Listed below are those insurance payers and products with which Horizon
Health has direct participation agreements (In Network) at our
Illinois locations. Patient responsibility may vary according to plan. Out-of-network plans
may have higher expense for the patient. If your insurance plan is not
listed below, please call your insurance carrier to determine coverage.
Horizon Health accepts
Medicare and will file medical claims for all
PPO Medicare Advantage Plans. Patients enrolled in the Medicare Advantage plans listed below 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.
Horizon Health accepts other PPOs, Medicare Advantage Plans, Tricare, and
Humana PFFS not listed below.
It is best to contact your plan to verify coverage and contracted providers.
Horizon Health Illinois locations have direct participation agreements with the following plans:
State of
Indiana Medicaid (billed as secondary only for Illinois locations).
UnitedHealthcare
Commercial HMO, PPO & VACCN
Federal Military Plans
VA US Department of Veteran Affairs (VA Community Care Network) *Referral required
Tricare East
Tricare West
Tricare for Life
Champ VA
Optum VA *Referral required
Wellcare
Medicare Advantage (HMO/PPO)
Zelis—All products
Additional plans may be accepted at
In Network rates, including Aetna Medicare Advantage (Illinois state retiree plans
only), BCBS Texas (Simonton/ Cornerstone employee plans only), etc. Ask
about coverage when scheduling.
Horizon Health does not accept the following
Medicare/Medicaid (MMAI) plans.
Patients with these plans have 60 days to establish alternate coverage.
Illinois Meridian Medicaid (MMAI)
Illinois Aetna Medicaid (MMAI)
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.
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