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Insurance Information

Loyola University Health System (Loyola) can meet your health-care needs from preventive care to hospitalization, rehabilitation and home care. Loyola facilities and physicians accept most insurance plans, including many HMO, PPO and POS plans and Medicare.

Health insurance can be a confusing subject. Be sure to ask your plan administrator plenty of questions. If you’re not sure what to ask, we’ve developed some questions for you.

In addition, Loyola offers financial assistance and charity care for patients who require financial assistance or who are experiencing temporary financial hardship.

Loyola follows the laws of Illinois in allowing women enrolled in an HMO access to obstetricians and gynecologists. Read our OB/Gyne Policy.

If you still have questions, call us at (888) LUHS-888 and ask for extension 65014.

 

  Largest Managed Care Plans Accepted

 HMO 

 POS 

 PPO 

Aetna Insurance, effective March 1, 2013 x x x
Blue Cross/Blue Shield of Illinois HMO (also known as HMO Illinois)*
(May select a Loyola PCP)
(Excludes: Blue Advantage HMO)
x    
Blue Cross/Blue Shield of Illinois Blue Choice POS*   x  
Blue Cross/Blue Shield of Illinois PPO     x
Concentra/Beech Street/Capp Care PPO
(Excludes: Best Benefits, CHBA, Christian Care Medi-Share, Plan Plus)
    x
Concentra/ppoNext/PHN (Preferred Health Network)
(Excludes: New Dimension Medical PPO, American Health Benefits, Family Care Health Savings Plan, Full Access, Health One, IAB, National Healthcare Plan)
    x
Coventry Health Care/First Health (For McDonald's Corp. insureds only)     x
Cigna Health Care (includes State of Illinois)*
(May select Loyola PCP)
x x x
Healthcare's Finest Network (HFN)     x
Humana
(May select a Loyola PCP for “Humana National HMO” only)
x x x
Preferred Network Access     x
Preferred Plan (PPI)
(Excludes: Pro Net, Pro America)
    x
Private Health Care Systems (PHCS)
(Excludes: Capella Group, For Your Good Health, Chamber Health, Advantage Care Plus)
    x
Providers First PPO     x
Rockford Health Plans, Inc. x x x
Unicare Health Plans
(May not select a Loyola PCP)
x x x
United Health Care*
(May select a Loyola PCP (excludes United Medicare replacement products))
x x x
USA Managed Care     x

 

*A Loyola Primary Care Physician (PCP) may be chosen for the following HMO/POS plans:

  • Blue Cross/Blue Shield HMO (excludes Blue Advantage HMO) Blue Cross/Blue Shield POS
  • Cigna Healthcare HMO/POS
  • Humana National HMO only (excludes all other Humana HMO/POS plans)
  • United Health Care HMO/POS (excludes United Medicare replacement plans)

OB/GYNE POLICY

**In accordance with Illinois state legislation, Loyola University Health System does allow open access to obstetricians and gynecologists for women who have enrolled in an HMO consistent with the HMO policy. Please contact your insurance company for further information regarding the insurer’s policy on open access to obstetricians and gynecologists.

Obstetrics Includes:

Services

  • An initial evaluation
  • Up to 12 subsequent routine prenatal care visits
  • Any 23-hour admission to rule out labor
  • Hospital admission for delivery
  • One postpartum visit
  • Emergency/emergent antenatal admission for hypertension, metabolic disturbances, pre-term rupture of membranes, third trimester bleeding, preeclampsia
  • Genetic counseling with amniocentesis for AMA, and/or abnormal triple testing, and/or any other abnormalities

Tests

  • Hemoglobin
  • Hemocrit
  • Blood type
  • Chlamydia
  • Hepatitis screen
  • Antibody screen
  • Rapid Plasma Reagin
  • Rubella
  • Pap smear
  • Gonococcus
  • Urine culture and sensitivity
  • Triple test if less than 35 years
  • Amniocentesis if over 35 years, genetic counseling if amniocentesis shows abnormalities
  • 50 gram glucola
  • Rhogam x 1 if Rh negative
  • Perinatal strep screen
  • One basic ultrasound
  • Repeat ultrasound for third trimester bleeding, decreased fetal growth or size greater than dates
  • 3-hour glucose tolerance test (GTT) if glucose screen abnormal
  • 24-hour urine for proteinuria, preeclampsia
  • Amniocentesis if history of prior congenital or genetic abnormality
  • Targeted level II sonography if prior history of congenital or genetic abnormalities
  • Complete blood count (CBC), liver function tests, fibrinogen and fibrin split products for preeclampsia
  • Non-stress testing and/or biophysical testing (may substitute contraction stress test for biophysical profile) if post estimated date of confinement, post dates, intrauterine growth retardation, preeclampsia or decreased fetal movement
  • HIV testing

Gynecology Includes:

Services

  • Visits
  • Pap smear

Tests

  • Cervical/vaginal culture
  • CBC/HB/HCT
  • UA
  • Urine culture
  • Pregnancy test
  • Quantitative serum HCG
  • Endometrial biopsy
  • FSH/LH
  • Vulvar biopsy
  • I and D abscess/cyst
  • Colposcopy (protocol necessary)
  • Pelvic ultrasound
  • Routine mammogram over the age of 50 years