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Health Plans Accepted

Carle Foundation Hospital, Carle Physician Group, Carle Hoopeston Regional Health Center, Carle West Physician Group, Carle BroMenn Medical Center and Carle Eureka Hospital may have separate contract arrangements in place and may or may not participate in all of the same insurance plans.

All patients are urged to verify their benefits and coverage with their insurance plan to determine whether services will be covered as in-network or out-of-network benefits.

Select a location to view accepted health plans in your area.

Location

Carle Health Plan Contracts - as of October 1, 2019.
Name Notes Carle Physician Group (CPG) Carle Foundation Hospital (CFH) Carle Hoopeston Regional Health Center (CHRHC) Carle BroMenn Medical Center (CBMC) Carle Eureka Hospital (CEH) Carle West Physician Group (CWPG)
Aetna Select PPO Products only Select PPO Products only All Non-Cap Products - including PPO, Work Comp, & Government Plans (i.e., Medicare, Medicaid, etc.) Commercial and Medicare Advantage plans Commercial and Medicare Advantage plans Commercial and Medicare Advantage plans
Beech Street Medicare Advantage PFFS and PPO only PPO (excludes Work Comp, Long Term Care, and Auto Medical Plans)
Blue Cross/Blue Shield of IL Traditional PPO and Blue Choice Preferred PPO only; Provider Participation Varies Traditional PPO and Blue Choice Preferred PPO only Traditional PPO and Blue Choice Preferred PPO only PPO/Blue Choice, EPO, Medicare Advantage, Medicare Select, Medicaid and Medicaid Duals products, HMO PPO/Blue Choice, EPO, Medicare Advantage, Medicare Select, Medicaid and Medicaid Duals products, HMO PPO/Blue Choice, Medicare Advantage, Medicare Select, Medicaid and Medicaid Duals products
Caterpillar Direct contract
CIGNA PPO
CorVel PPO Work Comp only PPO Work Comp and Auto Liability
First Health PPO Network (effective 1/1/12) Fully Insured PPO Products; HMO for tertiary care and approved care only; Work Comp (effective 1/1/12) Fully Insured PPO Products; Medicare Advantage and Worker's Comp May be designated by Coventry as a par provider in - HMO, POS, PPO, Self-Funded plans administered by health plan & member companies or by other payors, Work Comp, Medicare Advantage
Health Alliance Medical Plans All products Fully insured products, Self Funded, HMO, POS, PPO only Fully insured products, Self Funded, HMO, POS, PPO only Fully insured products, Self Funded, HMO, POS, PPO only
Health Alliance Medicare Advantage Medicare Advantage
HealthLink PPO PPO network PPO network PPO, CompManagement, Open Access II
HealthSCOPE Benefits, Inc. Direct contract for employer groups:
  1. Central Illinois Pipe Trades
  2. Heat and Frost Insulators Local 18 Health & Welfare Fund
(Par via BC/BS) (Par via BC/BS)
HFN/Zelis Commercial  & Work Comp Plans
Humana / Choice Care (Par via CPHP) Hospital & Roberts Clinic only on physician contract Commercial and Medicare Advantage plans Commercial and Medicare Advantage plans Commercial and Medicare Advantage plans
IlliniCare Health Medicaid Products & Medicare Duals Product
Meridian Health Plan Medicaid Products & Medicare Duals Product
Molina Healthcare of Illinois Medicaid Products 
MultiPlan / Private HealthCare Systems [PHCS] (combined agreement) PPO & Savility
TriCare (CHAMPUS) Administered by Humana Military Due to recent change from HealthNet to Humana Military – must call to confirm all facility & physician participation.
United Healthcare PPO PPO PPO Commercial and Medicare Advantage products Commercial and Medicare Advantage products Commercial and Medicare Advantage products
Wabash Memorial Hospital Association ONLY Direct Agreement Under CPG
Special Agreements
Name Notes Carle Physician Group (CPG) Carle Foundation Hospital (CFH) Carle Hoopeston Regional Health Center (CHRHC) Carle BroMenn Medical Center (CBMC) Carle Eureka Hospital (CEH) Carle West Physician Group (CWPG)
Amish (now Plain Church Medical Group and Amish Hospital Aid) Letter of Agreement for the following counties only: Coles, Douglas, Moultrie & Crawford only. Must have Plain Church Medical Group card or Amish Hospital Aid card for contractual discount to be applied. All others are Self Pay.
Med Cost Solutions Agreement for the counties of: Coles, Douglas, Moultrie and Crawford ONLY
Mennonite Agreement for the counties of: Coles, Douglas, Moultrie and Crawford ONLY
Samaritans Ministries International Letter of Agreement