WashU, BJC doctors will accept UnitedHealthcare marketplace plans, despite website error - Insurance News | InsuranceNewsNet

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November 13, 2025 Newswires
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WashU, BJC doctors will accept UnitedHealthcare marketplace plans, despite website error

Jack Suntrup, St. Louis Post-DispatchSt. Louis Post-Dispatch

ST. LOUIS — Washington University physicians will accept health insurance sold by UnitedHealthcare on the Affordable Care Act individual marketplace — even though the system’s doctors are not currently listed on the ACA website as being “in network” for 2026.

But they are in network, said Abeeha Shamshad, spokesperson for WashU Medicine.

“All WashU Medicine physicians participate in UnitedHealthcare (UHC) individual and family plans offered on Healthcare.gov in Missouri and Illinois,” she said in an email Wednesday.

“UHC is responsible for updating Healthcare.gov to ensure that WashU Medicine physicians are accurately listed,” Shamshad said.

Cole Manbeck, spokesperson for UnitedHealthcare, said in a statement that agreements with WashU and BJC were finalized recently.

“We are in the process of updating our directories accordingly, which will then be shared ... to update Healthcare.gov,” he said.

“All BJC hospitals, including Barnes-Jewish Hospital, facilities and physicians as well as Washington University physicians are participating providers for our Individual Family Plan (IFP),” Manbeck said in an email, referring to the company’s ACA plans.

Individual marketplace plans sold on Healthcare.gov can be purchased by consumers who aren’t covered through their employer or programs such as Medicaid and Medicare.

UnitedHealthcare is the only marketplace insurer for 2026 with BJC in its coverage network.

The agreement replaces a two-year partnership between BJC and Aetna, which is exiting the individual marketplace for 2026.

Shamshad, the WashU spokesperson, said patients can confirm WashU medicine physicians are in network by checking WashU Medicine’s website or by contacting 314-273-0880 or healthcareexchangecounselors@wusm.wustl.edu for assistance.

WashU has a longstanding partnership with BJC Health System, which recently announced an agreement with UnitedHealthcare on the Affordable Care Act plans for 2026.

BJC facilities such as Missouri Baptist Medical Center and Barnes-Jewish Hospital do show up as in UnitedHealthcare’s network on Healthcare.gov.

But some BJC health care providers didn’t show up as in network on Wednesday.

BJC Customer Service for its east region can be reached at 314-362-8400.

Open enrollment on Healthcare.gov for 2026 began Nov. 1 and lasts until Dec. 15 for coverage that begins at the start of the year. Policies can be purchased until Jan. 15 for plans that start Feb. 1.

BJC teams with UnitedHealthcare for Affordable Care Act insurance in St. Louis region

Aetna said earlier this year it would pull out of the ACA marketplace for 2026.

BJC HealthCare is phasing out pension benefits, bars new participants

A spokesperson for BJC tied the move to the organization's 2024 merger with St. Luke's Health System of Kansas City.

BJC, Cigna reach agreement to extend full health insurance coverage

A failure by both sides to reach an agreement had left patients in limbo.

Take a look back at October 2025

Post-Dispatch photographers capture thousands of images each month; here are just some photos from October 2025. Video edited by Jenna Jones.

© 2025 the St. Louis Post-Dispatch. Visit www.stltoday.com. Distributed by Tribune Content Agency, LLC.

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