|
Beneficiary
Notification of Payer/Insurance Participation:
According to Public Act 93-0261 in the Illinois Insurance Code, “when
a person presents a benefits information card, a health care…provider
shall make a good faith effort to inform the person if the healthcare
provider has a participating contract with the insurer, health
maintenance organization, or other entity identified on the card.”
In
addition to Medicare and Medicaid, the list below is those payers
and insurance products with which we have participation agreements:
OSF
Saint Anthony Medical Center Contracted Health Benefit
Plans
January 1, 2006
|
Beech
Street
|
PPO |
Blue
Cross/Blue Shield
|
PPO
and Indemnity Medicare Supplement |
Caterpillar
|
PPO |
CHAMPUS/TRICARE
|
Indemnity |
City
of Sterling
|
PPO |
DeKalb
County Healthcare Purchasing Group
|
PPO |
Employers
Coalition on Health (ECOH)
|
PPO |
First
Health
|
PPO |
Healthcare
Finest Network (HFN)
|
PPO |
Humana/Choice
Care
|
PPO
and Indemnity Medicare Supplement |
MulitPlan/BCE
Emergis
|
PPO |
Northern
Illinois Health Plan
|
PPO |
OSF HealthPlans
|
HMO,
POS, PPO and Medicare PPO and HMO |
Partners
Health System
|
PPO |
Preferred
Plan, Inc.
|
PPO |
Private
Health Care System
|
PPO |
ppoNEXT
|
PPO |
Schnucks,
Inc.
|
PPO |
State
of Illinois
|
PPO |
Sterling
Community Unit School District #5
|
PPO |
| USA Health
Network |
PPO |
If the payer
identified on your insurance card is NOT listed above, OSF
Saint Anthony Medical Center does not have a participation
agreement with that particular insurer/payer. Be aware that
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. Some
insurers have adjusted their out-of-network fee schedules to
a very low
rate. If you receive services here, you are STRONGLY encouraged
to obtain information on out-of-network expenses by calling
the telephone number on your insurance identification card.
Call our
Patient Accounting department at (815) 395-5070 with questions.
|
