About BCBS Kansas Coverage in Burlington
BCBS Kansas operates 2 distinct networks in Burlington, KS, with a combined in-network roster of 34 doctors across 15 medical specialties. Among the five largest insurers we track in Burlington, BCBS Kansas ranks #1 by provider count. Use this page to confirm a specific provider is in-network, understand which BCBS Kansas networks have the widest reach in Burlington, and compare coverage against other major insurers before scheduling care.
BCBS Kansas publishes its Burlington directory at the network level rather than the consumer-plan level. The labels on each row below (for example Blue Choice) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.
BCBS Kansas sells consumer plans through two channels in Burlington: 9 ACA marketplace plans on healthcare.gov and 4 Medicare Advantage plans for seniors. Both are listed below with metal tiers, plan types, and star ratings where applicable.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Marketplace plans come from the CMS Qualified Health Plan Public Use File. Medicare Advantage plans come from the CMS MA Landscape File. Last refreshed May 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.
BCBS Kansas Networks in Burlington
BCBS Kansas contracts with doctors at the network level in Burlington. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them. For consumer plan names, see the section below.
Blue Choice
34
Traditional Providers
34
BCBS Kansas ACA Marketplace Plans Available in Burlington
9 BCBS Kansas plans sold on healthcare.gov for Burlington. These are the consumer plan names you’ll see during open enrollment, with metal tier (Bronze/Silver/Gold/Platinum) and plan type (PPO/HMO/EPO/POS).
Bronze plans have lower monthly premiums and higher out-of-pocket costs; Gold and Platinum have higher premiums but lower copays. Your plan choice affects which BCBS Kansas doctors above are in-network. the network labels above map to one or more of these plans.
BlueCare EPO Gold
Network: Dentegra PPO Individual
BlueCare EPO Gold Plus
Network: Dentegra PPO Individual
BlueCare EPO Standardized Gold
Network: Dentegra PPO Individual
BlueCare EPO Silver Plus
Network: Dentegra PPO Individual
BlueCare EPO Simple Silver HDHP
Network: Dentegra PPO Individual
BlueCare EPO Standardized Silver
Network: Dentegra PPO Individual
BlueCare EPO Bronze
Network: Dentegra PPO Individual
BlueCare EPO Simple Bronze HDHP
Network: Dentegra PPO Individual
BlueCare EPO Standardized Expanded Bronze
Network: Dentegra PPO Individual
Source: CMS Qualified Health Plan Public Use Files (PY 2026). ACA marketplace plans only. Does not include employer-group or Medicare plans.
BCBS Kansas Medicare Advantage Plans in Burlington
4 BCBS Kansas Medicare Advantage plans available to seniors in Burlington. Each plan combines Medicare Parts A, B and usually D (prescription drugs) into one product, with star ratings and monthly premiums shown.
Star ratings (1-5) reflect overall plan quality measured by CMS. a 4-star plan generally indicates above-average member experience and care coordination. Premiums shown are the monthly cost on top of the standard Medicare Part B premium.
Source: CMS Medicare Advantage Landscape File. Star ratings reflect overall plan performance per CMS quality measures. Premiums shown are monthly Part C+D consolidated.
Top Specialties Accepting BCBS Kansas
BCBS Kansas’s Burlington network spans 15 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.
Click any specialty below to see a filtered list of just those in-network providers in Burlington, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.
Physician Experience in BCBS Kansas’s Burlington Network
Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For BCBS Kansas’s Burlington network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.
A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.
Top Hospitals Serving BCBS Kansas Patients in Burlington
Hospitals with the most BCBS Kansas-network physicians practicing there. Large affiliation counts indicate that BCBS Kansas has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.
Hospital coverage is a separate contract from physician coverage. your BCBS Kansas plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.
Coffey County Hospital
Burlington, KS
Newman Regional Health
Emporia, KS
Neosho Memorial Regional Medical Center
Chanute, KS
University Of Kansas Health System - St Francis Campus
Topeka, KS
Stormont Vail Hospital
Topeka, KS
Allen County Regional Hospital
Iola, KS
Coverage Compared in Burlington
Side-by-side provider counts for the five largest commercial and government insurers tracked in Burlington. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.
If BCBS Kansas’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Burlington provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Nearby Cities with BCBS Kansas Coverage
Cities closest to Burlington where BCBS Kansas has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.
The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s BCBS Kansas network size. a small count doesn’t mean no coverage, just that your in-Burlington options are likely more plentiful.
Frequently Asked Questions
Common questions about BCBS Kansas coverage in Burlington
How do I find an BCBS Kansas in-network doctor in Burlington, KS?
BCBS Kansas has 34 in-network providers across 15 medical specialties in Burlington. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.
What BCBS Kansas ACA marketplace plans cover Burlington?
BCBS Kansas sells 9 consumer plans on healthcare.gov for Burlington, KS, including BlueCare EPO Bronze, BlueCare EPO Gold, BlueCare EPO Gold Plus and 6 others. Available plan types are EPO. These plans appear on healthcare.gov during open enrollment (typically November to January) and through special enrollment periods after qualifying life events.
What metal tiers does BCBS Kansas offer in Burlington?
BCBS Kansas's ACA marketplace presence in Burlington spans 3 metal tiers: Expanded Bronze (3), Gold (3), Silver (3). Metal tiers describe the cost-sharing balance, not provider quality. Bronze plans have the lowest monthly premiums but you pay more per visit. Silver plans are eligible for federal cost-sharing reductions if your income qualifies. Gold and Platinum plans cost more monthly but reduce out-of-pocket costs for specialist visits, hospital stays, and prescriptions.
Does BCBS Kansas offer Medicare Advantage in Burlington?
Yes. BCBS Kansas offers 4 Medicare Advantage plans in Burlington for 2026, with plan types including PPO. The average CMS star rating across these plans is 3.5 of 5. Medicare Advantage (Part C) bundles Parts A and B with usually Part D prescription drug coverage, often adding dental, vision, and wellness benefits. Enrollment is open during the annual election period each fall.
What's the highest-rated BCBS Kansas Medicare Advantage plan in Burlington?
Blue Medicare Advantage Choice (PPO) (PPO) holds BCBS Kansas's top CMS star rating in Burlington at 3.5 of 5, with a $0 monthly premium. Star ratings reflect overall plan quality based on member experience, customer service, drug pricing, and clinical care measures. Plans rated 4 or higher generally indicate above-average performance.
Are there $0 premium BCBS Kansas Medicare Advantage plans in Burlington?
Yes. 2 of BCBS Kansas's 4 Medicare Advantage plans in Burlington carry a $0 monthly premium for 2026. Note that $0 premium plans still require you to pay the standard Medicare Part B premium each month, plus copays and deductibles when you use care. Compare each plan's MOOP (maximum out-of-pocket) limit to understand worst-case annual cost.
Which hospitals in Burlington accept BCBS Kansas?
Hospitals where BCBS Kansas doctors most commonly practice in Burlington include COFFEY COUNTY HOSPITAL, NEWMAN REGIONAL HEALTH, NEOSHO MEMORIAL REGIONAL MEDICAL CENTER, UNIVERSITY OF KANSAS HEALTH SYSTEM - ST FRANCIS CAMPUS. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your BCBS Kansas plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.
Which medical specialties have the most BCBS Kansas providers in Burlington?
BCBS Kansas's Burlington network is largest in Nurse Practitioner (9), Family Practice (6), Optometry (4). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.
Why don't I see specific BCBS Kansas plan names like Bronze or Silver?
BCBS Kansas files its Burlington provider directory at the network level rather than by consumer plan name. The labels above (such as Blue Choice) are the network identifiers BCBS Kansas uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.
How do I verify a doctor is in-network with BCBS Kansas?
Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific BCBS Kansas plan, and third check BCBS Kansas's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed May 29, 2026.
What if my doctor isn't listed here?
This list reflects BCBS Kansas's submitted network data as of the last federal filing on May 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept BCBS Kansas, then check BCBS Kansas's own member portal for confirmation.
When was this BCBS Kansas data last updated?
The BCBS Kansas Burlington provider list was last refreshed May 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. ACA marketplace plan data comes from the CMS Qualified Health Plan Public Use File for plan year 2026. Medicare Advantage plans come from the CMS MA Landscape File. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for Burlington BCBS Kansas members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly