Health Insurance

Insurance Information

We strive to offer our patients excellent family medical care and assist the patient to receive maximum benefit from their insurance plan.

Please verify with your insurance provider that our practice is on their provider list.  We participate with almost all local insurance plans. Please bring your insurance card with you so that we can make a copy for your record. Anytime that you have a change in insurance, address, or phone number, be sure to notify the receptionist so that the change can be entered into our system. Payment is due at the time of service. We do accept credit cards for payment, such as VISA and MASTERCARD. Payment for visits due to Worker’s Compensation or resulting from a Motor Vehicle Accident will need to be paid in cash at the time of the visit, and you will need to seek reimbursement from your insurer or legal settlement.

We Accept the Following Insurance Providers*

To find out which provider accepts which insurance, please contact your provider. 

  • Aetna:
    • Standard: EPO, HMO, POS, PPO
    • Additional: Advantage/Advantage Plus (PPO), Managed Choice Open Access (PPO), National Advantage Program (NAP-PPO), Aetna Signature Authority (ASA/SRC-PPO), Choice, Choice POS II, Open Access Elect Choice, Open Access, Elect Choice HMO, Managed Choice POS, Open Choice, Quality Point-of-Service (QPOS), Aetna Select and Aetna Signature Administrators PPO
    • Cofinity PPO
    • Medicare Advantage: HMO, PPO
    • Marketplace: Aetna Whole Health HMO
    • Allstate Employee Plan (Admin by Aetna)
    • Northshore Employee Plan (Admin by Aetna)
  • Aetna Better Health:
    • Accountable Care Act (ACA)
    • Family Health Plan (FHP/TANF)
    • Integrated Care Program (ICP)
    • Dual Medicare-Medicaid (MMAI)
  • Asian Human Services (AHS) Family Health Center
    • IL Breast & Cervical Cancer Project
  • Beech Street/ppo Next:  PPO
    • Workers Comp
  • Blue Cross Blue Shield:
    • Standard: EPO, PPO (Bronze, Gold, Silver)
    • Blue Cross Presence EPO
    • Blue "Choice" PPO/Blue Choice Select (BCS):
      • Bronze, Silver, Gold (Advocate Hospitals' - OON)
    • Blue Choice Preferred PPO (BCE)
    • Blue Choice Options: Tier 1 (BCO), 2 (PPO) and 3 (OON)
      • Tier 1 (in-network)
      • Tier 2 (using PPO, higher out of pocket for member)
    • Blue Choice: Unite Here Health (Presence Product)
    • Blue Community ICP/FHP/TANF/ACA
    • Blue Medicare Advantage: PPO
    • Blue Community MMAI (Medicare-Medicaid Alignment)
  • Cigna/GWH:
    • Standard: HMO/Network (HMO), PPO/Choice PPO (PPO/EPO), Open Access Plus/Choice Funds OA Plus (POS), State of IL (POS), C5 (POS)
    • Local Plus (Advocate & Presence- OON)
  • Cigna HealthSprings:
    • Cigna HealthSprings ICP
    • Cigna HealthSprings MMAI
    • Cigna HealthSprings Medicare Advantage: HMO
  • Community Care Alliance of IL (CCAI)
    • Family Health Plan (FHP/TANF)
    • Integrated Care Program (ICP)
    • Medicare Advantage: HMO
  • Corvel:
    • PPO/Work Comp
  • County Care
  • Coventry:  
    • Coventry/Personal Care: PPO, HMO, POS, W/Comp
    • First Health Network:  Rental PPO, EPO, W/Comp
  • Family Health Network
    • Accountable Care Act (ACA)
    • Family Health Plan (FHP/TANF)
    • Medicare Advantage: HMO
    • Dual Medicare-Medicaid (MMAI)
  • Galaxy Health Network PPO
  • Health Link (Unicare affiliate):  PPO
  • Health Smart/ Preferred Plan:  PPO
  • HFN:
    • Standard: 10-PPO, 20-EPO, Total Care PPO, Platinum EPO
    • Additional: W/Comp
  • Humana/Choice Care:
    • Standard: PPO, ChoiceCare PPO, Preferred (PPO, POS-Open Access), Choice POS, EPO, National Plans (PPO, EPO, HMO, POS-Open Access)
    • Advocate Centered PPO, EPO (Advocate APP)
    • Marketplace: Choice POS Network 
    • Integrated Care Program (ICP)
    • Medicare Advantage: Humana Gold Plus HMO, HMOPOS, HMO-SNP
    • Medicare Advantage: Humana ChoicePPO
    • Medicare Advantage: Gold Choice PFFS (Fee for Service)
      • ("Optional", no contract needed, accept MC)
    • Dual Medicare-Medicaid (MMAI)
  • Illinicare:
    • Accountable Care Act (ACA)
    • Family Health Plan (FHP/TANF)
    • Integrated Care Program (ICP)
    • Dual Medicare-Medicaid (MMAI)
  • Imagine Health SmartCare Network (Aetna Affiliate)
  • Meridian Health Plan:
    • Family Health Plan (FHP/TANF)
    • Integrated Care Program (ICP)
    • Medicare Advantage, Prime
    • Complete: Dual Medicare-Medicaid (MMAI)
    • Commercial Plans HMO
  • Multi Plan
    • Standard:  PPO
    • PHCS- Private Health Care Systems:  PPO
    • PHCS Savility:  PPO
    • Auto Medical
    • Worker's Comp
    • Preferred Medical Claims Solutions (PMCS)
  • National Preferred Provider Network (NPPN):  PPO
  • Preferred Network Access:  PPO
  • SEIU - Local 4(Health Link Affiliate):  PPO, HMO
  • Union Medical - UFCW Local 1546: PPO
  • United Health Care:
    • Standard:  Options PPO, Choice Plus/Select Plus (POS), Choice Select (HMO), EPO
    • Additional: HDHP Definity/Basics (PPO), All Savers Alternate Funding plan (Choice Plus), Harken Health
    • Charter, Charter Balanced, Charter Plus (APP Contract)
    • Marketplace: Navigate (HMO/POS), Core PPO
    • Marketplace: Compass, Compass Balanced, Compass Plus
    • Medicare Advantage:  HMO, POS-AARP Complete Plus, PPO Solutions
  • United Therapies, United Shockwaves (USS)
  • USA Managed Care:  PPO
  • Tricare (Standard)
  • WellPoint Military Care
  • IDPA (Public Aid)
    • EFT: Yes
  • Medicare
    • Group PTAN #
      • (County: All Counties )  Loc 15/16 #: IL5905
      • EFT/ERA/EDI: Yes
  • Railroad Medicare
    • Group PTAN #
      • (County: Cook )  Loc 16 #: DR9328
      • EFT/ERA/EDI: Yes

Access Community Health Network

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

 Advocate Physician Partners PHO (APP)

  • Advocate Intra-System Referral (APP HMO Members): PHO, AHC, AMG, Dreyer
  • Advocate Medical Group- AMG Full Risk Medicare:
    • Aetna, Humana, HealthSprings, Wellcare
      • AMG Provider must complete "paper referral" to see Specialist
      • Voluntary program for Specialists (must bill APP directly-see card)
  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO
  • BCBS -  BlueCare Direct HMO
  • BCBS Medicare Advantage HMO:  Basic HMO, Basic Plus HMO-POS, Premier Plus HMO-POS
  • Humana HMO: Humana HMO, HMO Select, Illinois Platinum HMO, Advocate Centered HMO, HMO Premier, Open Access

Advanced Medicine Integration of IL, LLC

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

Illinois Physician Alliance IPA (IPA) Community First Medical Center

  • BCBS HMO:  HMO IL, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO
  • BCBS Medicare Advantage HMO:  Basic HMO, HMO-POS

Independent Physicians' ACO of Chicago IPA (IPACO)

  • Medicare Shared Saving Program (MSSP)

 MacNeal Health Providers MacNeal Hospital

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

Northshore Physician Association IPA (NPA) / NorthShore MG IPA Northshore Hospital

  • BCBS HMO:  HMO IL
  • BCBS HMO: HMO IL, Blue Advantage, Blue Precision(Bronze, Silver, Gold)

Oak West Primary Physicians Association Community First Medical Center

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

Presence Health Preferred (PHP)

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO
  • BCBS Medicare Advantage HMO:  Basic HMO, HMO-POS
  • Humana HMO: Humana HMO, HMO Select, Illinois Platinum HMO, HMO Premier, Open Access

Ravenswood Physicians Associates

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

St Francis Health Care LTD St Francis Hospital & Swedish Covenant

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

Thorek Family Health Network

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

Unified Physicians Network

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

VillageMD Chicago IPA (VMD) Resurrection Medical Center

  • BCBS HMO:  HMO IL, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO
  • BCBS Medicare Advantage HMO:  Basic HMO, HMO-POS

Weiss Physician Group IPA Weiss Memorial Hospital

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

West Suburban Health Partners West Suburban Medical Center

  • BCBS HMO:  HMO IL, Classic Blue, Blue Perform HMO, Blue Advantage HMO, Blue Precision (Bronze, Silver, Gold) HMO

 

 

* Different providers accept different insurances. Please contact your provider to find out which insurance they accept.