ACCEPTED INSURANCE PLANS

Transcription

1 ACCEPTED INSURANCE PLANS The University of Chicago Medicine currently participates in the health insurance products listed below. Patients are advised to contact their insurance company to confirm the University of Chicago Medicine's participation prior to authorizing the referral of your laboratory testing. If the University of Chicago Medicine is not in your insurance company's network and your policy has out-of-network benefits; your services can be processed against these benefits. This means that you may have a higher out of pocket responsibility than if you receive services from an in- network provider. Your insurance company's customer service representative can help verify your benefits and out-ofpocket costs. Please note that for Blue Cross Blue Shield, UCM does not participate in any of the Blue Choice PPO plans. Please note that this list is subject to change at any time. Please see the link here for the most recent list: Contracted Health Insurance Exchange Plans Metal Level Insurance Company Plan Name Plan Type Bronze Blue Cross Blue Shield Blue Cross Blue Shield Basic 5, a Multi-State Plan PPO Bronze Blue Cross Blue Shield Blue PPO Bronze 005 PPO Bronze Blue Cross Blue Shield Blue PPO Bronze 006 PPO Silver Blue Cross Blue Shield Blue PPO Silver 003 PPO Silver Blue Cross Blue Shield Blue PPO Silver 004 PPO Silver Blue Cross Blue Shield Blue Cross Blue Shield Solution 4, a Multi-State Plan PPO Silver Blue Cross Blue Shield Blue Cross Blue Shield Solution 3, a Multi-State Plan PPO Gold Blue Cross Blue Shield Blue PPO Gold 001 PPO

2 Gold Blue Cross Blue Shield Blue PPO Gold 002 PPO Gold Blue Cross Blue Shield Blue PPO Gold 012 PPO Gold Blue Cross Blue Shield Blue Cross Blue Shield Premier 1, a Multi-State Plan PPO Gold Blue Cross Blue Shield Blue Cross Blue Shield Premier 2, a Multi-State Plan PPO Catastrophic Blue Cross Blue Shield Blue Security PPO 010 PPO Basic Humana Humana National Preferred Basic 6350/6350 Plan PPO Bronze Humana Humana National Preferred Bronze 4850/6350 Plan PPO Bronze Humana Humana National Preferred Bronze 6300/6300 Plan PPO Silver Humana Humana National Preferred Silver 3650/3650 Plan PPO Silver Humana Humana National Preferred Silver 4250/6250 Plan PPO Gold Humana Humana National Preferred Gold 2500/3500 Plan PPO Platinum Humana Humana National Preferred Platinum 1000/1500 PPO Bronze Land of Lincoln Land of Lincoln National Bronze Choice PPO Plan PPO Bronze Land of Lincoln Land of Lincoln National Bronze Complete PPO Plan PPO Bronze Land of Lincoln Land of Lincoln National Bronze Freedom PPO Plan PPO Bronze Land of Lincoln Land of Lincoln National Bronze Preferred PPO Plan PPO Bronze Land of Lincoln Land of Lincoln National Bronze Premier PPO Plan PPO Silver Land of Lincoln Land of Lincoln National Silver Choice PPO Plan PPO Silver Land of Lincoln Land of Lincoln National Silver Complete PPO Plan PPO Silver Land of Lincoln Land of Lincoln National Silver Confidence PPO Plan PPO Silver Land of Lincoln Land of Lincoln National Silver Elite PPO Plan PPO Silver Land of Lincoln Land of Lincoln National Silver Freedom PPO Plan PPO Silver Land of Lincoln Land of Lincoln National Silver Preferred PPO Plan PPO Silver Land of Lincoln Land of Lincoln National Silver Premier PPO Plan PPO Gold Land of Lincoln Land of Lincoln National Gold Choice PPO Plan PPO Gold Land of Lincoln Land of Lincoln National Gold Complete PPO Plan PPO

3 Gold Land of Lincoln Land of Lincoln National Gold Confidence PPO Plan PPO Gold Land of Lincoln Land of Lincoln National Gold Elite PPO Plan PPO Gold Land of Lincoln Land of Lincoln National Gold Freedom PPO Plan PPO Gold Land of Lincoln Land of Lincoln National Gold Preferred PPO Plan PPO Gold Land of Lincoln Land of Lincoln National Gold Premier PPO Plan PPO Contracted Insurance Plans Advantage Health Solutions Choice PPO - Commercial Plans Only Advantage Health Solutions HMO - Commercial Plans Only, specialists w/referrals only, no PCP providers Advantage Health Solutions POS - Commercial Plans Only Aetna (Transplant) Aetna Choice POS Aetna Choice POS II Aetna Elect Choice (EPO) Aetna HMO - specialists w/referrals only, no PCP providers Aetna Managed Choice (POS) Aetna National Advantage Program (NAP) Aetna Open Access Elect Choice (EPO) Aetna Open Access Managed Choice (POS) Aetna Open Access Select (HMO) - specialists w/referrals only, no PCP providers Aetna Open Choice (PPO) Aetna Quality Point of Service (QPOS) Aetna Select (HMO) - specialists w/referrals only, no PCP providers Aetna Student Health (PPO) Aetna USAccess (HMO) - specialists w/referrals only, no PCP providers AIG Medical - (Transplant) American Health Holding (Transplant) ArcelorMittal Steel PPO Baptist Health Network (Kentucky) PPO Beech Street PPO Beech Street Workers Compensation PPO Blue Cross Blue Advantage HMO - specialists w/referrals only, no PCP providers Blue Cross Blue Advantage PPO Blue Cross Blue Shield PPO Blue Cross Classic Blue Blue Distinction Centers for Transplant (BDCT) (Transplant) Cigna EPO Cigna HMO - specialists w/referrals only, no PCP providers Cigna LifeSource (Transplant) Cigna Network (HMO) - specialists w/referrals only, no PCP providers Cigna Network (POS) Cigna Network Open Access (HMO) - specialists w/referrals only, no PCP providers Cigna Open Access (HMO) - specialists w/referrals only, no PCP providers Cigna Open Access (POS) Cigna Open Access (PPO)

4 Cigna Open Access Plus (HMO) - specialists w/referrals only, no PCP providers Cigna POS Cigna PPO Plus Cigna PPO: includes State of IL Teachers Choice Health Plan (TCHP), College Choice Health Plan (CCHP), Local Care Health Plan (LCHP) City of Hammond Employees PPO Cofinity PPO Community Health Alliance (Indiana) Community Healthcare System (Transplant) Community Healthcare System PPO Corvel (Worker's Compensation) Coventry First Health PPO Coventry Health Care of Illinois (PersonalCare) HMO - specialists w/referrals only, no PCP providers Coventry Health Care of Illinois (PersonalCare) POS - specialists w/referrals only, no PCP providers Coventry Health Care of Illinois (PersonalCare) PPO Coventry National Network Mail Handlers Benefit Plan PPO Coventry National Network PPO Coventry Worker's Compensation First Health PPO (Owned by Coventry) Galaxy Health Network PPO (Excludes American Coalition) General Electric (Transplant) Great West Healthcare Open Access Plus (Owned by Cigna) Great West Healthcare POS (Owned by Cigna) Great West Healthcare PPO (Owned by Cigna) Healthcares Finest Network (HFN) EPO Healthcares Finest Network (HFN) PPO Healthcares Finest Network (HFN) Workers Compensation Healthlink PPO Humana Choice Care PPO Humana Choice POS Humana National EPO Humana National HMO - specialists w/referrals only, no PCP providers Humana PPO Indiana Health Network PPO Interlink (Transplant) Interplan Health Group PPO Kaiser Permanente (Transplant) Lutheran Preferred PPO Medicaid (Illinois) Medicare Mohr Health Systems PPO Multiplan PPO (Formerly BCE Emergis/Admar Med Network/HealthNetwork) Optum (Transplant) Personal Care (Coventry) HMO - specialists w/referrals only, no PCP providers Personal Care (Coventry) POS - specialists w/referrals only, no PCP providers Personal Care (Coventry) PPO Preferred Network Access PPO Preferred Plan Inc. PPO Private Healthcare Systems (PHCS) PPO (Owned by Multiplan) Private Healthcare Systems (PHCS) Savility PPO (Owned by Multiplan)

5 Protocol Tertiary Network (Transplant) Sagamore Health Network PPO Select Health Network PPO Southeastern Indiana Health Organization (SIHO) (Transplant) Southeastern Indiana Health Organization (SIHO) PPO Tethys Health Ventures (Transplant) Three Rivers Provider Network PPO United Healthcare Choice (HMO) - specialists w/referrals only, no PCP providers United Healthcare Choice Plus (POS) United Healthcare Open Access (PPO) United Healthcare Open Choice (PPO) United Healthcare Options (PPO) United Healthcare Select (HMO) - specialists w/referrals only, no PCP providers United Healthcare Select Plus (EPO) United Healthcare Select Plus (POS) United Healthcare Select Plus (PPO) University of Chicago Health Plan (HMO) (Hospital and University Employees Only) USA Network (Transplant)