Insurance Information

Medicare AARP Supplement

UHC AARP Medicare Select Plans F and C

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)

Option A  Group/ Location 180

Option B Group/ Location other than 180

Actin

 Elect Choice 

State of Illinois Open Access Plan (OAP)

State of Illinois

QCHP- Qualtiy Care Health Plan

Health Choice Illinois

Immigrant Adults

Aetna Select

Medicare HMO

Medicare PPO

Aetna Premier Network Plus

Aetna Medicare Premier, Premier Plus PPO, Signature, Signature Extra, Eagle PPO, Enhanced Select

Medicare HMO - POS

Medicare HMO-POS

Aetna Medicare Choice (PPO)

Aetna Medicare Premier, Premier Plus (PPO)

Aetna Medicare Signature, Signature Extra (PPO)

Aetna Medicare Eagle (PPO)

Aetna Medicare Enhanced Select (PPO)

Aetna Medicare FIDE

Aetna MMAI

Aetna Premier Care Network

Aetna Premier Care Network Plus

Aetna Signature Administrators (ASA)

One of the common carriers would be Allied Benefits Administrators.

Affordable Healthcare Options

All Kids on card.

Allegiance 

Cigna Local Plus - Out of Network 

Healthcare Exchange Plan

Auto

Non auto related accident

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

HMOI

Blue Precision

Blue Advantage

IPA Site 505 Loyola Physician Partners (LPP)

Option A

"S Med Select"

Grp numbers 69095-97

Grp numbers 69086-87

Grp numbers 69946-52

Option B 

Classic Blue 

Blue Choice Select (BCS) 

Option G Federal Employee

Subscriber ID begins with "R"

Group number is FEP

Check card for IPA site number

Carpenters WelfareFund

Option E

Chicago Laborers Welfare Fund

Blue Cross Family Health Plan Medicaid HMO

Blue Cross Community Health Plan Medicaid

Immigrant Adults

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)

Basic Plus Higher OOP w/o referral/ authorization

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)

PPO

Best Benefits

Healthcare Exchange

BC/ BS Plan Codes other than 121/621

Traditional Plan Network (Michigan)

 Anthem (if Medicare Advantage see Anthem on the payer list)

All other plans other than 121/621        

Blue High Performance Network

Blue HPN in suitcase logo

Option E

Chicago Laborers Welfare Fund

Blue Options

Blue Choice Options

Zing Essential Wellness  Diabetes & Heart IL (HMO C-SNP)

Zing Elite IL (HMO)

Zing Choice IL (HMO)

Zing Select Care IL (HMO)

Christian Brothers Services

Member CBRMP

CBEBT

Christian Brothers Services

Monastery of the Holy Cross

Christian Brothers of the Midwest

Cigna Plus Network

Med Plus Select

Med Saver

CoreSource

Cigna + Oscar LocalPlus

Advantage Preferred - this information applies to all HMO products

Cigna Premier Medicare HMO

Advantage Preferred - this information applies to all HMO products

Cigna Premier Medicare HMO

Cigna One Health

EPP

Network

HMO Open Access

Network Open Access

Health Partners

Indemnity Plan aka Cigna Indemnity

Medicare Advantage PPO True Choice 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

Beech Street

Clear Spring Health Community Advantage Plan (HMO)   

Community Flex Plan, Authorization must be obtained per payer requirements (when applicable)

Community Health first

County Care

County Care -- Immigrant Adults

Coventry National Network

Use this to run the patient information across Experian to check if they have any coverages across multiple payors. 

First Health Network

Affordable

Delta Dental PPO, Delta Dental Premier

Sun Life Dental Health Network

Sun Life Focus Dental Network

Assurant Focus Dental Network

DHA

DHA Premier

Devoted Giveback HMO

Devoted Core HMO

Devoted Choice PPO

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

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

Capella Group

Medicare Supplement

Plan G

Galaxy Health Network

No indication of Medicare supplement

Guardian PPO

CompManage-ment

Open Access I

Open Access II

Open Access III

PPO

HFN Platinum

No card issued

TriWest PC3

Veterans Choice

Humana Choice PPO

Humana Full Access (PPO)

Humana USAA Honor Giveback (PPO) and USAA Honor Giveback Regional (PPO)

Humana Medicare PPO with a specific employer name

Medicare & Medicaid

Humana Medicare PFFS (Fee-For-Service)

Humana Gold Choice

Humana Gold Plus

Humana Medicare Supplement

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;

No card issued

New Benefits

Medicare Advantage

Longevity Health Plan (HMO I-SNP)

QMB - Patient has Medicare

KidCare

All Kids

Family Care

Health Moms/Healthy Kids

Medicaid 17 and Under

Medicaid Hospice

Medicaid Renal

No card

No card

Should have auth form

Early Intervention

Website

Part A - Inpatient

Part A - Inpatient 

Part B - Outpatient

Part B - Outpatient

Railroad

RR

Complete

Meritain

#PDP

Constant Care (Bronze, Silver, Gold)

Confident Care (Bronze, Silver, Gold)

Molina Medicaid

Includes Molina - Immigrant Adults 

 Molina LPP included

HMO Choice Care

Medicaid and Medicare (Duals)

Capp Care

Beech Street

Definity

Medicare Supplement

NALC

Select Network (Narrow Network)

Choice Network (broad Network)

All LUHS participates in both networks

Christian Care

Medi - Share

Capella Group

For Your Good Health

Chamber Health

Advantage Care Plus

(If card has none of the identifiers seen above, this is a discount plan.)

USA Care

Preferred Care

Provider Partners Community Plan 

Preferred Care

Medicare Complet Plus Plan 1 & 2USA Care

Select Health Network

UHC Vision

Star HRG

If card indicates Beech Street/Cigna/Starbridge (must have all 3) or register as Self Pay

Starmount Always Care

Sterling Premier

Sterling Select

Surest

Surest Flex

Today's Options PFFS

Tricare

Tricare for Life

Tricare

Tricare

Select

Select Plus POS

Choice or Choice Plus

American Medical Securities

Golden Rule

Managed Indemnity Managed Traditional Indemnity

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

Core

Core Essential

United Health One

Golden Rule

United  Healthcare Medicare Complete Assure PPO

Navigate

Navigate Plus UHC Benesight Options

Empire

Golden Rule Options

Benesight Options

GEHA

Fiserv Health Options

Harrington Benefits Options

Indemnity

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)

United Healthcare Student Resources

ChoicePlus Network

UHC Vision

United Medical Resources Options (UMR) # GEHA

Security Choice

PFFS

Classic or Classic Plus

Indemnity

HMO

UFCW #Local 1546

Surest

Surest Flex

University of Illinois Campus Care 

Department of Veterans Affairs Community Care Network

VA CCN

First Agency Student Athletes

Complete Giveback  (HMO) - by Allwell

Complete Giveback  (HMO) - by Allwell