Health Insurance/Managed Care

Health Insurance/Managed Care
To meet the healthcare needs in our region, Central DuPage Hospital, Delnor Hospital and
Cadence Physician Group (Cadence Health-employed physician group) is contracted with the
following health insurance and managed care plans (unless otherwise noted).
This list is subject to change. Coverage limitations are dependent on individual group contracts and
credentialing of each physician by the health plan.
For questions about your health insurance coverage, please contact your insurance company.
Cadence Health
Central DuPage
Hospital (CDH)
Delnor Hospital
Cadence Physician
Group
Aetna – Open Choice PPO
√
√ √ Aetna – Managed Choice POS
√
√ √ Aetna – Elect Choice POS
√
√ √ Aetna – NAP Plans (National)
√
√ √ Aetna – HMO
√
√ √ Aetna – Illinois Preferred PPO
√
No
No
Aetna – Behavioral Health
√
√
√
Beechstreet (Viant) PPO
√
√ √
BCBS – EPO
√
√ √ BCBS – PPO
√
√ √ Health Insurance/Managed Care
Aetna
BlueCross BlueShield (BCBS)
Health Insurance/Managed Care
Central DuPage
Hospital (CDH)
Delnor Hospital
Cadence Physician
Group
BCBS – Blue Options — Benefit/Tier 2
√
√
√
BCBS – Blue Choice Options —
Benefit/Tier 2
√
√
√
BCBS – Blue Choice*
No
No
No
BCBS – Behavioral Health
√
√
√
Choice Care Network (Humana) PPO
√
√ √ Cigna – PPO
√
√ √ Cigna – HMO, POS
√
√ √ Cigna – EPO
√
√ √ Cigna – C-5
HMO, PPO, POS
√
√ √ Cigna – Choice Fund Open Access Plus
√
√ √ Cigna – Local Plus – HMO, PPO, POS
√
√ √ Cigna – Network Open Access
√
√ √ Cigna – Open Access Plus
√
√ √ Cigna – HMO, POS Open Access
√
√ √ Cigna – Network HMO
√
√ √ Cigna – Fundamental Care PPO
√
√ √ Cigna – Starbridge PPO
√
√ √ Cigna
Central DuPage
Hospital (CDH)
Delnor Hospital
Cadence Physician
Group
Cigna – GWH
√
√ √ Cigna Behavioral Health
√
√
√
Cofinity PPO
√
√ √ Compsych Behavioral Health
√
No
No
Corvel – Workers Compensation
√
√
√
Coventry Health Care of Illinois
HMO, PPO, POS
√
√ No Coventry Health Care – National PPO
√
√ No Coventry Health Care – First Health
PPO
√
√ No
Coventry Health Care – Auto
√
√
No
Coventry Health Care –
Workers Compensation
√
√
No
Galaxy Health Network – PPO
√
√
No
Galaxy Health Network –
Workers Compensation
√
√
No
Health Alliance PPO
√
√
No
HFN – PPO
√
√ √ HFN – Workers Compensation
√
√ √ Health Insurance/Managed Care
Coventry Health Care
Galaxy Health Network
HFN
Health Insurance/Managed Care
Central DuPage
Hospital (CDH)
Delnor Hospital
Cadence Physician
Group
HMO Illinois/Blue Advantage HMO
√
√ √ Humana – PPO
√
√ √ Humana – Preferred PPO
√
√ √ Humana – Preferred POS – Open Access
√
√ √ Humana – National POS Open Access
Plus
√
√
√
Humana – National POS Open Access
√
√
√
Humana – Choice POS
√
√
√
Humana – HMO Premier
√
√ √ Humana – HMO Premier Open Access
√
√ √ Humana – Premier HMO (Illinois Platinum
HMO)
√
√ No
Humana – HMO Select
√
√ √ Illinois Partnership for Health ACE
√
√
√
Interplan (Chandler/Preferred
Plan/HealthSmart) PPO
√
√ √ Lifesynch – Behavioral Health
√
No √ Medicaid
√
√
√
Medicare
√
√
√
Magellan – Behavioral Health
√
No
No
Humana
Central DuPage
Hospital (CDH)
Delnor Hospital
Cadence Physician
Group
MultiPlan PPO
√
√
√
Preferred Network Access
√
√
√
Prime Health Services – Group Health
PPO
√
√ No Prime Health Services – Workers
Compensation
√
√ No Private HealthCare System
√
√
√
SIHO (Southeastern Indiana Health
Organization) IPA
√
√
No
UniCare/HealthLink HMO, PPO
√
√
√
United Healthcare – Choice POS
√
√ √ United Healthcare – Choice Plus POS
√
√ √ United Healthcare – Navigate HMO
√
√ √ United Healthcare – Navigate POS
√
√ √ United Healthcare – Core POS
√
√
√
United Healthcare – Heritage
(River Valley) PPO
Contact your
insurance
company
Contact your
insurance
company Contact your
insurance
company United Healthcare – Golden Rule
(United Health One) PPO
√
√ √ United Healthcare – Options PPO
√
√ √ United Healthcare – Catalyst PPO
Contact your
insurance
company
Contact your
insurance
company Contact your
insurance
company Health Insurance/Managed Care
Prime Health Services
United Healthcare
Central DuPage
Hospital (CDH)
Delnor Hospital
Cadence Physician
Group
United Healthcare – Medical
Resources PPO
√
√ √ United Healthcare – Midwest Security
Administrators PPO
√
√ √ United Healthcare –
Behavioral Health
√
√
√
Health Insurance/Managed Care
*Cadence Health System Hospitals do not participate in the Blue Cross Blue Shield of Illinois (BCBS) Blue Choice plan. However,
services rendered by any independently contracted PPO provider (such as Cadence Health Delnor Hospital and Cadence Health
Central DuPage Hospital) for members of SUPERVALU, Inc., Albertson’s, Jewel and Osco with BCBS Choice PPO coverage are considered
in-network. The affected members live in the following Illinois counties: Cook, DuPage, Kane, Kankakee, Lake, McHenry and Will. The
member ID card will indicate BCBS Choice PPO and the following: SUPERVALU Inc. – RUH or Albertson’s, Jewel and Osco – NWY.
Eligibility and benefits should always be checked prior to rendering service to determine in-network status.
Cadence Health Physician Referral
If you need a physician, call Cadence Health Physician Referral at 630.933.4234. TTY for the hearing
impaired 630.933.4833.
In the spirit of keeping you well informed, many of the physicians providing care at Cadence Health – Central DuPage Hospital or
Cadence Health – Delnor Hospital are neither agents nor employees of Cadence Health or any of its affiliate organizations. These
physicians have selected our facilities as the place where they want to treat and care for their private patients. Contact your physician’s
office directly for more information about the insurance plans they accept.
Updated 1.23.15

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