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