advantage
  • UHC – AARP Medicare Advantage Choice Plan 1 PPO
  • UHC – Group Medicare Advantage HMO-PPO Missouri
  • UHC – AARP Medicare Advantage Passport
  • UHC – AARP Medicare Advantage Patriot
  • UHC – AARP Medicare Advantage Walgreens PPO
  • UHC – AARP Medicare Complete Choice PPO
  • UHC – AARP Medicare Complete Plus Plan 1 HMO/POS
  • UHC – Dual Complete Choice Regional PPO D-SNP
  • UHC – Dual Complete HMO D-SNP H0169-002-000
  • UHC – Medicare Advantage
  • UHC – Medicare Advantage Assure
  • UHC – Medicare Advantage Choice
  • UHC – Medicare Advantage Focus
  • UHC – Medicare Advantage Patriot
  • UHC – Medicare Complete Essential MO
  • UHC – Medicare Complete HMO
  • UHC – Medicare Direct Patriot (PFFS) – NO DRUG COVERAGE
  • UHC – Medicare Direct Rx (PFFS) – WITH DRUG COVERAGE
  • UHC – Medicare Silver/Gold Plan PPO C-SNP
  • UHC – Medicare Solutions
  • UHC – MTM.Medicare/Medicaid Dual eligible Product D-SNP
  • UHC – Nursing Home Plan HMO I-SNP
  • UHC – Nursing Home Plan HMO-POS I-SNP
  • UHC – Nursing Home Plan PPO I-SNP
  • UHC – Passport

WellFirst

  • WellFirst Medicare (authorizations may be required for some services)