Insurance Information

Loyola Medicine accepts many types of insurance, including policies from major insurers, dental and vision plans, Medicare replacement and supplemental policies, Medicaid, Affordable Care Act plans and other coverage.

Note: Most HMO plans require a referral from your primary care provider. Please check with your insurance carrier if you have questions about your benefits. If your search results in "Not in Network" for your insurance plan, please contact your insurance carrier to understand whether or not you have out-of-network benefits.

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Loyola Insurance Database
Title	Plan Type	Card Identifiers (Options)	Insurer Facility
AARP	Medicare Supplement	Medicare AARP Supplement UHC AARP Medicare Select Plans F and C	Loyola,Gottlieb,MacNeal
Access to Care	Cook County Charity program that provides primary care to those who do not qualify for federal or state aid. It is a community benefit charity care program	Option A Group/ Location 180	Loyola
Access to Care		Option B Group/ Location other than 180	Loyola
Actin	PPO	Actin	Loyola
Aetna	PPO	Elect Choice	Loyola,Gottlieb,MacNeal
Aetna	PPO	State of Illinois Open Access Plan (OAP)	Loyola,Gottlieb,MacNeal
Aetna	HMO	State of Illinois	Loyola,Gottlieb,MacNeal
Aetna	PPO	QCHP- Qualtiy Care Health Plan	Loyola,Gottlieb,MacNeal
Aetna	HMO	Aetna Select	Loyola,Gottlieb,MacNeal
Aetna	PPO	Aetna Signature Administrators (ASA) One of the common carriers would be Allied Benefits Administrators.	Loyola,Gottlieb,MacNeal
Aetna Better Health IL (ABHIL)	Medicaid Replacement	Health Choice Illinois	Loyola,Gottlieb,MacNeal
Aetna Individual Exchange	PPO	Aetna Individual & Family Plan - Exchange	Loyola,Gottlieb,MacNeal
Aetna Institutes of Excellence	Transplant		Loyola
Aetna Medicare Advantage HMO	Medicare Advantage	Medicare HMO	Loyola,Gottlieb,MacNeal
Aetna Medicare Advantage HMO Prime	Medicare Advantage	Medicare HMO-POS	Loyola,Gottlieb,MacNeal
Aetna Medicare Advantage PPO	Medicare Advantage	Aetna Medicare Choice (PPO) Aetna Medicare Premier Plus (PPO) Aetna Medicare Value, Value Plus (PPO) Aetna Medicare Eagle (PPO) Aetna Medicare Enhanced Select (PPO)	Loyola,Gottlieb,MacNeal
Aetna Meritain	HMO	Meritain	Loyola,Gottlieb,MacNeal
Aetna MMAI	MMAI	Aetna MMP	Gottlieb,MacNeal
Aetna Premier Care Network Medicare Replacement	Medicare Advantage	Aetna Premier Care Network Aetna Premier Care Network Plus	Loyola,Gottlieb,MacNeal
AHCO	Not insurance	Affordable Healthcare Options
All Kids (Medicaid Program)	Medicaid	All Kids on card.
Allianz LifeTrac	Transplant		Loyola
Allied	PPO	Cigna Local Plus - Out of Network	Loyola,Gottlieb,MacNeal
Ambetter Health	HMO	Healthcare Exchange Plan	MacNeal
American Health Services	Not insurance
Assurant	See PHCS
Auto Third Liability (Auto)	PPO	Auto	Loyola,Gottlieb,MacNeal
Auto Third Party Liability	PPO	Non auto related accident	Loyola,Gottlieb,MacNeal
Beech Street	PPO	Capp Care Beech Street Definity	Loyola,Gottlieb,MacNeal
Best Benefits	Discount Plans Not insurance	Best Benefits
Blue Cross and Blue Shield Federal Employee (Dental)
Blue Cross and Blue Shield of Illinois (Dental)	Medicare Advantage
Blue Cross and Blue Shield of Illinois Blue Direct (Exchange)	HMO	Healthcare Exchange	Loyola,Gottlieb,MacNeal
Blue Cross and Blue Shield of Illinois High Performance Network (HPN)	EPO	Blue High Performance Network Blue HPN in suitcase logo	Loyola,Gottlieb,MacNeal
Blue Cross and Blue Shield of Illinois PPO (Dental)
Blue Cross Medicaid MCO	Medicaid Replacement	Blue Cross Family Health Plan Medicaid HMO Blue Cross Community Health Plan Medicaid	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield	Transplant		Loyola
Blue Cross/Blue Shield Medicare Advantage	Medicare Advantage	Medicare Advantage PPO Choice Choice Plus Choice Premier CTPF Blue Cross Blue Cross Medicare Advantage Protect PPO Blue Cross Medicare Advantage Flex (PPO), Elite (PPO)	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield Medicare Advantage (HMO Basic)	Medicare Advantage	Medicare Advantage HMO Basic HMO: Site 706 MacNeal Health Provider; Site 707 Weiss Health Provider; Site 708 West Suburban Provider Blue Cross Medicare Advantage Premier Plus (HMO-POS) Blue Cross Medicare Advantage Basic Plus, Premier Plus (HMO-POS) - (Note: Requires Referral from Medical Group) Blue Cross Medicare Advantage Basic (HMO) - (Note: Requires Referral from Medical Group) Blue Cross Medicare Advantage Secure (HMO) - (Note: Requires Referral from Medical Group)	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield Medicare-Medicaid Initiative	MMAI	Medicare & Medicaid (duals)	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield of Illinois	HMO	HMOI Blue Precision Blue Advantage IPA Site 505 Loyola Physician Partners (LPP)	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield of Illinois	PPO	Classic Blue	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield of Illinois	PPO	Option G Federal Employee Subscriber ID begins with "R" Group number is FEP	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield of Illinois Commercial	Medicare Supplement	Option B	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield of Illinois HMO	HMO	Check card for IPA site number	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield of Illinois Medicare Select	Medicare Supplement	Option A "S Med Select" Grp numbers 69095-97 Grp numbers 69086-87 Grp numbers 69946-52	Gottlieb,Loyola,MacNeal LASCO
Blue Cross/Blue Shield of Michigan Loyola/Gottlieb/MacNeal employees	PPO	Option H Trinity Health ID beginning with 'TIY; is for medical services other than contraceptive ID beginning with 'RFY' is for contraceptive services only Group number 71349	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield Out-of-State	HMO	BC/ BS Plan Codes other than 121/621 Traditional Plan Network (Michigan) Anthem (if Medicare Advantage see Anthem on the payer list)	Loyola,Gottlieb,MacNeal
Blue Cross/Blue Shield Out-of-State	PPO	All other plans other than 121/621	Loyola,Gottlieb,MacNeal
BlueCross/Blue Shield of Illinois	PPO		Loyola,Gottlieb,MacNeal
BlueCross/Blue Shield of Illinois	PPO	Carpenters WelfareFund	Loyola,Gottlieb,MacNeal
BlueCross/Blue Shield of Illinois	PPO	Option E Chicago Laborers Welfare Fund	Loyola,Gottlieb,MacNeal
BlueCross/BlueShield of Illinois	PPO	Blue Choice Select (BCS)	Loyola,Gottlieb,MacNeal
BlueCross/BlueShield of Illinois	PPO	Blue Options Blue Choice Options	Loyola,Gottlieb,MacNeal
Campus Care	PPO	University of Illinois Campus Care	Loyola,Gottlieb,MacNeal
Capella Group	Not insurance
Chamber Health	Not insurance
Champus	See Tricare
Charity	Assistance
CHBA	Not insurance
Christian Brothers Services	PPO	Christian Brothers Services Member CBRMP CBEBT	Loyola,Gottlieb,MacNeal
Christian Brothers Services	PPO	Christian Brothers Services Monastery of the Holy Cross Christian Brothers of the Midwest	Loyola,Gottlieb,MacNeal
Cigna		Cigna Plus Network	Loyola,Gottlieb,MacNeal
Cigna	HMO	Cigna One Health EPP Network HMO Open Access Network Open Access	Loyola,Gottlieb,MacNeal
Cigna	Medicare Supplement Indemnity	Med Plus Select Med Saver CoreSource	Loyola,Gottlieb,MacNeal
Cigna	PPO	Health Partners Indemnity Plan	Loyola,Gottlieb,MacNeal
Cigna	PPO	Allegiance	Loyola,Gottlieb,MacNeal
Cigna If card indicates Beech Street & Cigna	PPO	APWU CCHP Cigna + Oscar Open Access Plus EPO LCHP Open Access Plus Option A PPO No "State of Illinois" on card Option B State of Illinois Option C - Cigna Boiler Makers Option D - Cigna Health Partners PBA (Professional Benefit Administrators) POS POS Open Access QCHP TCHP True Access *NALC-see new plan name Cigna NALC	Loyola,Gottlieb,MacNeal
Cigna (Benefit Administrative Systems)	PPO	PPO	Loyola,Gottlieb,MacNeal
Cigna (Dental)			Loyola,Gottlieb
Cigna (Lifesource)	Transplant		Loyola
Cigna - Oscar LocalPlusPPO	PPO	Cigna + Oscar LocalPlus
Cigna Medicare Advantage HMO	Medicare Advantage	Advantage Preferred - this information applies to all HMO products Cigna Premier Medicare HMO	Loyola,Gottlieb,MacNeal
Cigna Medicare Advantage PPO	Medicare Advantage	Medicare Advantage PPO True Choice PPO	Loyola,Gottlieb,MacNeal
Cigna NALC	PPO	NALC	Loyola,Gottlieb,MacNeal
Clear Spring Health	Medicare Advantage	Clear Spring Health Community Advantage Plan (HMO)	Loyola,Gottlieb,MacNeal
Community Care Alliance of Illinois	Medicare Advantage	Community Flex Plan, Authorization must be obtained per payer requirements (when applicable)	Loyola,Gottlieb,MacNeal
Community Health first Advantage	Medicare Advantage	Community Health first
County Care MCO	Medicaid Replacement	County Care County Care -- Immigrant Adults	Loyola,Gottlieb,MacNeal
Coventry	PPO	Coventry National Network	Loyola,Gottlieb,MacNeal
Coventry	See First Health if card does not say Coventry National Network
DCFS (Dep't of Children & Family Services)	IL State Program	See Registration Tips	Loyola,Gottlieb,MacNeal
DeCare Dental
Delta Dental		Delta Dental PPO, Delta Dental Premier
Delta Dental - Employee (Michigan)
Denta Quest - DMCO (Dental)	Managed Medicaid
Dental Generic
Dental Health & Wellness
Dental Health Alliance - DHA		Sun Life Dental Health Network Sun Life Focus Dental Network Assurant Focus Dental Network DHA DHA Premier
DenteMax (Dental)
Devoted Health PlanMedicare Replacement	Medicare Advantage	Devoted Choice PPO	Loyola,Gottlieb,MacNeal
Devoted Health PlanMedicare Replacement	Medicare Advantage	Devoted Giveback HMO	Loyola,Gottlieb,MacNeal
Devoted Health PlanMedicare Replacement	Medicare Advantage	Devoted Core HMO	Loyola,Gottlieb,MacNeal
DHS Social Services
Doral/Denta Quest - IDPA - HFS - Medicaid (Dental)	Medicaid
DSCC (Division of Specialized Care for Children)	UIC program that provides care for children with special needs	No card
Early Intervention	DHS program that provides care for children up to age 3 with developmental delays	No card Should have auth form	Loyola,Gottlieb,MacNeal
Essential Health Partners MedicareMedicare Replacement HMO	HMO	BCBS Medicare Advantage Site #772 HMO EHP-IPA (EIPA) Site 772; EHP-Silver Cross (EHP) Site 759; and EHP-Kane County IPA (KANE) Site 771	Loyola,Gottlieb,MacNeal
Essential Health PartnersHMO	HMO	HMO BCBS Commercial HMO Site 501 for Blue Advantage, Blue Precision, HMO Illinois EHP-IPA (EIPA) Site 501; EHP-Silver Cross (EHP) Site 502; and EHP-Kane County IPA (KANE) Site 504	Loyola,Gottlieb,MacNeal
Extra Health	Not insurance
First Agency	PPO	First Agency Student Athletes	Loyola
First Health Network	PPO	First Health Network Affordable	Loyola,Gottlieb,MacNeal
For Your Good Health	Not insurance	Capella Group
Full Access	Not insurance
Galaxy Health Network	Medicare Supplement-PPO	Medicare Supplement Plan G	Loyola,Gottlieb,MacNeal
Galaxy Health Network	Not insurance	Galaxy Health Network No indication of Medicare supplement
GEHA	See UMR
Generic Transplant	Transplant		Loyola
Guardian (Dental)		Guardian PPO
Health Alliance Connect (Vision Optometry)	MCO
HealthCare Privileges Gold	Not insurance
HealthLink	PPO	Open Access I Open Access II Open Access III PPO	Loyola,Gottlieb
HealthLink	HMO		Loyola,Gottlieb
HealthLink	Workers Comp	CompManage-ment
HealthOne	Not insurance
HealthPartners	See Cigna Indemnity 109901
Healthspring (Cigna) (Vision Optometry)	MCO
HFN	PPO	HFN 10 Super PPO	Loyola,Gottlieb
HFN		HFN Platinum
HFN	PPO	Local 1 HFN 20
Hines	VA	No card issued	Loyola
Hines VA Provider Network	Hines VA Provider Network (TriWest PC3)	TriWest PC3 Veterans Choice	Loyola
HMO Illinois	See BCBS IL HMO
Humana (Vision Optometry)	MCO
Humana Gold Plus Integrated MMAI	MMAI	Medicare & Medicaid (Duals)
Humana Medicare Supplement	Medicare Supplement	Humana Medicare Supplement	Loyola,Gottlieb,MacNeal
Humana Transplant Network	Transplant		Loyola
Illinois Health Connect (Vision Optometry)	CCE
Inst-Associa Dental Specialist
Inst-Hawthorn Dental
Jesse Brown VA Hospital	Institutional	No card issued
Liberty Dental	Managed Medicaid
Lifestyles Plan	Not insurance	New Benefits
Local 1See HFN	See HFN
Longevity	Medicare Advantage	Medicare Advantage Longevity Health Plan (HMO I-SNP)	Loyola,Gottlieb,MacNeal
Madden Mental Health Center	Institutional		Loyola
Medicaid	Medicaid IL State Program - See Illinois Healthy Women if pink card	QMB - Patient has Medicare KidCare All Kids Family Care Health Moms/Healthy Kids Medicaid 17 and Under Medicaid Hospice Medicaid Renal	Loyola,Gottlieb,MacNeal
Medicaid - Emergency Medical Assistance (EMA)	Medicaid
Medicaid Renal	Medicaid
Medicaid Undocumented Individual	Medicaid
Medicare	Medicare	Part A - Inpatient Part B - Outpatient Railroad Retirement Board	Loyola,Gottlieb,MacNeal
Medicare Supplement	Medicare Supplement		Loyola,Gottlieb,MacNeal
Meridian (Vision Optometry)	MCO
Meridian CompleteMMAI	MMAI	Complete	Loyola,Gottlieb,MacNeal
Meridian Health Plan HMO (Medicaid)	Medicaid Replacement		Loyola,Gottlieb,MacNeal
Metlife (Dental)		#PDP
Molina Healthcare	Medicaid Replacement	Molina LPP included	Loyola,Gottlieb,MacNeal
Molina Healthcare	Medicare Advantage	HMO Choice Care	Loyola,Gottlieb,MacNeal
Molina Healthcare (Vision Optometry)	MCO
Molina Marketplace Health Exchange	HMO	Constant Care (Bronze, Silver, Gold) Confident Care (Bronze, Silver, Gold)	Loyola,Gottlieb,MacNeal
Molina MMAI	MMAI,Medicare Replacement	Medicare & Medicaid (Duals)
Mutual of Omaha	Medicare Supplement	Medicare Supplement	Loyola,Gottlieb,MacNeal
My Health Care Coordination (Vision Optometry)	CCE
National Healthcare Plan	Not insurance
New Dimension Medical PPO	Not insurance
NorthEast Delta Dental
Optum	VA CCN	Department of Veterans Affairs Community Care Network VA CCN	Loyola,Gottlieb,MacNeal
Optum Behavioral Health	For Behavioral Health services only.		MacNeal
Optum Health	Transplant		Loyola
Oscar	HMO	Select Network (Narrow Network) Choice Network (broad Network) All LUHS participates in both networks	Loyola,Gottlieb,MacNeal
PHCS	PPO	PHCS logo, not limited to: Assurant Multiplan Principal: Carrington; CAN; Coresource; Destiny; Fiserv; Fortis; Gen American; Savility; Trustmark; Guardian; Definity; Open Access/ No Referral; American Med Securities;	Loyola,Gottlieb,MacNeal
PHCS	Not insurance	Christian Care Medi - Share Capella Group For Your Good Health Chamber Health Advantage Care Plus
Plan Plus	Not insurance
PPO Next	Not insurance	(If card has none of the identifiers seen above, this is a discount plan.)
Precedence Care Coordination (downstate) (Vision Optometry)	CCE
Predent Dental
Preferred Care	Medicare Advantage	USA Care Preferred Care	Loyola,Gottlieb,MacNeal
Provider Partners Health PlanSpecial Needs Plan (SNP)	Medicare Advantage	Provider Partners Community Plan	Loyola,Gottlieb,MacNeal
Provider's First PPO	PPO Preferred Care	Preferred Care	Loyola,Loyola
Secure HorizonsMedicare Replacements	Medicare Advantage	Medicare Complet Plus Plan 1 & 2USA Care	Loyola,Gottlieb,MacNeal
Secure HorizonsMedicare Supplement	Medicare Supplement		Loyola,Gottlieb,MacNeal
Select Health Network	HMO	Select Health Network	Loyola
Select Health Network	PPO	Select Health Network	Loyola
Self Pay No Discount Dental	Self Pay
Self Pay-GMH	Self Pay		Gottlieb
Sexual Assault	Government Program	Website	Loyola,Gottlieb
Sierra Health and Life Insurance Company	See United Healthcare Medicare Advantage PPO option
SmartPlan Choice ACE (Vision Optometry)	ACE
Spectera	Vision Plan	UHC Vision
Starbridge	Not insurance	Star HRG If card indicates Beech Street/Cigna/Starbridge (must have all 3) or register as Self Pay
Starmount	Vision Plan	Starmount Always Care
State of Il PPO	See Aetna PPO - State of IL
Sterling	Medicare Supplement	Sterling Premier Sterling Select
Student Insurance -- Loyola Student Health ServicesOccupational Health	Occupational Health
Today's Options	Medicare Advantage	Today's Options PFFS
TPL (Third Party Eligibilty)
Tricare		Tricare Tricare for Life	Loyola,Gottlieb
Tricare East (Humana Military)	Tricare	Tricare
Tricare Retiree Dental Program	Government
Tricare West (TriWest)	Tricare	Tricare	Loyola,Gottlieb,MacNeal
TriWest Veterans Choice		Per Contracting: see Optum for registration guidelines	Not in Network,Not in Network
UHC Medicare Advantage or AARP Medicare Advantage from UHC	Medicare Advantage	United Healthcare Medicare Complete Assure PPO	Loyola,Gottlieb,MacNeal
UHC Medicare Advantage or AARP Medicare Advantage from UHC	Medicare Advantage	AARP Medicare Complete (HMO) AARP Medicare Complete (Plan 1 - HMO) AARP Medicare Complete (Plan 2 - HMO) Evercare/ Secure Horizons AARP Medicare Advantage from UHC IL (HMO-POS) United HealthCare Nursing Home Plan 1 and Plan 2 (HMO-POS I-SNP) AARP Medicare Advantage from UHC IL-0001 (HMO-POS) AARP Medicare Advantage from UHC IL-0002 (HMO-POS)	Loyola,Gottlieb,MacNeal
Unicare	HMO		Loyola,Gottlieb
Unicare	POS		Loyola,Gottlieb
Unicare	PPO,PPO	Classic or Classic Plus	Loyola,Gottlieb
Unicare	Indemnity	Indemnity	Loyola,Gottlieb
Unicare	Medicare Advantage	Security Choice PFFS	Loyola,Gottlieb
Union Health Services	HMO,HMO	HMO	Loyola,Gottlieb
United Concordia Dental Benefit
United Food & Commercial Workers (UFCW) Local 1546 Health & Welfare Fund	PPO	UFCW #Local 1546	MacNeal
United HealthCare	POS,PPO	Core Core Essential United Health One	Loyola,Gottlieb,MacNeal
United HealthCare	HMO	Navigate Navigate Plus UHC Benesight Options	Loyola,Gottlieb,MacNeal
United Healthcare	PPO	Surest Surest Flex	Loyola,Gottlieb,MacNeal
United Healthcare	PPO	Empire Golden Rule Options Benesight Options GEHA Fiserv Health Options Harrington Benefits Options	Loyola,Gottlieb,MacNeal
United Healthcare	PPO	Definity Medica Oxford American Medical Securities United Medical Resources UHC River Valley (unless River Valley also has Premier or Hawk-i) UHC Core (see Caterpillar if Caterpillar on card)	Loyola,Gottlieb,MacNeal
United Healthcare	Indemnity Managed Indemnity (acts like PPO)	Managed Indemnity Managed Traditional Indemnity	Loyola,Gottlieb,MacNeal
United Healthcare	Indemnity	Indemnity	Loyola,Gottlieb,MacNeal
United Healthcare	PPO	United Medical Resources Options (UMR) # GEHA	Loyola,Gottlieb,MacNeal
United HealthCare Compass HMO	HMO	Compass - Restricted to in-network, requires authorization to go out-of-network Compass Plus - Able to go out-of-network and with a higher out-of-pocket cost Compass Balance - Able to go out-of-network and with a higher out-of-pocket cost	Loyola,Gottlieb,MacNeal
United Healthcare Optum Health Vision (Optometry)		UHC Vision
United Healthcare Student Resources	PPO	United Healthcare Student Resources ChoicePlus Network	Loyola,Gottlieb,MacNeal
United HealthCare/UHC	HMO	Golden Rule	Loyola,Gottlieb,MacNeal
United HealthCare/UHC All Payer		Select Select Plus POS Choice or Choice Plus American Medical Securities Golden Rule	Loyola,Gottlieb,MacNeal
URN	Transplant Coverage
USA	Not insurance
Veterans Choice	See Hines VA Provider Network
W/C Dept of Labor OWCP	Workers Comp		Loyola,Gottlieb
W/C Gallagher Bassett	Workers Compensation
W/C Generic	Workers Compensation
W/C GMH	Workers Compensation
W/C LUMC Employee	Workers Compensation
W/C Sedgewick James	Workers Compensation
Wellcare	Medicare Advantage	Complete Giveback (HMO) - by Allwell	Loyola,Gottlieb,MacNeal
Workers Comp Dental	Workers Comp
Youthcare	Medicaid Replacement		Loyola,Gottlieb,MacNeal
Zing HealthMedicare Replacement HMO	Medicare Advantage	Zing Elite IL (HMO) Zing Choice IL (HMO) Zing Select Care IL (HMO)	Loyola,Gottlieb,MacNeal
Zing HealthMedicare Replacement HMO	Medicare Advantage	Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)	Loyola,Gottlieb,MacNeal