Billing and Insurance

 

Billing and Insurance
Accepted Insurance Companies List
Insurance Company
Plan Type
Aetna** PPO, NAP, EPO, POS, Advocate HMO
Aetna Advantage, Aetna Classic, Aetna Basic, Aetna Open Choice PPO
Beechstreet, Inc.(PPO Next) PPO
Blue Cross Blue Shield PPO* Bronze, Silver, Gold (B, S, G), Blue Choice B, S, G,  Blue PPO B, S, G, Blue Security PPO, Basic, Solution, Premier Multi-State Plan, Blue Options, Blue Edge, Blue Precision HMO, Advocate BCBS HMO, HMO Illinois PPO
Blue Cross Medicare Advantage Medicare HMO
Blue Precision and Blue Advantage PPO
BCBS PPO
Cigna/ChoiceFund/Network/Great-West Healthcare PPO, EPO, POS
Cofinity PPO
Coventry (Personal Care) PPO, POS, HMO
First Health PPO
HealthLink/Unicare All Products
HFN PPO, EPO
Humana, Humana National Preferred – ChoicePOS, Humana Advocate Centered HMO Plan, Humana HMO Premier/Open Access HMO, Humana HMO Select/Illinois Platinum HMO, Humana Medicare Advantage, Humana Illinois Coordinated Care Network (ICCN) PPO, POS
Humana National Preferred – ChoicePOS POS
Tricare West
United Healthcare (UHC) PPO, POS, Navigate
United Healthcare Medicare and United Healthcare Medicare Advantage PPO
 Medicare
 Land of Lincoln: National Freedom, National Choice, National Preferred, National Complete, National Premier, National Confidence, National Elite SEIU – Local 4, UFCW Local 1546 Health & Welfare Fund (Union Medical Center) PPO

Additionally, we will accept any other PPO plan not on the above list. However, if we are not in-network with the PPO (not one of the companies listed above), the patient may be responsible for a larger portion than if they see a physician that is in their network.

We Now Take Blue Cross Blue Shield of Illinois HMO Advocate Plans.
List of Insurances We Do Not Take:

***We do not take IlliniCare Health Plans

***We do not take Blue Cross Blue Shield Community Family Health Plan

***We do not take Aetna Better Health, Aetna Premier Care, Aetna Managed Choice, Cigna HealthSpring ICP, Community Care Alliance, Community Care Plan, Family Health Network, Harmony / WellCare FHP Plan, Illinicare, Illinois Department of Public Aid, Meridian FHP/ACA Expansion, Meridian ICP, Meridian Health Plan, Molina ICP, Next Level ACA/FHP and anything that has FHP (Family Health Plan) or Community on the card

The HMO issue is a difficult one. Here’s our interpretation: If your BCBS HMO card has an affiliated hospital with it (Advocate, like Illinois Masonic) then we will take it. Other HMOs (Presence Health) will not cover your visit with us. Here’s what you need to do: Contact your insurance company. We suggest contacting your insurance company’s customer service department by calling the number located on your card to help you locate a provider.