Accepted Insurances

Listed below are those insurance payers and products with which Horizon Health has direct participation agreements.

Horizon Health accepts Medicare and will file medical claims for all Medicare Advantage Plans. We participate with Health Alliance and Humana Medicare Advantage Plans. Patients enrolled in those plans are eligible for all services we provide, since we are contracted with these plans. We accept PPO advantage plans (other Medicare Advantage Plans), 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 is not currently In Network with Wellcare plans. ALL services—both clinic and hospital—must be authorized prior to the care being provided. To ensure proper processing, please mention that Wellcare is your insurance payor when scheduling your appointment.

Horizon Health is In Network for the following Medicaid (MCO) plans. Horizon Health does not accept out-of-state Medicaid plans:

• Illinois Blue Cross Medicaid
• Illinois Molina Medicaid
• Illinois Meridian Medicaid
• Illinois Aetna Medicaid
• State of Illinois Medicaid
• State of Indiana Medicaid (billed as primary for Indiana locations; secondary only for Illinois locations)

Horizon Health does accept the following Medicare/Medicaid Dual (MMAI) plans:

• Illinois Blue Cross Medicaid
• Illinois Molina Medicaid
• Illinois Humana Medicaid

Horizon Health does accept the following Medicare/Medicaid dual (MMAI) plans, 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.

• Illinois Meridian Medicaid
• Illinois Aetna 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 network.)

• 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:

1. 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.
2. 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.
3. 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.
4. 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.
5. Contact the Financial Assistance Coordinator to determine eligibility for the Illinois Uninsured Discount or our Financial Assistance program.

Have questions about billing and insurance?

(217) 466-4517

Workman’s Comp, Meals on Wheels, Private Pay: (217) 466-4298
Financial Assistance Coordinator: (217) 466-4257
Patient Advocate (Medicare & Medicaid Enrollment): (217) 466-4522