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Insurance Plans Accepted at Palos Medical Group

Palos Medical Group participates on an “in-network” basis with most major insurance companies and payors, including Medicare and Medicaid, as shown in the list below. We recommend that you contact your insurance company to confirm Palos Medical Group’s participation before you schedule an appointment. Your insurance company can also answer any questions you may have about your benefits and coverage.

If you are seeking services at Palos Hospital or Palos Imaging & Diagnostics (PID), please refer to their separate pages for a list of insurance plans they accept. While Palos Hospital and PID participate in many of the same insurance plans as Palos Medical group, they differ on some.

This list was last updated on July 2, 2018 and is subject to change at any time without notice.

Payor/Network
Plans accepted at PMG

Aetna

Commercial:

  • HMO
  • POS
  • PPO

Medicare Advantage:

  • Aetna Medicare Standard Plan (PPO)
  • Aetna Medicare Value Plan HMO
  • Aetna Medicare Value Plan PPO
  • Aetna Medicare Complete Plan 1 (HMO)
Aetna Better Health

Medicare-Medicaid:

  • Aetna Better Health Premier Plan
Ambetter/IlliniCare
  • *Commercial Exchange
Beacon Health Options (formerly known as ValueOptions)
  • Behavioral Health/Substance Abuse Network - Commercial Plans Only

Beech Street Corporation

  • PPO

Blue Cross and Blue Shield of Illinois

Commercial:

  • Blue Choice PPO
  • Blue Choice Preferred PPO
  • Blue Options/Blue Choice Options (Tier 1)
  • PPO

Medicare Advantage:

  • Blue Cross Medicare Advantage Choice Plus (PPO)
  • Blue Cross Medicare Advantage Choice Premier (PPO)
  • Blue Cross Medicare Advantage Premier Plus (HMO-POS)
  • Blue Cross Medicare Advantage (PPO)

Commercial Exchange:

  • Blue Choice Preferred PPO Bronze
  • Blue Choice Preferred PPO Silver
  • Blue Choice Preferred PPO Gold

ChoiceCare/Humana

  • PPO

Cigna

Commercial:

  • HMO
  • OAP
  • PPO

Cigna Behavioral Health

  • Behavioral Health/Substance Abuse Network

CoFinity

  • PPO

CorVel

  • Workers' Comp Program/Network

Coventry/PersonalCare/FirstHealth

Commercial:

  • HMO
  • PPO
  • POS

DuPage Medical Group (formerly known as Pronger Smith
Medical Associates

  • HMO (PMG Behavioral Health/Substance Abuse Only)
Fresenius Health Partners
  • Fresenius Total Health (C-SNP)

HealthLink

Commercial:
  • HMO
  • POS
  • PPO

HFN

Commercial:

  • PPO

  • Workers' Compensation Program/Network

Humana

Commercial:

  • Choice POS
  • EPO PPO Open Access
  • HMO Premier
  • Humana/Choicecare Network PPO
  • Humana PPO
  • Humana Preferred PPO
  • Humana Preferred POS - Open Access
  • Illinois Coordinated Care Network (CCN)
  • National EPO
  • National POS Open Access
  • National POS Open Access Plus

*Medicare-Medicaid:

  • Humana Gold Plus Integrated

Medicare-Advantage:

  • Humana Community HMO Diabetes and Heart (C-SNP)
  • Humana Gold Plus HMO
  • HumanaChoice PPO
  • Humana Gold Choice (PFFS)

IlliniCare

*Medicare-Medicaid:

  • IlliniCare Health Medicare-Medicaid Plan

Magellan Healthcare

  • Behavioral Health/Substance Abuse Network

Medicaid

N/A

Medicare

N/A

MultiPlan (incl PHCS)

Commercial:

  • PPO

  • Workers' Compensation Program/Network

Southland IPA

  • HMO

Sunrise Advantage Plan 

Medicare Advantage:

  • Sunrise Advantage Plan ISNP
  • Sunrise Advantage Plan CSNP
  • Sunrise Advantage Plan MAPD

UnitedHealthcare 

Commercial:

  • All Savers Health Plan
  • Heritage/United Healthcare of the River Valley Choice
  • Choice
  • Choice HMO
  • Choice Plus
  • Choice Plus with Harvard Pilgrim
  • Choice with Harvard Pilgrim
  • Core
  • Core Essential
  • Core HMO/Core Essential HMO
  • Heritage Plus
  • Heritage Select POS/HMO
  • Heritage Select EPO
  • Heritage Select Advantage - IA
  • Heritage Select Advantage - AR, GA, NC, SC, TN
  • Navigate HMO/Navigate Balanced HMO/Navigate Plus HMO
  • Navigate/Navigate Balanced
  • Navigate Plus
  • Medica Choice with UnitedHealthcare Choice Plus
  • NexusACO OA
  • NexusACO OAP
  • NexusACO R/NexusACO RB
  • Nexus ACO
  • Options PPO
  • Options PPO with Harvard Pilgrim
  • Passport Connect Choice
  • Passport Connect Choice Plus
  • Select
  • Select HMO
  • Select Plus

Medicare Advantage:

  • AARP MedicareComplete Plan 1 (HMO)
  • AARP MedicareComplete Plan 2 (HMO)
  • AARP MedicareComplete Access
  • UnitedHealthcare Group Medicare Advantage PPO
  • UnitedHealthcare Nursing Home Plan (I-SNP)

United Behavioral Health 

  • Behavioral Health/Substance Abuse Network

* Does not include Palos Behavioral Health