Accepted Insurances
Listed below are those insurance payers and products with which Horizon
Health (Paris Community Hospital, Paris Clinic, Chrisman Clinic, Oakland
Clinic, and EZ Care) have direct participation agreements.
Horizon Health accepts Medicare and will file medical claims for all Medicare
Advantage Plans. Patients using Health Alliance or Humana Medicare Advantage Plans are
eligible for all services we provide, since we are contracted with these
plans. Patients using other Medicare Advantage Plans can be seen by our
providers but may be subject to limited coverage for elective surgery
and inpatient stays, which could result in greater out-of-pocket expense.
It is best to contact your plan to verify coverage and contracted providers.
Horizon Health accepts ONLY the following Illinois Medicaid Plans at our
Illinois locations (Horizon Health does not accept out of state Medicaid plans):
- Blue Cross Medicaid
- IlliniCare Medicaid
- Meridian Medicaid
- Molina Medicaid
- State of Illinois Medicaid
Horizon Health is In Network for the following commercial insurance plans: (Patient responsibility may vary according to plan. *The patient is advised
to contact the plan or check the plan’s website to verify if our
facilities are included in plan’s HMO.)
- Aetna/Coventry: HMO* & PPO
- Beech Street: PPO
- Blue Cross Blue Shield of Illinois (Traditional Plan): PPO
- Blue Cross Blue Shield: Blue Choice Preferred PPO
- Blue Cross Blue Shield: Out of State PPO
-
Cigna Healthcare: HMO* & PPO
- First Health
- Health Alliance: HMO* & PPO, including Exchange Plans
- Healthlink: PPO, State of IL HMO Tier 2
- HealthSmart: All Commercial plans
- Health Network, Inc: PPO
- Humana: HMO*, PPO, POS & EPO
- Multiplan: PPO
- SIHO
- Stratose: PPO
- Private Healthcare Systems, Inc (PHCS): PPO
- United Health Care: PPO
- VA Optum
According to the Illinois Insurance Code, “When a person presents
a benefits information card, a healthcare provider shall make a good faith
effort to inform the person if the health care provider has a participation
contract with the insurer, health maintenance organization, or other entity
identified on the card.” Under the Fair Patient Billing Act, Horizon Health must provide written
notice that:
- As a patient, you may receive separate bills for services provided by healthcare
professionals affiliated with Horizon Health. Ask about insurance coverage
for visiting specialists. Not all visiting providers follow the above
insurance list or are eligible for financial assistance/uninsured discounts.
-
Horizon Health will submit charges to all commercial carriers on your behalf.
If your plan is not listed, we may be
out-of-network, resulting in a higher out-of-pocket expense for you as determined by
your insurance carrier. Furthermore,
even if your insurance plan is listed, that is not a guarantee of in-network service.
-
It is your responsibility to verify your insurance coverage before your visit. When verifying coverage be sure to ask your insurance carrier if your
clinic provider and Paris Community Hospital are
IN-NETWORK. If not, it may result in a greater financial responsibility to you. This
applies to commercial plans only.
-
You are
STRONGLY encouraged to obtain information on out-of-pocket expenses by calling
your health plan using the toll-free telephone number on your insurance
identification card.
- Contact the Financial Assistance Coordinator to determine eligibility for
the Illinois Uninsured Discount or our Financial Assistance program.
Have questions about billing and insurance?
Hospital Billing Department
Medicare: (217) 466-4213 OR (217) 466-4301
Commercial, Liability: (217) 466-4367
Medicaid: (217) 466-4213 or (217) 466-4302
Workman’s Comp, Meals on Wheels, Private Pay: (217) 466-4298
Patient Accounts Manager: (217) 466-4310
Financial Assistance Coordinator: (217) 466-4257
