For more information, call: 877-CENTEGRA

Insurance

Insurance Carriers Accepted by Centegra Health System

The Centegra Health System hospitals accept the following insurance carriers:

  • Aetna HMO, PPO, EPO, POS, NAP, Open Access
  • Aetna Medicare Advantage
  • Aetna Behavioral Health**
  • Aetna Better Health (Medicaid HMO)
  • The Alliance
  • American Psych Systems**
  • Beech Street PPO Next
  • Behavioral Health Systems**
  • Blue Cross PPO, Blue Precision (Excludes Med Select) (Note that beginning Jan. 1, 2014, Centegra Health System will no longer participate in the Blue Cross Blue Shield Blue Choice PPO Network.)
  • Blue Cross Dual Eligibles
  • Cenpatico (Illinicare Behavioral Health carve-out)
  • Centegra Health & Wellness Network Site 471 (HMOI & Blue Advantage) (Site 471)
  • Cigna Behavioral Health**
  • Cigna HMO, PPO, POS, Open Access Plus, New Business C-5
  • Cigna Local Plus
  • Cofinity PPO (PPOM)
  • Community Care Alliance (Medicare Advantage & Medicaid HMO)
  • ComPsych**
  • CorVel/CorCare PPO, WC
  • Coventry National/Coventry Health Plans, PPO W/C
  • Delphi (Preston) PPO
  • Employers Coalition on Health (ECOH)
  • Employers Health Network PPO
  • First Health/CCN/Coventry National (Coventry Health Plans) PPO, WC
  • Galaxy Health Network PPO
  • Great West HMO, PPO, POS
  • Health Management Network (HMN)
  • HealthLink
  • HealthSpring (dual eligibles program)
  • HFN PPO, EPO, WC (includes NPPN, ECOH)
  • HMO Illinois
  • Humana HMO (Includes Choice Care, Choice POIS, HMOx)
  • Humana PPO (Includes PPO Smartnet)
  • Humana Medicare replacement plans
  • Humana MMAI (Medicare/Medicaid Duals) & ICP (Integrated Care Program)
  • Illinicare (Medicare Advantage and Medicaid HMO)
  • Illinois Breast & Cervical Cancer Program via McHenry County Board of Health (IBCCP)
  • Integrated Health Plan
  • Interplan Health Group/HealthSmart (formerly Preferred Plan)
  • Lake County Physicians Association-ER and outpatient services (Site 262)
  • LIFESYNCH (formerly Corphealth)**
  • Magellan Behavioral Health**
  • Managed Health Network**
  • Mercy Physicians Association (MPA) (Site 459)
  • Meridian
  • MHNet Behavioral Health**
  • MultiPlan PPO
  • Northern Illinois Health Plan PPO
  • Personal Care HMO, PPO (Coventry Health plans)
  • Perspectives Behavioral Health**
  • Preferred Network Access
  • PPO Next—PPO, EPO, WC
  • Private Healthcare Systems PPO, POS, EPO, W/C, Auto
  • Private Healthcare Systems SAVILITY
  • Providers First PPO
  • Three Rivers Provider Network PPO
  • Tricare-Prime/Extra/Standard Plans (Champus)
  • Tri-County (Mammograms only at CLMA or Huntley Imaging)
  • Unicare Health Plans HMO, POS, PPO, Healthlink via Unicare
  • United HealthCare: Select EPO/Select Plus EPO/POS, Choice/Choice Plus, Open Access, HMO/HMO Plus, Premier/Premier Plus, Select HMO, Select Plus HMO, Options PPO, Navigate, UHC Core
  • United Healthcare Medicare Advantage
  • United Healthcare Medicare Advantage Illinois Retired Teachers Plan only
  • United Behavioral Health**
  • Value Options Behavioral Health**
  • Wellpoint Behavioral Health**

 

Centegra Physician Care (CPC) accepts the following insurance carriers:

  • Aetna HMO, PPO, EPO, POS, NAP, Open Access
  • Aetna Medicare Advantage
  • Aetna Behavioral Health**
  • Aetna Better Health (Medicaid HMO)
  • The Alliance
  • American Specialty Health (chiro)
  • Beech Street/PPO Next
  • Blue Cross PPO, Blue Precision & Blue Choice (Excludes Med Select)
  • Cenpatico (Illinicare Behavioral Health carve-out)
  • Centegra Health & Wellness Network (HMOI & Blue Advantage) (Site 471)
  • Cigna HMO, PPO, POS, Open Access, Open Access Plus, New Business C-5
  • Cigna Local Plus
  • Cofinity PPO (PPOM)
  • Community Care Alliance (Medicare Advantage & Medicaid HMO)
  • ComPsych**
  • CorVel/CorCare PPO, WC
  • Delphi (Preston) PPO
  • Employers Coalition on Health (ECOH)
  • Employers Health Network PPO
  • First Health /CCN/Coventry National (Coventry Health Plans) PPO, WC
  • Great West HMO, PPO, POS
  • HealthLink
  • HealthSpring (dual eligibles program)
  • HFN PPO, EPO, WC (includes NPPN, ECOH)
  • HMO Illinois (Site 471)
  • Humana HMO (Includes Choice Care, Choice POS, HMOx)
  • Humana PPO (Includes PPO Smartnet)
  • Humana Medicare replacement plans
  • Humana MMAI (Medicare/Medicaid Duals) & ICP (Integrated Care Program)
  • Illinicare (Medicare Advantage and Medicaid HMO)
  • Illinois Breast & Cervical Cancer Program via McHenry County Board of Health (IBCCP)
  • Integrated Health Plan
  • Interplan Health Group/HealthSmart (formerly Preferred Plan)
  • LIFESYNCH (Formerly Corphealth)**
  • Mercy Physicians Association (MPA) (Site 459) Endo/Rheum/ER
  • Meridian
  • MultiPlan PPO
  • Northern Illinois Health Plan PPO
  • Personal Care HMO, PPO (Coventry Health plans)
  • Preferred Network Access
  • PPO Next—PPO, EPO, WC
  • Private Healthcare Systems PPO, POS, EPO, W/C, Auto
  • Private Healthcare Systems SAVILITY
  • Providers First PPO
  • Three Rivers Provider Network PPO
  • Tricare-Prime/Exxtra/Standard Plans (Champus) select panel
  • Unicare Health Plans HMO, POS, PPO, Healthlink via Unicare (all except HMO Performance)
  • United HealthCare: Select EPO/Select Plus EPO/POS, Choice/Choice Plus, Open Access, HMO/HMO Plus, Premier/Premier Plus, Select HMO, Select Plus HMO, Options PPO, Navigate, UHC Core
  • United Healthcare Medicare Advantage Illinois Retired Teachers Plan only
  • United Behavioral Health**
  • Value Options Behavioral Health**

Centegra Health & Wellness Network (CHWN)

CHWN provides its members with high quality, efficient, and personalized healthcare. CHWN includes access to a full continuum of conveniently located health services, from wellness and prevention to highly advanced treatments for cancer, diabetes, and cardiovascular disease. Visit Centegra Physician Care & CHWN to learn more.

Senior Health Insurance Program

Free Insurance Counseling for Seniors

In Illinois, there are 1.8 million Medicare beneficiaries and caregivers that wade through the troubled waters of today’s healthcare system confused, overwhelmed and frustrated about their insurance policies. As a result, some are drowning in medical bills. These people simply need an experienced individual to help them understand their policies.

Even people who are aware of the parameters of their health insurance coverage find they need assistance understanding the complexities of Medicare, which is most often the primary insurance for those over 65 or who are disabled.

SHIP, Senior Health Insurance Program, is a free insurance counseling service sponsored by the Illinois Department of Financial and Professional Regulation, Division of Insurance, for Medicare beneficiaries and their caregivers. The Illinois Department of Insurance trains SHIP counselors to:

  • Answer questions about Medicare, Medicare Supplement insurance, long-term care insurance, Medicare managed care plans (HMO, PPO & PFFS) and other health insurance
  • Answer questions regarding prescription drug coverage through Medicare D and other sources
  • Organize and assist in filing Medicare and Medicare Supplement claims
  • Analyze Medicare Supplement and long-term care insurance policies
  • Appeal claim denials
  • Answer questions about Illinois Cares, a state sponsored program to help with the costs associated with Medicare D. Counselors will also assist with the completion of Illinois Cares/Circuit Breaker applications
  • Answer question about Extra Help, a federal program to assist low-income seniors with the costs associated with Medicare D. Counselors will also assist with the completion of Extra Help applications

Patient Business Services is open Monday-Friday, 8:00 am-5:00 pm. For questions, or to schedule an appointment in McHenry County, call (815) 334-0460 or toll free at (888) 400-5722. To reach the SHIP hotline, call (800) 548-9034.

 

**Please note- Behavioral Health Facility Contracts are for South Street facility only.