Accepted Insurance Plans

Accepted Insurance Plans

Not all providers are enrolled with every carrier. Please inquire within the specific Memorial Medical Group physician group to ensure your carrier is accepted.

Aetna

  • Aetna HMO/Mcr Adv HMO
  • Aetna PPO/Mcr Adv PPO/Open Acc/POS

Anthem/BCBS of Missouri

  • Anthem-Mcr Adv/HMO
  • Anthem-PPO
  • BC Federal
  • BCBS of Illinois PPO

Cigna

  • Cigna PPO
  • APWU-HO
  • NALC
  • Great West

Essence HMO/HMO Plus

Group Health Plans 

  • GHP/HMO/POS
  • GHP/PPO/Select
  • GHP CMR/PPO
  • GHP Advantra/PPO
  • GHP Advantage/Gold (HMO & POS)
  • Carelink Select PPO
  • GHP/Mercy (effective 4-3-12)/HMO
  • Health Alliance

Healthlink

  • Assurant Health
  • BAS
  • Christian Brothers
  • Gallagher
  • GEHA
  • Epoch
  • Healthlink HMO
  • Healthlink PPO
  • Healthscope
  • IBEW #124
  • John Hancock
  • Meritain
  • Mutual of Omaha
  • Oper. Engrs #2, #513, #520
  • Plumbers/fitters #35, #101, #562
  • Principal
  • Right Choice
  • State of Illinois
  • Travelers
  • Trustmark
  • UFCW
  • Wellpoint
  • Zenith
  • HFN
  • HFN 10/PPO/ID
  • HFN 20/HMO
  • Humana
  • Humana HMO
  • Humana PPO/POS/Mcr Advantage
  • Humana ASO
  • Medicaid/IPA
  • Medicare Part B
  • MPN
  • PHCs/Multiplan
  • Railroad Medicare
  • Sterling

Tricare

  • Tricare Standard
  • Tricare Prime

United Healthcare

  • UHC HMO/Optum Choice
  • UHC PPO/Choice/Options/UMR
  • AARP
  • UHC River Valley/POS/Open Access/choice
  • UHC River Valley /PCP Plan
  • APWU-CDO/PPO
  • Golden Rule/United Health One/PPO

Coventry National

  • Mail Handlers/PPO
  • GHP Work Comp
  • GHP Auto
  • First Health/PPO
  • UPREHS/replaces Railroad Medicare
  • Personal Care/HMO
  • Mercy CCN (effect 4-3-12)/HMO

Dept. of Labor

  • FECA
  • Energy

SIHCA

  • BC of IL HMO

Definitions

Health Maintenance Organization (HMO): HMOs offer prepaid, comprehensive health coverage for both hospital and physician services. An HMO contracts with healthcare providers, e.g., physicians, hospitals, and other health professionals, and members are required to use participating providers for all health services. Members are enrolled for a specified period of time. Model types include staff, group practice, network, and IPA. 

Preferred Provider Organization (PPO): Some combination of hospitals and physicians that agrees to render particular services to a group of people, perhaps under contract with a private insurer. The services may be furnished at discounted rates and the insured population may incur out-of-pocket expenses for covered services received outside the PPO if the outside charge exceeds the PPO payment rate. 

Point-of-Service (POS): Also known as an open-ended HMO, POS plans encourage, but do not require, members to choose a primary care physician. As in traditional HMOs, the primary care physician acts as a "gatekeeper" when making referrals; plan members may, however, opt to visit non-network providers at their discretion. Subscribers choosing not to use the primary care physician must pay higher deductibles and copays than those using network physicians. 

Workers' Compensation: A state-mandated program providing insurance coverage for work-related injuries and disabilities.