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Insurance Plans

The University of Chicago Medicine currently participates in the health insurance products listed below. Please note that this list is subject to change at any time. Patients are advised to contact their insurance company to confirm the University of Chicago Medicine's participation in their network prior to scheduling an appointment.

If the University of Chicago Medicine is not in your insurance company's network and your policy has out-of-network benefits, your services can be processed against these benefits. This means that you may have a higher out-of-pocket responsibility than if you receive services from an in-network provider. Your insurance company's customer service representative can help verify your benefits, out-of-pocket costs, and coverage.

Contracted Health Insurance Exchange Plans For 2017

• Health Alliance (HMO, PPO, POS)-This is for specialty care only. Patients will need an approved referral from Health Alliance prior to scheduling an appointment.
• Blue Precision HMO-This is for specialty care only. Patients will need an approved referral from Blue Precision prior to scheduling an appointment.

UCM is contracted with the following plans for 2016

Insurance Plan

Product Name

Network Status

Plan Type

Coventry

Bronze

In-Network

PPO

Coventry

Silver

In-Network

PPO

Coventry

Gold

In-Network

PPO

Harken Health

Care Bronze

In-Network Tier 2

PPO

Harken Health

Care Silver I

In-Network Tier 2

PPO

Harken Health

Care Silver II

In-Network Tier 2

PPO

Harken Health

Care Gold I

In-Network Tier 2

PPO

Harken Health

Care Gold II

In-Network Tier 2

PPO

Contracted Insurance Plans

Advantage Health Solutions Choice PPO - Commercial Plans Only

Advantage Health Solutions HMO - Commercial Plans Only, specialists w/referrals only, no PCP providers

Advantage Health Solutions POS - Commercial Plans Only

Aetna (Transplant)

Aetna Choice POS

Aetna Choice POS II

Aetna Elect Choice (EPO)

Aetna HMO - specialists w/referrals only, no PCP providers

Aetna Managed Choice (POS)
Aetna Medicare Advantage (PPO)

Aetna National Advantage Program (NAP)

Aetna Open Access Elect Choice (EPO)

Aetna Open Access Managed Choice (POS)

Aetna Open Access Select (HMO) - specialists w/referrals only, no PCP providers

Aetna Open Choice (PPO)

Aetna Quality Point of Service (QPOS)

Aetna Select (HMO) - specialists w/referrals only, no PCP providers

Aetna Signature (PPO)

Aetna Student Health (PPO)

Aetna USAccess (HMO) - specialists w/referrals only, no PCP providers

AIG Medical - (Transplant)

American Health Holding (Transplant)

Anthem BCBS (PPO)

ArcelorMittal Steel PPO

Baptist Health Network (Kentucky) PPO

Beech Street PPO

Beech Street Workers Compensation PPO

Blue Cross Blue Shield PPO

Blue Cross Classic Blue

Blue Distinction Centers for Transplant (BDCT) (Transplant)

Blue Choice Options (City of Chicago Labor Groups)-UCM is a 2nd Tier Provider

BCBS HMOI-Specialists w/referrals only, no PCP providers

BCBS HMOI-Specialists w/referrals only, no PCP providers

BCBS Medicare Basic (HMO)-Specialists w/referrals only, no PCP providers

BCBS Medicare Basic Plus (POS)-Specialists w/referrals only, no PCP providers

BCBS Medicare Premier Plus (HMO)-Specialists w/referrals only, no PCP providers

BCBS Medicare Choice Plus (PPO)

BCBS Medicare Choice Plus (PPO)

Cigna HealthSpring Medicare Advantage HMO-Primary care and Specialty

Cigna EPO

Cigna HMO - specialists w/referrals only, no PCP providers

Cigna LifeSource (Transplant)

Cigna Network (HMO) - specialists w/referrals only, no PCP providers

Cigna Network (POS)

Cigna Network Open Access (HMO) - specialists w/referrals only, no PCP providers

Cigna Open Access (HMO) - specialists w/referrals only, no PCP providers

Cigna Open Access (POS)

Cigna Open Access (PPO)

Cigna Open Access Plus (HMO) - specialists w/referrals only, no PCP providers

Cigna POS

Cigna PPO Plus

Cigna PPO: includes State of IL Teachers Choice Health Plan (TCHP), College Choice Health Plan (CCHP), Local Care Health Plan (LCHP)

City of Hammond Employees PPO

Cofinity PPO

Community Health Alliance (Indiana)

Community Healthcare System (Transplant)

Community Healthcare System PPO

Corvel (Worker's Compensation)

Coventry First Health PPO

Coventry Health Care of Illinois (PersonalCare) HMO - specialists w/referrals only, no PCP providers

Coventry Health Care of Illinois (PersonalCare) POS - specialists w/referrals only, no PCP providers

Coventry Health Care of Illinois (PersonalCare) PPO

Coventry National Network Mail Handlers Benefit Plan PPO

Coventry National Network PPO

Coventry Worker's Compensation

First Health PPO (Owned by Coventry)

Galaxy Health Network PPO (Excludes American Coalition)

General Electric (Transplant)

Great West Healthcare Open Access Plus (Owned by Cigna)

Great West Healthcare POS (Owned by Cigna)

Great West Healthcare PPO (Owned by Cigna)

Health Alliance HMO - specialists w/referrals only, no PCP providers

Health Alliance POS

Health Alliance PPO

Healthcares Finest Network (HFN) EPO

Healthcares Finest Network (HFN) PPO

Healthcares Finest Network (HFN) Workers Compensation

Healthlink PPO

Indiana Health Network PPO

Interlink (Transplant)

Interplan Health Group PPO

Kaiser Permanente (Transplant)

Lutheran Preferred PPO

Medicaid (Illinois)

Medicare

Mohr Health Systems PPO

Multiplan PPO (Formerly BCE Emergis/Admar Med Network/HealthNetwork)

Optum (Transplant)

Personal Care (Coventry) HMO - specialists w/referrals only, no PCP providers

Personal Care (Coventry) POS - specialists w/referrals only, no PCP providers

Personal Care (Coventry) PPO

Preferred Network Access PPO

Preferred Plan Inc. PPO

Private Healthcare Systems (PHCS) PPO (Owned by Multiplan)

Private Healthcare Systems (PHCS) Savility PPO (Owned by Multiplan)

Protocol Tertiary Network (Transplant)

Sagamore Health Network PPO

Select Health Network PPO

Southeastern Indiana Health Organization (SIHO) (Transplant)

Southeastern Indiana Health Organization (SIHO) PPO

Tethys Health Ventures (Transplant)

Three Rivers Provider Network PPO

United Healthcare Choice (HMO) - specialists w/referrals only, no PCP providers

United Healthcare Choice Plus (POS)

United Healthcare Open Access (PPO)

United Healthcare Open Choice (PPO)

United Healthcare Options (PPO)

United Healthcare Select (HMO) - specialists w/referrals only, no PCP providers

United Healthcare Select Plus (EPO)

United Healthcare Select Plus (POS)

United Healthcare Select Plus (PPO)

University of Chicago Health Plan (HMO) (Hospital and University Employees Only)

USA Network (Transplant)


Contact Us

Please contact us with any insurance questions.

Office of Managed Care
(773) 834-4730
managed.care@uchospitals.edu