Insurance Plans

Please review the information below to learn more about the insurances we accept. If you have questions, please call our government-trained insurance counselors at 312.227.1230.

Important Information About the Plans Below

Determining healthcare coverage can be complicated for all involved. Please understand that this information is provided to assist you in understanding the broad set of insurance we accept. However, it does not replace the full policy information provided by your insurance company. This information does not represent a guarantee of coverage or applicability of copays, coinsurance and deductibles. The applicability of benefits for your child will be based on the exact benefits you have, subject to:

  • Eligibility determination on the date of service by the health plan
  • Medical necessity determination by the health plan
  • Prior authorization from the health plan, if any is required
  • Specific copay, coinsurance and deductibles as provided for in your specific benefit plan

For some subspecialty services such as mental health, rehabilitative services, ophthalmology and dental work, please call your insurance provider to make sure Lurie Children's is included in your network before making your appointment. While your general medical insurance plan may be listed below, Lurie Children's may not be part of your subspecialty services such as mental health, physical therapy, ophthalmology and dental work network.

We will do our best to help you understand the specific benefits you have, however, your cost will be based on how your insurer actually processes the claim for the services provided. We highly recommend that you check your specific benefit coverage before a visit.

Please note: Lurie Children's Primary Care - Town & Country Pediatrics may not be in all of the same plans listed on this web page. Please visit townandcountrypeds.com/about/billing.html for the plans they participate in. 

Counselors Available to Help Answer Insurance Questions

We have certified application counselors available who are trained to provide fair, impartial and accurate information to help you select an insurance product and answer questions about your current plan. If you would like to talk with a counselor about your family’s healthcare insurance, please call 312.227.1230.

2016 Exchange Plans

Lurie Children's is participating in the following marketplace insurance plans offered through the healthcare exchange in 2016.

  • Blue Cross Blue Shield of Illinois
    • Blue Precision HMO (Need a referral from a primary physician) - All levels
    • Please note: For 2016, Blue Cross Blue Shield has decided to discontinue its Blue PPO products on the exchange. Additionally, we do not participate in the Blue Choice Preferred PPO exchange plan or any other CHOICE products that Blue Cross Blue Shield offers on the exchange.
  • Coventry Health Care
    • Coventry One PPO - All levels
  • Harken Health
    • Harken Health PPO
  • Health Alliance
    • Health Alliance - All levels
  • Land of Lincoln
    • Land of Lincoln PPO - Tier 2 
    • Please note: We are a Tier 2 provider with most Land of Lincoln plans. Before your visit, please confirm with Land of Lincoln that we are a Tier 2 provider with your specific plan.
  • United Health Care
    • United Health Care Compass - All levels

All Accepted Insurance Plans for 2016

Select a letter or scroll to see if we accept your health coverage.

A | B | C | E | F | G | H | I | L | M | P | S | U | V | W

Note our abbreviation legend:

  • EPO: Exclusive Provider Organization
  • FHP: Family Health Plan
  • HMO: Health Maintenance Organization
  • ICP: Integrated Care Plan
  • MMAI: Medicare-Medicaid Alignment Initiative
  • PPO: Preferred Provider Organization

A

  • Aetna
    • Aetna Signature
    • Choice POS
    • Choice POS II
    • Elect Choice EPO
    • HMO
    • IL Preferred
    • Managed Choice
    • National Advantage Program (NAP)
    • Open Access Elect Choice
    • Open Access HMO
    • Open Access Managed Choice
    • Open Access Select
    • Open Choice PPO
    • Quality Point of Service (QPOS)
    • Select (HMO)
    • USAccess (HMO)
  • Aetna Better Health (FHP)
  • Allied Benefits

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B

  • Beech Street
  • Blue Cross Blue Shield
    • Blue Advantage HMO (Need a referral from a primary physician)
    • Blue Choice Options (Tier 2)
    • Blue Cross Community (ICP, FHP)
    • Classic Blue
    • HMO (Pending a referral from a primary physician)
    • PPO
    • Exchange plan: Blue Precision HMO (Need a referral from a primary physician) - All levels

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C

  • Cigna
    • EPO
    • GWH-CIGNA
    • HMO
    • Indemnity
    • LocalPlus
    • Network (POS)
    • Network Open Access (HMO)
    • Open Access
    • Open Access Plus
    • Orthonet (HMO, POS, PPO)
    • POS
    • PPO
    • PPO Plus
  • Cigna Behavioral Health
  • Cofinity PPO 
  • Community Care Alliance of Illinois (ICP, FHP, MMAI)
  • CountyCare (FHP, ICP)
  • Coventry Health Care
    • HMO
    • POS
    • State of Illinois
    • PPO
    • Coventry National
    • Coventry Health Care of Illinois 
    • Exchange plan: Coventry One PPO - All levels

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E

  • ECOH – Employers’ Coalition on Health

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F

  • Family Health Network (FHP)
  • First Health PPO (Coventry Health Care)

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G

  • Great West Healthcare
    • Open Access Plus
    • POS
    • PPO

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H

  • Harken Health
    • Exchange plan: Harken Health PPO
  • Harmony Health Plan (Specialty care only)<
  • Health Alliance
  • Health Alliance Connect (ICP, FHP)
  • Healthlink
  • HFN
    • EPO
    • PPO
    • Choice Care PPO
    • Choice POS Care
    • HMO
    • PPO
    • Preferred POS
    • Preferred PPO
  • Humana

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I

  • IlliniCare Health (ICP, FHP)
  • Illinois Medicaid
  • Integrated Health Plan

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L

  • Land of Lincon
    • Exchange plan: Land of Lincoln PPO - Tier 2
    • Please note: We are a Tier 2 provider with most Land of Lincoln plans. Before your visit, please confirm with Land of Lincoln that we are a Tier 2 provider with your specific plan.

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M

  • Magellan Behavioral Health
  • Meridian Health Plan
    • Meridian Health (ICP, FHP)
  • Molina Healthcare (FHP)
  • Multiplan

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P

  • PPO Next (Healthstar)
  • Preferred Health Network
  • Preferred Plan Inc. PPO (Interplan Health Group IHG)
  • PHCS - Private Healthcare Systems
  • Principal Healthcare PPO

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S

  • Sagamore Health Network PPO
  • Security Health Plan 
  • SmartPlan Choice

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  • United Healthcare
    • Choice
    • Choice Plus
    • Compass
    • Golden Rule
    • Indemnity
    • Navigate
    • Options PPO
    • Oxford HMO
    • Oxford PPO
    • Select
    • Select Plus 
    • Exchange plan: United Health Care Compass - All levels

  • Value Options Behavioral Health

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  • WEA Trust
  • Wellmark PPO/Health Network

 

Insurance plans subject to change. Please contact Member Services on your insurance card to verify if your plan is part of our network.