Insurance Information

The following are health insurance companies we are contracted with as Preferred Providers.
ADVENTIST ***REQUIRES REFERRAL
ADVOCATE ***REQUIRES REFERRAL
AETNA PPO/ HMO/ POS/ EPO {APP}
AETNA Advantage/ Advantage Plus {APP}
AETNA Managed Choice Open Access {APP}
AETNA US HEALTHCARE (HMO and PPO)
AETNA Open Access POS
AETNA National Advantage Program {APP}
AETNA Signature Authority (ASC or SRC) {APP}
AETNA Whole Health {APP}
Beech street/ PPO Next {APP}
Bensight
Bluecare Direct {APP}
Blue Advantage HMO
BCBS (HMO and PPO) (Blue Cross Blue Shield Medicare Advantage PPO)
BCBS Federal Employee Program
Blue Precision Platinum/ Gold/ Silver/ Bronze {APP}
CHAMPUS
CIGNA Healthcare HMO
CIGNA PPO (Cigna HealthSpring Medicare Advantage)
CIGNA Choice Fund PPO {APP}
CIGNA/ Open Access Plus/ Choice Fund {APP}
CIGNA State of Illinois {APP}
CIGNA/ C5 {APP}
Cofinity
Coventry {APP}
Coventry One {APP}
FIRST HEALTH PPO (CCN/COVENTRY)
Great-West healthcare (One Health, PPO, POS, HMO)
Healthlink PPO
Healthlink Unicare {APP}
Healthscope Benefits
HFN (PPO, EPO, Platinum Program)
HFN Total care {APP}
Humana Choice Care PPO
HUMANA (HMO, PPO, POS)
HUMANA Gold Choice (PPO and Plus HMO)
HUMANA Premier Select {APP}
HUMANA Preferred {APP}
HUMANA Advocate Centered EPO/HMO {APP}
HUMANA Choice POS {APP}
HUMANA ChoiceCare/ National {APP}
HUMANA National {APP}
John Alden
Land of Lincoln Preferred: Freedom/ Champion PPO {APP}
Land of Lincoln In Network: Adventist/ Centegra/ 360/ Health Partners {APP}
Medicare
Multiplan PPO
PHCS Savility {APP}
Preferred network Access
Principal
Private Healthcare Systems (PHCS) {APP}
PPA NEXT (Healthstar/PHN)
Private Healthcare Systems (PHCS)
RPA (Ravenswood Physicians Assoc.) ***REQUIRES REFERRAL
RESURRECTION Health Preferred (Presence) ***REQUIRES REFERRAL
SEIU – Local 4 {APP}
Star Mark
Trustmark
TRICARE
Unicare (PPO, HMO)
Union Medical ( Local 1546 ) {APP}
United Healthcare (PPO, Open Access PPO, and HMO)
United Healthcare Core POR/ Options PPO {APP}
United Healthcare Compass {APP}
United Healthcare/ Navigate {APP}
United Healthcare/ HDHP Definity/ Basics {APP}
All other Health Insurances that are PPO –we will bill as a courtesy to the patient, but are not guaranteed to be contracted providers and the patient will be responsible for charges if processed as out of network.

We do accept MMAI plans facilitated by Northshore Physicians.
CIGNA HealthSpring MMAI
Illinicare MMAI
Meridian MMAI
Blue Cross Blue Shield Community MMAI
These plans require a referral from their individual MMAI group, not from Northshore. Claims for these plans must be submitted to the address listed on the Insurance card.

We do accept Medicaid plans facilitated by Advocate and other HMO groups to which we are contracted. Follow individual plan instructions for claim submissions.
*Advocate Accountable Care (ACE)
WE ARE CLOSED TO NEW ILLINOIS PUBLIC AID
**WE DO NOT PARTICIPATE IN THE FOLLOWING MANAGED CARE MEDICAID PLANS**
*Aetna Better Health
*County Care
*Family Health Network
*Harmony Health Plan
*Smart Choice Plan
**Examples**