Insurance Plans

 
  • Aetna

  • Blue Cross Blue Shield of Illinois PPO

  • Blue Cross Choice Preferred PPO Network (BCE)

  • Cigna HealthCare -- OAP and PPO *

  • Consociate Care

  • Corvel Worker's Compensation

  • Coventry Health Care
    - Coventry National Network
    - First Health Network

  • Health Alliance Medical Plans

  • Healthlink

  • HFN, Inc.

  • Hope Trust

  • Humana Network

  • Multiplan
    -Beechstreet
    -PHCS
    -PHCS Savility

  • Provider Network of America (PNOA)

  • Triwest VA PCCC

  • United HealthCare Midwest (UHC)

  • UHC VA CCN

  • WellFirst Health

Medicare - Traditional 

 

Accepted Medicare Managed Care Plans

  • Aetna 

  • Clear Spring Health of Illinois

  • Humana Medicare Advantage Plans

  • Molina Healthcare

  • United HealthCare Midwest (UHC)

  • Wellcare

Medicaid - Traditional 

 

Accepted Medicaid Managed Care Plans

  • Blue Cross Community Health Plans
  • Molina Healthcare
  • Illinicare

Meridian Health Plan (Effective December 22, 2020, HSHS St. Anthony's will no longer participate in Meridian's Medicaid network.

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)

 

Blue Cross Choice Preferred PPO Network (BCE)
Health Alliance Medical Plan

Last Updated: 12/19

* Hospital Sisters Health System (HSHS) constantly works to enhance the quality of care we provide to our patients while also working to reduce costs and deliver efficient care.

If you are a participant in a Cigna commercial health plan, you may have recently been contacted by Cigna or your medical provider about ongoing contract negotiations between your health care provider and Cigna.  

Since spring of 2019, Hospital Sisters Health System (HSHS) has been working with Cigna in good faith to negotiate an agreement that would ensure continued care of those in our community and provide reimbursement that fairly covers the health care provider’s cost of delivering high quality care. Unfortunately, an agreement has not yet been reached.

If a contract is not reached by March 31, 2020, this means that HSHS St. Anthony's, along with any affiliated HSHS Medical Group providers, will be considered out-of-network for health services* you receive on or after this date.  

We encourage you to contact your employer’s benefits department to discuss plan options that will allow you to have in-network access to your local hospital.  You are also encouraged to contact Cigna directly using the phone number listed on the back of your insurance card to identify medical providers and facilities in your area who accept Cigna.

We remain hopeful that an agreement will be reached in the near future.

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.