Insurance Plans

 
  • 6 Degrees Health
  • Aetna
  • Blue Cross Blue Shield of Illinois PPO
  • Blue Choice Preferred PPO (BCE)
  • Cigna Healthcare–All plans except Connect
  • Claim DOC, LLC
  • Consociate Care
  • Corvel
  • Coventry Carelink
  • Coventry Health Care
    • Coventry National Network
    • First Health Network
  • HFN, Inc.
  • Health Alliance Medical Plans
  • Healthlink
  • Hope Trust
  • Humana
  • Live360/Health Choices
  • Live360/Medical Associates Health Plan
  • Multiplan
    • Beech Street
    • PHCS
  • Prime Health
  • Provider Network of America (PNOA)
  • United Healthcare of the Midwest (UHC)
  • UHC VA CCN
  • Veteran Choice Program (VCP)
  • WellFirst Health

Medicare - Traditional 

 

Accepted Medicare Managed Care Plans

  • Aetna/Coventry Health Care
  • Clear Spring Health of Illinois
  • Humana
  • Live360 Medicare
  • Molina Healthcare
  • Prime Health
  • United HealthCare Midwest (UHC)
  • WellFirst Health

Medicaid - Traditional 

 

Accepted Medicaid Managed Care Plans

  • Aetna Better Health
  • Blue Cross Community Health Plans
  • Molina Healthcare

For more information, patients are encouraged to contact their plan or Client Enrollment Services to learn their options for switching should they choose to remain with an HSHS provider. They may also contact the Illinois Single Billing Office, Patient Financial services at 1-877-636-2261 or email at ILSBO@hshs.org.

GetCoveredIllinois.Gov (Exchange Plans)

  • Ambetter of Illinois
  • Blue Choice Preferred PPO (BCE)
  • Health Alliance Medical Plan

Last Updated: 1/2021

Exclusions

 

Emergency Care:  If you present to the Emergency Department for treatment of a medical condition that is deemed as an emergent medical condition by the health care provider, your treatment while in the emergency department will be covered according to the benefits provided by your plan.

There may be additional exclusions based on your insurance benefit plan and/or your course of medical treatment.  We encourage you to contact Cigna or our customer service center at 1-888-477-4221 for more information. 
 

Professional Providers

 

St. Anthony’s Memorial Hospital contracts with several physician groups to provide professional services to patients. In addition to receiving a bill for services provided at St. Anthony’s, you will be billed a professional fee separately if you receive services provided by:
 

  • Anesthesia

  • Cardiology

  • Emergency Services

  • Pathology

  • Radiology 

If you have billing questions concerning any of these services with which we contract, please call the service directly. The phone numbers are listed below.