hospital staff and patient

Patients & Visitors

Insurance

Is IVCH part of your health care plan? To better serve your health care needs, IVCH participates in the following managed care plans:

Aetna | www.aetna.com
Aetna Choice® POS II (Aetna HealthFund® )
Aetna Choice® POS II (Open Access)
Aetna Premier Care Network
Aetna Select (Open Access)
Aetna Signature Administrators PPO
Aetna Voluntary Plans
Open Access Aetna Select (Aetna HealthFund® )
Open Choice® PPO
Open Choice® PPO (Aetna HealthFund® )

The Alliance | www.the-alliance.org
PPO Network—Look for name or logo on the ID card

Beech Street | www.beechstreet.com
PPO Network—Look for name or logo on the ID card

BlueCross BlueShield of Illinois | www.bcbsil.com
BCBS of Illinois – PPO
BlueCard PPO/EPO
BlueChoice Preferred PPO
     BCBS Prefix:
     
XOF – YUV – QMG – QMF – QME – VCH -- XOH

Cigna, Inc. | www.cigna.com
Choice Fund Open Access Plus
Choice Fund PPO
Great West Health (GWH)
Open Access Plus
PPO

Coventry Health Care of Illinois (in connection with Aetna) | chcillinois.coventryhealthcare.com
Advantra HMO—Advantra Network (Medicare Advantage Product)
Advantra PPO—Advantra Network (Medicare Advantage Product)
Coventry Total Care (HMO) a UnityPoint Quad
Coventry Total Care (HMO) a SwedishAmerican Partnership
First Health Network
Freedom PPO—Freedom PPO Netwrok
HMO/POS—Coventry Health Care HMO/POS Network
HMO—State of Illinois Members
PPO
Select PPO—Coventry Health Care PPO Network
State of HMO—State of Illinois HMO Network
State of Illinois OAP—State of Illinois OAP ASO Network

Galaxy Health Network | www.galaxyhealth.net
PPO Network—Look for name or logo on the ID card

Health Alliance Medical Plans | www.healthalliance.org
Direct Provider Directory—HMO/POS
Direct Provider Directory—PPO
3000b Elite Network Silver
Health Alliance Methodist Network
Medicare HMO
Medicare PPO
Standard Self-Funded Network
State of Illinois HMO

HealthSmart (formerly Preferred Plan and InterPlan) | www.healthsmart.com
PPO Network—Look for name or logo on the ID card

HFN | www.hfninc.com
PPO Network—Look for name or logo on the ID card
ECOH (Employers Coalition on Health)
EPO
Platinum
Work Comp

Humana | www.humana.com
Commercial EPO
Commercial HMO
Commercial POS
Commercial PPO
Medicare HMO
Medicare PFFS
Medicare POS
Medicare PPO
OSF Cared Preferred
OSF Direct Acess Network (OSF DAN)

Humana/Choice Care Network (modified Medicare advantage plan) | www.choicecarenetwork.com

IVCH Employee Health Plan | www.bcbsil.com
BCBS of IL—PPO

Land of Lincoln Health | www.landoflincolnhealth.org
Tier 1 LLH PPO III

MultiPlan (look for logo on card) | www.multiplan.com
HARKEN Health
HealthEOS
PHCS Network
PHCS Savility
PPO Network—Look for name or logo on the ID card
Value Point

Mutual Medical | www.mutualmedical.com
Consumercare

OSF Direct Access Network (DAN) | www.osfdirectaccessnetwork.com

Unicare/HealthLink | www.unicare.com, www.healthlink.com
HealthLink PPO

United Healthcare | www.uhc.com
AARP Medicare Complete (HMO)
UnitedHealthcare Choice
UnitedHealthcare Choice Plus Network
United Healthcare Compass Network (PPO—Gold, Silver & Platinum, other)
UnitedHealthcare Compass Network (HMO—Gold, Silver & Platinum, other)
UnitedHealthcare Heritage
UnitedHealthcare Medicare Advantage
UnitedHealthcare CATERPILLAR plans

Veteran’s Choice Health Plan (arranged by HealthNet) | www.hnfs.com/content/hnfs/home/va/home/veterans-choice.html



IVCH participates in several plans; however, we do not participate in every product of every plan.

IVCH participates in several Private Fee For Service Medicare Advantage plans, and PPOs. Please check to make certain IVCH is in-network if you are considering switching from Original Medicare to any Medicare replacement plan.

If the network identified on your insurance card is not listed above, IVCH may not have a participation agreement with that particular network. Also, be advised that IVCH may not participate with every product line within any given plan. In addition, medical staff physicians may not participate in all these same networks.

Be aware that when you elect to utilize the services of a non-participating hospital or physician for anything other than emergency services or a service approved by the insurer in advance, the basis of your benefit payment will be determined according to your insurance policy’s "out-of network" rules and you may be responsible for the balance.

Before you seek non-emergency services at IVCH, you are strongly encouraged to obtain information regarding out-of-pocket expenses by calling the telephone number on your insurance identification card to make certain your services are covered at the highest benefit level, thus reducing your out of pocket costs.

Be aware that making certain IVCH and your physicians are in network and that any required pre-certification is done is the patient’s responsibility. Please call the phone number listed on the back of your ID card for this information.

Remember

  • Managed care organizations can change network arrangements, benefits and/or providers without notice.
  • Some plans may pay a lesser benefit if you have certain tests or procedures done locally, increasing your out of pocket costs.
  • Before seeking non-emergency types of health care, check with your insurance company, HMO or PPO network or your employee benefits department to make certain all services are covered at Illinois Valley Community Hospital.
  • You may be liable for certain services if they are not preauthorized; always check with your health plan prior to any elective admission or testing to determine if it is a covered service.
  • You may receive separate billings from hospital-based physicians such as radiologists and pathologists for services provided through IVCH; these providers are not employees of IVCH and provide services through independent practices or other entities.

We welcome your suggestions regarding IVCH’s participation in additional managed care programs. Please call 815.780.3544 with information concerning other managed care plans the hospital should consider.

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