Insurance Plans Accepted

Abbreviations Key While we strive to keep the following list of insurance plans regularly updated, we always advise contacting your insurance provider directly if you have any questions about coverage.

Last Updated: October 1, 2021

Partner Plans

OSF MedAdvantage

OSF MedAdvantage OSF MedAdvantage plans for Medicare-eligible individuals are administered by Health Alliance and managed locally, which means better care coordination for an overall total health care experience.

We’ve taken the experience of Health Alliance as a health insurer and combined it with the expertise and extensive network of OSF HealthCare, resulting in plans that help keep members healthy, and not just treat them when they're sick.

Looking for more information about Medicare plans accepted by OSF? See the drop-down menu below.

Non-Partner Plans

  • Behavioral Health Plans

  • Plan Location
    Beacon Health LCOM, SAHC
    Cigna Behavioral Health LCOM, SAHC, SEMC, HMMC
    Compsych LCOM, SAHC, SEMC
    Humana Behavioral Health LCOM, SAHC, SFMC
    Magellan LCOM, SEMC
    United Behavioral Health LCOM, SAHC, SEMC, SFMC

    OSF Saint Anthony's Health Center

    In addition to the list above, OSF Saint Anthony's Health Center in Alton, Illinois also accepts the following behavioral health plans.

    • AFSCME - Personal Support Program
    • Alton Mental Health
    • Alton School District
    • American Psychmanagement
    • Bensinger, Dupont & Associates
    • Chestnut
    • E4 Health
    • Empathia (NEAS)
    • Jersey Community Hospital
    • Mercy Behavioral Health
    • Mercy EAP Program
    • MH Net
    • National Maintenance & Repair
    • Personal Assistance Services
    • Preferred Behavioral Health
    • Preferred Resource Network
    • Resource Management Services
  • Commercial Plans

  • Plan Locations
    Aetna ALL
    Aetna State of Illinois
    (HMO, OAP, and QCHP products)
    ALL except SFH
    Ambetter LCOM
    Blue Cross Blue Shield - Blue Advantage LCOM(#242), SFMC (#476), SJH (#480), SJMC (#480)
    Blue Cross Blue Shield - Blue Precision LCOM(#242), SFMC (#476)
    Blue Cross Blue Shield - Commercial ALL
    Blue Cross Blue Shield - HMO Illinois LCOM(#242), SFMC (#476), SJH (#480), SJMC (#480)
    Blue Cross Blue Shield - PPO & EPO
    (Including Insurance Exchange Products -
    BCBS Premier, BCBS Solution, and BCBS Basic)
    ALL
    Blue Cross Blue Shield - Choice Select ALL except SFH
    Blue Cross Blue Shield - Choice Preferred ALL except SFH
    Blue Cross Blue Shield - State of Illinois OAP All except SFH
    Bright Health LCOM & MG in Cook County (effective 1/1/2022)
    Caterpillar PPO
    (Administered by United Healthcare)
    SAMC, SCMC, SEMC, SFMC, SJH, SJMC, SMMC, SPMC, CHOI, CVI, INI, MG, PC, OSF OnCall Urgent Care
    Cigna ALL
    Cigna - One Health HMO LCOM
    Cigna - Local Plus LCOM
    CMI SFH
    Cofinity ALL except SCMC, SLMC, HMMC, & SHMC
    Community Partners Health Plan for
    Christie Clinic Employees and the Amish (Immergrun)
    HMMC, SHMC
    Corvel ALL except LCOM & SFH
    Coventry LCOM
    Dean Health Plan SAMC & MG in Boone, OGLE, Stephenson, Whiteside and Winnebago Counties
    Employer's Coalition on Health (ECOH) -
    ECOH 1
    LCOM, SPMC
    Employer's Coalition on Health (ECOH) -
    ECOH 2
    LCOM, SAMC, SFMC, SPMC, CHOI, CVI, INI, MG, PC, OSF OnCall Urgent Care
    Employer's Coalition on Health (ECOH) -
    ECOH 3
    LCOM, SAMC, SFMC, SPMC, CHOI, CVI, INI, MG, PC, OSF OnCall Urgent Care
    First Health LCOM, SCMC, SAHC, SPMC, SFH
    Health Alliance Medical Plan ALL except LCOM & SFH
    Health Alliance Insurance Exchange (HMO/POS)
    (Excluding UnityPoint/Methodist Only Plans)
    ALL except LCOM & SFH
    HealthLink HMO/PPO/OAP HMMC, LCOM, SHMC, SAHC, SPMC
    HealthLink - State of Illinois OAP ALL except SFH
    Healthsmart/Interplan Health Group/PPI ALL except SFH
    HFN 10, HFN 20 ALL except SFH
    HFN CHC LCOM, HMMC, SCMC, SHMC, SAMC, SAHC
    HFN CHC - Elite ALL except SFH
    HFN CHC - Premier LCOM, SAHC, SCMC,
    HFN Platinum SAMC, SAHC, SCMC, SEMC
    HFN Worker's Compensation (including PPP) ALL except SFH
    Humana for OSF Employees
    (OSF Select)
    ALL
    Humana ALL (SFH through Cofinity)
    Imagine Health PPO LCOM
    MultiPlan ALL
    NX Health/Valenz
    (Monterey Mushrooms Employees Only)
    SCMC
    OSF Direct Access Network ALL except SFH
    Priority Health SFH
    Private Healthcare System (PHCS) ALL except SFH
    The Alliance ALL except LCOM, HMMC, SHMC & SFH
    UFCW Local #1546 LCOM
    Union Health Services LCOM
    United Healthcare &
    United Healthcare of the River Valley
    ALL (SAMC excludes Core & Navigate) (ALL excludes Essential, Virtual First, Value and Advantage Insurance Exchange plans
    Upper Peninsula Health Plan SFH
    WellFirst SAHC
    Western Area School Health Benefit Plan (WASBA) HFMC
  • Dual Medicare/Medicaid Plans

  • Plan Locations
    Aetna Better Health MMAI (f/k/a IlliniCare) ALL except SFH
    Blue Cross Community MMAI ALL except SFH
    Humana Gold Plus MMAI ALL except SFH
    Meridian Complete MMAI ALL except SFH
    Molina Healthcare MMAI ALL except SFH
  • Medicare Plans

  •  

    Need help navigating the complexities of Medicare?

     

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    Plan Locations
    Aetna Medicare ALL except SEMC (SEMC effective 12/15/2021)
    Ameri-Plus Select Services
    (Medicare Select Plan)
    SAMC
    Blue Cross Blue Shield Medicare Select HMMC, LCOM, SHMC, SAMC, SEMC, SFMC, SJH, SMMC
    Blue Cross Blue Shield Medicare Supplemental ALL
    Blue Cross Blue Shield Medicare Advantage HMO & PPO ALL
    Bright Health Advantage LCOM & MG in Cook County (effective 1/1/2022)
    Choice Care SFH
    Cigna Healthspring Medicare Advantage LCOM
    Clear Spring Health LCOM
    Dean Advantage SAMC, MG in Boone, Ogle, Stephenson, Whiteside and Winnebago Counties
    Health Alliance Medicare Advantage
    (Excluding UnityPoint/Methodist Only Plans
    and Simplete 1; OSF is Tier II for Simplete 2 and 3)
    ALL except LCOM & SFH
    Humana
    (Gold Choice, Choice)
    ALL
    Medicare Parts A and B (Traditional) ALL
    OSF MedAdvantage ALL except LCOM, HMMC, SHMC, SAHC & SFH
    Railroad Medicare ALL
    United Healthcare -
    AARP Medicare Complete
    HMMC, HFMC, LCOM, SCMC, SHMC, SLMC, SAHC, SPMC
    United Healthcare -
    Group Medicare Advantage PPO
    ALL
    United Healthcare -
    Medicare Select
    HMMC, LCOM, SHMC
    USA Senior Care
    (Medicare Select Plan)
    HMMC, LCOM, SAHC, SEMC, SJMC
    (Effective 1/1/2022)
    Wellcare (through 12/31/2022) ALL except SFH
    WellFirst SAHC
    Zing Health LCOM, SAMC, MG in Cook, Boone, Ogle, Stephenson, Whiteside and Winnebago Counties
  • Medicaid Plans

  • Plan Locations
    Aetna Better Health (formerly IlliniCare) ALL except SFH
    Anthem BCBS Indiana Medicaid SHMC, MG (Specialists)
    Blue Cross Blue Shield Community Health Plan LCOM, SCMC (through 3/31/22)
    County Care LCOM, MG in Cook County
    Illinois Medicaid ALL except SFH
    Indiana Medicaid SHMC, MG (Specialists Only)
    Meridian ALL except SFH
    Michigan Medicaid SFH
    Molina ALL except SFH
  • Military Plans

  • Plan Locations
    Veteran’s Care in the Community Program ALL

Disclaimer

OSF MedAdvantage is administered by Health Alliance – a Medicare Advantage Organization with a Medicare contract. Enrollment in OSF MedAdvantage depends on contract renewal. Other providers are available in our network. (H1463_21_91929)