Billing and Charity Assistance

Participating Insurance Plans

Beneficiary Notification of Payer / Insurance Participation:

According to Public Act 93-0261 in the Illinois Insurance Code, “[w]hen a person presents a benefits information card, a health care … provider shall make a good faith effort to inform the person if the health care provider has a participating contract with the insurer, health maintenance organization, or other entity identified on the card.”

OSF Saint Anthony Medical Center
Contracted Health Benefit Plans
January 1, 2012

Aetna Humana / Choice Care
Beechstreet {a.k.a: ppoNext, PHN, HealthStar, Viant} Medicare
Blue Cross / Blue Shield of Illinois {Indemnity, PPO & Medicare C} Medicaid
Care Improvement Plus Meridian Health Plan Inc.
Caterpillar Multiplan {a.k.a: BCE Emergis, Wellmark, PHCS}
CHAMPUS / Tricare {Standard Plan Only} Northern Illinois Health Plan (NHP)
Cigna {State of Illinois Only} OSF Direct Access Network (DAN)
Confinity Preferred Plan, Inc. / Interplan Health Group
DeKalb Co. Healthcare Purchasing Group Private Health Care System (PHCS)
Employers Coalition on Health {ECHO} Personal Care {State of Illinois QCHP Only}
Health Alliance (HAMP) Sterling Life Insurance Co.
Healthcares Finest Network (HFN) {Standard and Platnium Network} The Alliance
State of IL. Health Link OAP {Through HFN Platinum}

 

As you are aware, your choice of hospital may be regulated by preferred provider arrangements.  If the payer identified on your insurance card is NOT listed above, OSF Saint Anthony Medical Center does not have a participation agreement with your insurer / payer. 

When you elect to utilize the services of a non-participating provider for anything other than emergency services or services approved by the payer / insurer in advance, the basis of your benefit payment will be determined according to your insurance policy’s “out-of-network” fee schedule and you will be responsible for the balance.

If your insurance company is not listed above, if you have further questions or concerns, or if you need additional assistance understanding whether your insurance provider has a participating agreement with OSF Saint Anthony Medical Center, please feel free to call our Insurance Verification department at 815-395-4667 from 7:30am-4:00pm Monday through Friday. We can assist you with understanding your benefits and potential out of pocket expense.

Charity Assistance and Illinois Uninsured Discount

For information on charity assistance and Illinois uninsured discount please click here.