News & Announcements

    Important information about the insurance plans we will accept in 2017

    1/1/2018
     
    Determining health care benefits and coverage is very complicated. It is best to verify your coverage by reviewing your plan’s benefit book or contacting your plan’s customer service department for details on:
    • Eligibility
    • Member’s financial responsibility: deductible, co-pay and co-insurance
    • Plan’s policy for referrals, prior-authorization or precertification
    • Covered and non-covered services
    • Network status of providers
    Please be sure to call your insurance company before making an appointment to confirm that the provider is covered by your plan. At this time, we know that we will NO LONGER be in network for Individual Exchange Policies (as of January 1, 2017). We also will not accept public aid.

    Please note:  insurance plans are subject to change. Please call the member services phone number on your insurance card to verify if your plan is part of our network.
    2018 Commercial Plans Accepted at Lakeview Pediatrics?
    A  
    Aetna HMO Yes
    Aetna Elect Choice Yes
    Aetna Select Yes
    Aetna Managed Choice POS Yes
    Aetna QPOS Yes
    Aetna Health Network Only Yes
    Aetna Open Access Elect Choice Yes
    Aetna Open Access HMO Yes
    Open Access Aetna Select Yes
    Aetna Choice POS Yes
    Aetna Choice POS II Yes
    Aetna Health Network Option Yes
    Aetna Open Access Managed Choice Yes
    Aetna Open Choice PPO (including, but not limited to Aetna Signature Administrators® and Open Choice) Yes
    Aetna Voluntary Group Medical Plan (Indemnity Plan) Yes
    Aetna Performance Network Yes
    Aetna Premier Care Network Yes
    Aetna Traditional Choice Yes
    Aetna Savings Plus Yes
    Aetna Student Health Yes
    American Psych Systems - Behavioral Health (APS) No
    B  
    Beacon Health Options (Formerly Value Options) No
    Beechstreet (Viant) Yes
    BCBS - PPO Yes
    BCBS - Blus Advantage - PPO Yes
    BCBS - Blue Advantage - HMO No
    BCBS - Blue Choice Options No
    BCBS - HMOI No
    C  
    Cigna - PPO Yes
    Cigna - POS Yes
    Cigna - Network - POS Yes
    Cigna - HMO (or POS) Yes
    Cigna - EPO Yes
    Cigna Connect No
    Cigna - Choice Fund Open Access Plus Yes
    Cigna - Local Plus Yes
    Cigna - Network Open Access Yes
    Cigna- Choice Fund Open Access Plus Yes
    Cigna - HOM (or POS) Open Access Yes
    Cigna - Global Health Benefits Yes
    Cigna - Shared Administration PPO and OAP Yes
    Cigna Behavioral Health No
    Cigna - Open Access Yes
    Cigna - Open Access Plus Yes
    Cigna - GWH POS Open Access Plus Yes
    Cofinity No
    Compysch Behavioral Health No
    Coventry Health Care of Illinois HMO, PPO and POS (Hmo requires a referral) Yes
    Coventry Health Care -  National HMO, PPO and POS Yes
    Coventry Health Care - First Health HOM, PPO and POS PPO Only Coventry Health Care - WX (First Health) No
    CoventryOne Yes
    G  
    Galaxy Health Network PPO Yes
    H  
    Health Alliance No
    HFN - EPO (HFN20) Yes
    HFN - PPO (HFN10) Yes
    HFN - Workers Compensation Yes
    HFR-CHC / CHC Premiere / CHC Elite Yes
    HFN - Platinum  No
    HealthLink PPO and HMO Yes
    Humana - EPO  No
    Humana - Preferred PPO No
    Humana - National Preferred POS- Open Access  No
    Humana - Nationa POS Yes
    Humana- National POS -  Open Access No
    Humana - Choice POS Yes
    Humana - ChoiceCare PPO Yes
    Huanana - HOM Premier No
    Humana - Illinois Platnum HMO No
    Humana - HMO Select No
    I  
    Imagine Health  No
    Interplan (Chandlier / Preferred Plan / HealthSmart) Preferred Plan Only
    L  
    LifeSynch No
    M  
    Magellan  No
    Managed Health Network - Behavioral Health No
    MultiPlan Yes
    O  
    Optum Behavioral Health No
    P  
    Preferred Network Access No
    Private HealthCare System Yes
    U  
    United Healthcare - Choice  Yes
    United Healthcare - Choice Plus  Yes
    United Healthcare - Navigate No
    United Healthcare - Catalyst No
    United Healthcare - Charter  No
    United Healthcare - Compass No
    United Healthcare - Core No
    United Healthcare - Options PPO Yes
    United Healthcare - Select  Yes
    United Healthcare - Select Plus Yes
    United Healthcare Affiliates - Participate through UHC PPO Yes
    ​For information on insurance plans accepted at Northwestern Memorial Hospital, click here.  
    For information on insurance plans accepted at Lurie Childrens' Hospital, click here.  

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