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Published on January 11, 2021

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 February 1, 2021, and is subject to change at any time without notice.

Payor/Network
Plans accepted at PMG

Aetna

Commercial:

  • Aetna Affordable Health Choices limited benefits insurance plan (SRC only)
  • Aetna ChoicePOS II (Aetna HealthFund)
  • Aetna Choice POS II (Open Access)
  • Aetna Health Network Only (Open Access)
  • Aetna Health Network Option (Open Access)
  • Aetna Open Access Elect Choice EPO (Aetna HealthFund)
  • Aetna Open Access Managed Choice POS (Aetna HealthFund)
  • Aetna Premier Care Network (APCN) - Choice POS II/Open Access Managed Choice
  • Aetna Premier Care Network (APCN) - Open Access Aetna Select
  • Aetna Premier Care Network Plus (APCN Plus) - Choice POSII
  • Aetna Premier Care Network Plus (APCN Plus) - Open Access Aetna Select
  • Aetna Select
  • Aetna Select (Open Access)
  • Aetna Voluntary Plans
  • Aetna with Innovation Health Aetna Select
  • Aetna with Innovation Health POS
  • Aetna with Innovation Health PPO
  • Coventry Illinois Health Care Network Aetna Choice POSII
  • Coventry Illinois Health Care Network MC
  • Coventry Illinois Health Care Network Open Access MC
  • Coventry Illinois Health Care Network PPO
  • Coventry Missouri Health Care Network Aetna Choice POSII
  • Coventry Missouri Health Care Network MC
  • Coventry Missouri Health Care Network Open Access MC
  • Coventry Missouri Health Care Network PPO
  • Coventry Select PPO
  • Elect Choice EPO (Open Access)
  • HMO
  • Illinois Open Choice PPO
  • Illinois QPOS
  • Managed Choice POS
  • Managed Choice POS (Open Access)
  • National Advantage Program
  • Open Access Aetna Select (Aetna HealthFund)
  • Open Choice PPO
  • Open Choice PPO (Aetna HealthFund)
  • QPOS
  • Savings Plus of IL - Open Access Aetna Select
  • Savings Plus of Northern Illinois
  • Savings Plus of Northern Illinois (HMO)

Medicare Advantage:

  • Aetna Medicare Eagle (PPO)
  • Aetna Medicare Premier Plus (PPO)
  • Aetna Medicare Prime (HMO) – PMG specialists only
  • Aetna Medicare Value (PPO)

Aetna Better Health

Medicare-Medicaid:

Aetna Better Health Premier Plan

Ambetter

Commercial Exchange

Beacon Health Options/Beacon Health Strategies

Behavioral Health/Substance Abuse Network

Beech Street Corporation

PPO

Blue Cross and Blue Shield of Illinois

Commercial:

  • Anthem HealthSync
  • Blue Access Choice
  • Blue Alternative
  • Blue Choice Options (Tier 1)
  • Blue Choice Preferred PPO
  • Blue Cross FEP
  • Blue Open Access POS
  • Blue Options PPO (Tier 1)
  • Blue PPO
  • Blue Preferred
  • Blue Preferred (Oklahoma)
  • Blue Preferred POS
  • Blue Preferred POS (Missouri)
  • Blue Preferred POS (Wisconsin)
  • Blue Print PPO
  • Blue Priority NY
  • Blue Priority WI
  • Blue Value
  • BlueChoice Advantage Open Access
  • BlueChoice Open Access POS
  • BlueEdge HSA
  • Blueprint Health
  • CO Pathway
  • Community Blue
  • Empire POS
  • High Value Network
  • Horizon Managed Care Network
  • Network Blue
  • Network S
  • Participating Provider Organization [PPO]
  • Preferred Care Blue
  • Premier Select BlueChoice
  • Select PPO
  • Traditional

Commercial Exchange:

Blue Choice Preferred PPO (Bronze, Silver, Gold, Security)

Medicare Advantage:

  • Blue Cross Group Medicare Advantage PPO
  • Blue Cross Medicare Advantage PPO

Bright Health

Commercial Exchange:

  • Gold, Silver, Bronze, and Catastrophic Plans

Medicare Advantage:

  • Bright Advantage (HMO)
  • Bright Advantage Assist (HMO)
  • Bright Advantage Choice (PPO)
  • Bright Advantage Choice Plus (PPO)

ChoiceCare/Humana

PPO

Cigna

Commercial:

  • ChoiceFund OA Plus
  • ChoiceFund OA Plus with CareLink
  • ChoiceFund PPO
  • Cigna One Health
  • Network
  • Network POS
  • OA Plus
  • Open Access Plus
  • PPO

Please note: Palos Medical Group does not participate in the Cigna Connect or LocalPlus networks.

Cigna Behavioral Health

Behavioral Health/Substance Abuse Network

CoFinity

PPO

ComPsych

Behavioral Health/Substance Abuse Network

CorVel

Workers' Compensation Program/Network

Coventry/FirstHealth

Commercial:

  • HMO
  • PPO
  • POS

DuPage Medical Group (DMG) (fka Pronger Smith) (BCBS HMOI Site #082)

BCBS HMOI members of DMG (BCBS HMOI Site #082) with valid PCP referral and/or approval from DMG, as required

HealthLink

Commercial:
  • HMO
  • POS
  • PPO

HFN

Commercial:

PPO


Workers' Compensation Program/Network

Humana

    Commercial:

    • Choice POS
    • COT National POS - Open Access
    • EPO PPO Open Access
    • GE Health Care Preferred
    • HMO Premier
    • Hospira Premier HMO Illinois
    • Humana PPO
    • Humana Preferred Kroger Lou
    • Humana Preferred POS - Open Access
    • Humana Preferred PPO
    • Humana/Choicecare Network PPO
    • Humana/ChoiceCare+ Network PPO
    • Illinois Coordinated Care Network/Loyola Physician Partners
    • National EPO
    • National POS - Open Access
    • National POS - Open Access Plus
    • Oscar+Humana National Network
    • P&G National POS
    • Saint Joseph Hospital NPOS
    • Sapphire

    Medicare-Medicaid:

    • Humana Gold Plus Integrated  

    Medicare Advantage:

    • Employer HMO
    • Humana Gold Choice Network PFFS
    • Humana Gold Plus HMO
    • Humana Honor PPO 21
    • Humana Together in Health
    • Medicare PPO
    • Medicare PPO/Employer PPO Plus

    Humana Behavioral Health

    Behavioral Health/Substance Abuse Network

    Longevity Health Plan

    Medicare Advantage:

    Longevity Health Plan (HMO I-SNP)

    Magellan Behavioral Health

    Behavioral Health/Substance Abuse Network

    Meridian
    (eff 06/26/20)

    Medicare-Medicaid:

    MeridianComplete (fka IlliniCare Health Medicare-Medicaid
    Plan, eff 06/26/20)

    MultiPlan (incl PHCS)

    Commercial:

    PPO


    Workers' Compensation Program/Network

    UnitedHealthcare

    Commercial:

    • All Savers Health Plans (includes Choice, Choice Plus, Navigate, Core Essential EPO, and Core POS plans only)
    • Choice
    • Choice Advanced
    • Choice HMO
    • Choice HMO Advanced
    • Choice Plus
    • Choice Plus Advanced
    • Choice Plus HMO Premier
    • Choice Plus Premier
    • Choice Plus with Harvard Pilgrim
    • Choice Premier
    • Choice with Harvard Pilgrim
    • Core
    • Core Essential
    • Core Essential Premier
    • Core HMO / Core Essential HMO
    • Core Premier
    • Doctors Plan
    • Doctors Plan HMO / Doctors Plan Plus HMO
    • Doctors Plan Plus
    • Heritage Plus
    • Heritage Select Advantage – IA
    • Heritage Select Advantage – AR, GA, NC, SC, TN
    • Heritage Select EPO
    • Heritage Select POS/HMO
    • Navigate / Navigate Balanced
    • Navigate HMO / Navigate Balanced HMO / Navigate Plus HMO
    • Navigate Plus
    • Navigate Plus Premier
    • Navigate Premier
    • NexusACO Plans
    • Options PPO
    • Options PPO Premier
    • Options PPO with Harvard Pilgrim
    • Oxford Health Plans (includes Freedom With Choice Plus and Liberty With Choice Plus plans only)
    • Passport Connect Choice
    • Passport Connect Choice Plus
    • Select
    • Select HMO
    • Select Plus
    • Select Plus Premier
    • Select Premier
    • W500 Emergent Wrap

    Medicare Advantage:

    • AARP Medicare Advantage Choice (PPO)
    • AARP Medicare Advantage Patriot (PPO)
    • AARP Medicare Advantage Plan 1 (HMO)
    • AARP Medicare Advantage Plan 2 (HMO)
    • AARP Medicare Advantage Walgreens (PPO)
    • UnitedHealthcare Group Medicare Advantage (HMO)
    • UnitedHealthcare Group Medicare Advantage (PPO)
    • UnitedHealthcare Nursing Home Plan 1 (HMO-POS I-SNP)
    • UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)

      United Behavioral Health

      Behavioral Health/Substance Abuse Network

      Insurance Plans Accepted at PMG