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Published on December 21, 2020

Insurance Plans Accepted at Palos Hospital

Palos Hospital 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 Hospital’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 with Palos Medical Group (PMG) or at Palos Imaging & Diagnostics (PID), please refer to their separate pages to view a list of insurance plans they accept. While PMG and PID participate in many of the same insurance plans as Palos Hospital, 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 Palos Hospital

Access to Care

Select radiology services only: X-ray, breast ultrasound, and mammogram

Aetna

    Commercial:

    • Aetna Affordable Health Choices limited benefits insurance plan (SRC only)
    • Aetna Choice POS 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 (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)
    • Aetna Medicare Value (PPO)

    Aetna Better Health of Illinois
    (Aetna Better Health Medicaid)

    (Aetna Better Health Medicare-Medicaid)

    Medicaid (incl. YouthCare) (effective 12/1/20):

    Aetna Better Health HealthChoice Illinois

    Medicare-Medicaid:

    Aetna Better Health Premier Plan

    Ambetter

    Commercial Exchange

    Beacon Health Options/Beacon Health Strategies

    Behavioral Health/Substance Abuse Network

    BeechStreet

    PPO

    Blue Cross and Blue Shield of Illinois

    Commercial:

    • Anthem HealthSync
    • Blue Access Choice
    • Blue Advantage HMO Value Choice
    • Blue Advantage HMO
    • Blue Alternative
    • Blue Choice Options (Tier 1)
    • Blue Choice Preferred PPO
    • Blue Choice Select 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
    • BlueEdge Select HSA
    • Blueprint Health
    • CO Pathway
    • Community Blue
    • Empire POS
    • High Value Network
    • HMO Illinois
    • 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)
    • Blue Precision HMO (Bronze, Silver, Gold)

    Medicaid:

    Blue Cross Community Health Plans

    Medicare-Medicaid:

    Blue Cross Community MMAI

    Medicare Advantage:

    • Blue Cross Group Medicare Advantage HMO
    • Blue Cross Group Medicare Advantage PPO
    • Blue Cross Medicare Advantage HMO
    • Blue Cross Medicare Advantage HMO-POS
    • Blue Cross Medicare Advantage PPO
    • Blue Medicare Advocate Health (HMO)

    Medicare Select:

    Blue Cross Medicare Select

    Bright Health

    Commercial Exchange:

    • Gold, Silver, Bronze, & 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 Community Hospital does not participate in the Cigna Connect or LocalPlus networks.

    CIGNA Behavioral Health, Inc.

    Behavioral Health/Substance Abuse Network

    CoFinity

    PPO

    ComPsych

    Behavioral Health/Substance Abuse Network

    CorVel

    Workers' Compensation Program/Network

    Coventry/FirstHealth

    Commercial:

    • HMO
    • POS
    • PPO

    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

    HealthSmart (formerly known as Interplan/Preferred Plan, inc.)

    PPO


    Workers' Compensation Program/Network

    HFN

    PPO


    Workers' Compensation Program/Network

    Humana

      Commercial:

      • Choice POS
      • COT National POS - Open Access
      • EPO PPO Open Access
      • GE Health Care Preferred
      • HCA Affiliated Facilities
      • HMO Premier
      • HMO Select
      • 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
      • Illinois Platinum HMO
      • IPA
      • 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 Community HMO-SNP
      • Humana Community Select 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

      Little Company of Mary Health Providers

      Cardiac Rehabilitation Program

      Longevity Health Plan

      Medicare Advantage:

      Longevity Health Plan (HMO I-SNP)

      Loyola University Medical Group (LUMG) (BCBS HMOI Site #349)

      BCBS HMOI members of LUMG (BCBS HMOI Site #349) with valid PCP referral and/or approval from LUMG, as required

      Magellan Behavioral Health

      Behavioral Health/Substance Abuse Network

      Medicaid

      N/A

      Medicare

      N/A

      Meridian Health Plan

      Medicaid:

      • MeridianHealth HealthChoice Illinois
      • MeridianHealth HealthChoice Illinois - MLTSS

      Medicare-Medicaid:

      • MeridianComplete
      • MeridianTotal

      MulitPlan (includes PHCS)

      Commercial:

      PPO


      Workers' Compensation Program/Network

      UniCare/Wellpoint (includes HealthLink)

      Commercial:

      • HMO
      • POS
      • PPO

      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 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 – AR, GA, NC, SC, TN
      • Heritage Select Advantage – IA
      • 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 OA
      • NexusACO OA HMO/NexusACO OAP HMO
      • NexusACO OAP
      • NexusACO R HMO/NexusACO RB HMO/NexusACO RP HMO
      • NexusACO R/NexusACO RB
      • NexusACO RP
      • 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 Medicare Advantage Assure (PPO)
      • UnitedHealthcare Nursing Home Plan 1 (HMO-POS I-SNP)
      • UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)

      Medicare Select:

      AARP Medicare Select (Plan C & Plan F)

      United Behavioral Health

      Behavioral Health/Substance Abuse Network

      Veterans Evaluation Services

      Compensation and Pension Diagnostic Testing Services (Veterans)

      WellCare (effective 01/01/2020)

      Medicare Advantage
      • WellCare Edge (HMO)
      • WellCare Essential (HMO)
      • WellCare Essential (HMO-POS)
      • WellCare Exclusive (HMO)
      • WellCare Exclusive (HMO-POS)