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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 July 9, 2018 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:

  • 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

BeechStreet

  • PPO

Blue Cross and Blue Shield of Illinois

Commercial:

  • Blue Choice PPO
  • Blue Choice Preferred PPO
  • Blue Options/Blue Choice Options (Tier 1)
  • Blue Precision HMO
  • Blue Advantage HMO
  • HMO Illinois
  • PPO

Medicaid:

  • Blue Cross Community Health Plans (including MLTSS) 

Medicare-Medicaid:

  • Blue Cross Community MMAI

Medicare Advantage:

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

Commercial Exchange:

  • Blue Precision HMO Bronze
  • Blue Precision HMO Silver
  • Blue Precision HMO Gold
  • Blue Precision HMO Platinum
  • Blue Choice Preferred PPO Bronze
  • Blue Choice Preferred PPO Silver
  • Blue Choice Preferred PPO Gold

Medicare Select:

  • Blue Cross Medicare Select

ChoiceCare/Humana

  • PPO

CIGNA

Commercial:

  • HMO
  • OAP
  • PPO

CIGNA Behavioral Health, Inc.

  • Behavioral Health/Substance Abuse Network

CoFinity

  • PPO
ComPsych
  • Behavioral Health/Substance Abuse Network

CorVel

  • Workers' Compensation Program/Network
Coventry/PersonalCare/FirstHealth

Commercial:

  • HMO
  • POS
  • PPO

DuPage Medical Group (formerly known as Pronger Smith Medical Associates)

  • BCBS HMOI members with valid PCP referral and/or approval from DuPage Medical Group, if required

Fresenius Health Partners

Medicare Advantage/C-SNP:

  • Fresenius Total Health

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

Commercial:

  • PPO

  • Workers' Compensation Program/Network

HFN

Commercial:

  • PPO

  • Workers' Compensation Program/Network

Humana

Commercial:

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

Humana Behavioral Health (formerly known as Lifesync/Corphealth)

  • Behavioral Health/Substance Abuse Network

IlliniCare

*Medicaid: 

  • IlliniCare Health HealthChoice Illinois

*Medicare-Medicaid:

  • IlliniCare Health Medicare-Medicaid Plan

Little Company of Mary Health Providers

  • Cardiac Rehabilitation Program

Loyola University Medical Center (LUMC)

  • BCBS HMOI members with valid PCP referral and/or approval from Loyola, if required

Magellan Healthcare

  • Behavioral Health/Substance Abuse Network

Medicaid

  • N/A

Medicare

  • N/A

Meridian

Medicaid:

  • Meridian Health HealthChoice Illinois 

Medicare Advantage:

  • Meridian Elite (HMO)
  • Meridian Essential (HMO)

Medicare-Medicaid:

  • MeridianComplete

MulitPlan (includes PHCS)

Commercial:

  • PPO

  • Workers' Compensation Program/Network

National Home Life Assurance Company

  • Medicare Select

Preferred Network Access

  • PPO

SNI Management Associates

  • BCBS HMOI members with valid PCP referral and/or approval from SNI, if required

Southland IPA

  • BCBS HMOI members with valid PCP referral and/or approval from Southland IPA, if required

Sunrise Advantage Plan 

Medicare Advantage:

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

UniCare/Wellpoint (includes HealthLink)

Commercial:

  • HMO
  • POS
  • PPO

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)

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)

* Does not include Palos Behavioral Health