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 - Northwestern Memorial Hospital - Chicago

Accepted Insurance

Northwestern Memorial participates in a variety of insurance plans. We accept traditional Medicare and Medicaid insurance plans, however, we do not participate in any Medicare or Medicaid managed care (HMO) plans.

Not all Northwestern Memorial physicians participate in all of the plans listed below. Patients are advised to contact their insurance company before an appointment to verify individual physician participation.

List of Participating Illinois Health Insurance Exchange Plans

Northwestern Memorial Hospital has agreements with the following list of IL Health Insurance Exchange Plans, which will become effective 1/1/14. Please be aware there are other health insurance exchange plans that you may be able to use to seek services at a NMH facility if you have an out-of-area plan. It is always beneficial to contact your insurance plan to verify participation of a hospital. There is also information available from an Affordable Care Act Assister. Contact information is available at www.getcoveredillinois.gov.

Please note that for Blue Cross Blue Shield plans, NMH does NOT participate in any of the Blue Choice PPO plans.

The following list of plans will be updated periodically as new information is received and when new plans are added. Please verify whether NMH participates with your plan. Click on this link to the downloadable PDF of the list below:

 

Metal Level Issuer Name Plan Marketing Name Plan Type *

Bronze

Blue Cross Blue Shield of Illinois

Blue Cross Blue Shield Basic 5, a Multi-State Plan

PPO

 

Bronze

Blue Cross Blue Shield of Illinois

Blue PPO Bronze 005

PPO

 

Bronze

Blue Cross Blue Shield of Illinois

Blue PPO Bronze 006

PPO

 

Catastrophic

Blue Cross Blue Shield of Illinois

Blue Security PPO 010

PPO

 

Gold

Blue Cross Blue Shield of Illinois

Blue Cross Blue Shield Premier 1, a Multi-State Plan

PPO

 

Gold

Blue Cross Blue Shield of Illinois

Blue Cross Blue Shield Premier 2, a Multi-State Plan

PPO

 

Gold

Blue Cross Blue Shield of Illinois

Blue PPO Gold 001

PPO

 

Gold

Blue Cross Blue Shield of Illinois

Blue PPO Gold 002

PPO

 

Gold

Blue Cross Blue Shield of Illinois

Blue PPO Gold 012

PPO

 

Silver

Blue Cross Blue Shield of Illinois

Blue Cross Blue Shield Solution 3, a Multi-State Plan

PPO

 

Silver

Blue Cross Blue Shield of Illinois

Blue Cross Blue Shield Solution 4, a Multi-State Plan

PPO

 

Silver

Blue Cross Blue Shield of Illinois

Blue PPO Silver 003

PPO

 

Silver

Blue Cross Blue Shield of Illinois

Blue PPO Silver 004

PPO

 

Bronze

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Choice PPO Plan

PPO

*

Bronze

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Complete PPO Plan

PPO

 

Bronze

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Freedom PPO Plan

PPO

*

Bronze

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Preferred PPO Plan

PPO

 

Bronze

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Premier PPO Plan

PPO

 

Gold

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Choice PPO Plan

PPO

*

Gold

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Complete PPO Plan

PPO

 

Gold

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Confidence PPO Plan

PPO

 

Gold

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Elite PPO Plan

PPO

 

Gold

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Freedom PPO Plan

PPO

*

Gold

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Preferred PPO Plan

PPO

 

Gold

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Premier PPO Plan

PPO

 

Silver

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Choice PPO Plan

PPO

*

Silver

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Complete PPO Plan

PPO

 

Silver

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Confidence PPO Plan

PPO

 

Silver

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Elite PPO Plan

PPO

 

Silver

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Freedom PPO Plan

PPO

*

Silver

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Preferred PPO Plan

PPO

 

Silver

Land of Lincoln Mutual Health Insurance Co.

Land of Lincoln National Premier PPO Plan

PPO

 

Bronze

Coventry Health Care

Bronze $10 Copay PPO Select

PPO

 #

Bronze

Coventry Health Care

Bronze Deductible Only PPO Select HSA Eligible Plan

PPO

 #

Catastrophic

Coventry Health Care

Catastrophic 100% PPO Select

PPO

 #

Gold

Coventry Health Care

Gold $5 Copay PPO Select

PPO

 #

Silver

Coventry Health Care

Silver $10 Copay PPO Select

PPO

 #

Catastrophic

Humana Insurance Company

Humana National Preferred Basic 6350/6350 Plan

PPO

 ^

Bronze

Humana Insurance Company

Humana National Preferred Bronze 4850/6350 Plan

PPO

 ^

Bronze

Humana Insurance Company

Humana National Preferred Bronze 6300/6300 Plan

PPO

 ^

Gold

Humana Insurance Company

Humana National Preferred Gold 2500/3500 Plan

PPO

 ^

Platinum

Humana Insurance Company

Humana National Preferred Platinum 1000/1500 Plan

PPO

 ^

Silver

Humana Insurance Company

Humana National Preferred Silver 3650/3650 Plan

PPO

 ^

Silver

Humana Insurance Company

Humana National Preferred Silver 4250/6250 Plan

PPO

 ^

* Plans above designated with an asterisk (*) are not listed in Kendall and Will counties.
# Plans designated with a # are only sold in Cook, Kendall and Will counties.
^ Plans designated with a ^ are only sold in Cook, Lake and McHenry counties.


 

Please note that this list is subject to change at any time. For more information, call 1-877-926-4664.


Current List of Managed Care, Medicare & Medicaid Plans:

  • Aetna Choice POS
  • Aetna Choice POS II
  • Aetna Elect Choice (EPO)
  • Aetna HMO
  • Aetna Managed Choice (POS)
  • Aetna National Advantage Program (NAP)
  • Aetna Open Access Select (HMO)
  • Aetna Open Access Elect Choice (EPO)
  • Aetna Open Access Managed Choice (POS)
  • Aetna Open Choice (PPO)
  • Aetna Quality Point of Service (QPOS)
  • Aetna Select (HMO)
  • Aetna Smart Care
  • Aetna Better Health
  • Aetna USAccess (HMO)
  • Beech Street PPO
  • Blue Cross Blue Shield PPO
  • Blue Cross Blue Shield Supervalu Blue Choice PPO**
  • Blue Cross Blue Advantage PPO
  • Blue Cross Classic Blue
  • Cigna EPO
  • Cigna HMO
  • Cigna Network (HMO)
  • Cigna Network (POS)
  • Cigna Network Open Access (HMO)
  • Cigna Open Access (HMO)
  • Cigna Open Access (POS)
  • Cigna Open Access Plus (HMO)
  • Cigna POS
  • Cigna PPO: includes State of IL Teachers Choice Health Plan (TCHP), College Choice Health Plan (CCHP), Local Care Health Plan (LCHP)
  • Cigna PPO Plus
  • Coventry
  • First Health PPO (Coventry, parent company)
  • Galaxy Health Network PPO
  • Great West Healthcare Open Access Plus (Cigna, parent company)
  • Great West Healthcare POS (Cigna, parent company)
  • Great West Healthcare PPO (Cigna, parent company)
  • Group Health Plan (Coventry, parent company)
  • Healthcares Finest Network (HFN) EPO
  • Healthcares Finest Network (HFN) PPO
  • Healthcares Finest Network (HFN) Worker's Comp
  • Healthlink HMO
  • Healthlink PPO
  • Humana Choice POS
  • Humana Choice Care PPO
  • Humana National EPO
  • Humana National HMO
  • Humana PPO
  • Illinicare
  • Land of Lincoln HealthPlan
  • Medicaid
  • Medicare
  • Multiplan PPO (Formerly BCE Emergis/Admar Med Network/HealthNetwork)
  • 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
  • PNA
  • PPO Next (Formerly PHN)
  • Preferred Plan Inc. PPO
  • Private Healthcare Systems (PHCS) Open Access EPO (Multiplan, parent company)
  • Private Healthcare Systems (PHCS) Open Access POS (Multiplan, parent company)
  • Private Healthcare Systems (PHCS) PPO (Multiplan, parent company)
  • Private Healthcare Systems (PHCS) Savility PPO (Multiplan, parent company)
  • Together for Health
  • United Healthcare Choice (HMO)
  • United Healthcare Choice Plus (POS)
  • United Healthcare Premiere (HMO)
  • United Healthcare Open Access (PPO)
  • United Healthcare Open Choice (PPO)
  • United Healthcare Options (PPO)
  • United Healthcare Select (HMO)
  • United Healthcare Select Plus (EPO)
  • United Healthcare Select Plus (POS)
  • United Healthcare Select Plus (PPO)
**Blue Cross Blue Shield PPO Plan exclusive to Supervalu and Albertsons/Jewel-Osco employees. No other Blue Choice plans are contracted.

Northwestern Medical Faculty Foundation: Accepted Insurance Plans and Managed Care Organizations

Northwestern Medical Faculty Foundation has agreements with the following insurance companies and managed care organizations. Please note, we do our very best to keep this list current and up-to-date, however it is subject to changes without notice.

  • Aetna US Healthcare- HMO/Aetna Select/QPOS/Elect Choice/Managed Choice POS/Aetna Choice POS & POS II/Aetna Open Choice PPO/Aetna Signature Admin (ASA)/Strategic Resource Co (SRC)/National Advantage
  • Aetna Better Health**
  • Beech Street PPO (MultiPlan network)
  • Blue Advantage PPO
  • BlueCross BlueShield PPO
  • CIGNA HealthCare- PPO/HMO/POS/Open Access/Network Open Access/HMO or POS Open Access/Open Access Plus/Choice Fund Open Access Plus/Starbridge CIGNA PPO/Starbridge Beech Street PPO
  • Classic Blue*
  • CoFinity PPO (Aetna affiliate)
  • Coventry/First Health/PersonalCare-HMO/PPO/POS
  • Great West Health-CIGNA HMO/PPO
  • Healthcare’s Finest Network (HFN)-PPO/EPO/POS
  • Healthlink PPO/Open Access I, II & III (Wellpoint network)
  • Humana-HMO/PPO/EPO/POS
  • IlliniCare**
  • Medicaid
  • Medicare
  • MultiPlan PPO
  • Preferred Network Access
  • Preferred Plan/Interplan/HealthSmart PPO
  • Private Healthcare Systems (PHCS) PPO (Multiplan network)
  • TriCare Standard
  • Unicare PPO (Wellpoint network)
  • UnitedHealthcare-Choice/Choice Plus/Select/Select Plus/Options PPO
*BlueCross HMO for specific employers
**Existing Patients Only


Last UpdateApril 10, 2014
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