Insurance Networks—Illinois Locations

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. 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:

PRINTABLE VERSION

• Aetna/Coventry—All commercial plans
• Aetna Better Health (IlliniCare Health)
  • HealthChoice Illinois Medicaid
• Blue Cross Blue Shield of Illinois
  • All traditional Indemnity plans
  • PPO plans
  • Blue Choice
• Blue Cross Blue Shield of Illinois Medicare Advantage—All HMO & PPO
• Blue Cross Blue Shield of Illinois Medicaid
  • HealthChoice Illinois Medicaid
• Blue Cross Blue Shield of Illinois Medicare/Medicaid (MMAI)
  • Blue Cross Community MMAI
• Cigna—All HMO & PPO
• Health Alliance—All HMO & PPO, including Exchange Plans
• Health Alliance Medicare Advantage—All products (except Simplete 1)
• HealthLink—All PPO products
• HealthSmart—All products
• Humana—All commercial HMO, PPO, POS & EPO products
• Humana Medicare Advantage—All products
• Humana Medicare/Medicaid (MMAI)
  • Humana Gold Integrated Plus MMAI
• Meridian Health Plan
  • HealthChoice Illinois Medicaid
• Molina Healthcare of Illinois Medicaid
  • HealthChoice Illinois Medicaid
• Molina Medicare/Medicaid (MMAI)
  • Molina Dual Options MMAI
• Multiplan
  • Private Healthcare Systems (PHCS)
• MyTru Advantage Medicare Advantage
• Southeastern Indiana Health Organization (SIHO)
  • All commercial PPO, except Union Hospital plans
  • Medicare Advantage
• State of Illinois Medicaid
• State of Indiana Medicaid (billed as secondary only for Illinois locations).
• UnitedHealthcare
  • All HMO, PPO & VACCN
• VA US Department of Veteran Affairs (Optum) *Referral required
• Wellcare Medicare Advantage
• 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:

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