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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, Carle Eureka Hospital and Carle Richland Memorial 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.

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

Location

Carle Health Plan Contracts - as of January 1, 2022.
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) Carle Richland Memorial Hospital (CRMH)
Aetna PPO, EPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, Work Comp, Medicare Advantage PPO PPO, EPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, Work Comp, Medicare Advantage PPO PPO, EPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, Work Comp, Medicare Advantage PPO HMO, PPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, NAP product, Medicare Advantage plans HMO, PPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, NAP product, Medicare Advantage plans HMO, PPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, NAP product, Medicare Advantage plans HMO, POS, PPO, Work Comp, Liability, Medicare Advantage PPO
Aetna Better Health Medicaid Products Only Medicaid Products Only Medicaid Products Only Medicaid Products Only Medicaid Products Only Medicaid Products Only Medicaid Products Only
Beech Street Medicare Advantage PFFS and PPO only
Benefit Support, Inc. TPA - Limited multiple employer groups
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, Medicaid and Medicaid Duals products, HMO PPO/Blue Choice, EPO, Medicaid and Medicaid Duals products, HMO PPO/Blue Choice, Medicaid and Medicaid Duals products HMO, PPO, Indemnity
Caterpillar Direct contract
Central States Health & Welfare Fund Direct contract
ChoiceCare Network HMO and PPO
CIGNA PPO PPO PPO PPO PPO PPO HMO and PPO
Claim Doc Direct Agreement with Rural King employees, headquartered in Mattoon, IL. 
Community Care Network (CCN) HMO, PPO
Community Partners Health Plan, Inc. Provider Participation Varies through a separate agreement with HAMP PPO network
CorVel PPO and Work Comp only PPO, Work Comp and Auto Liability Work Comp
Evolutions Healthcare Systems Work Comp, Self-Funded, Employee Welfare Benefit Plans
First Health PPO Network PPO Network PPO Network PPO Network PPO Network PPO Network PPO Network
Health Alliance Medical Plans Fully insured products, Self Funded, HMO, POS, PPO Fully insured products, Self Funded, HMO, POS, PPO Fully insured products, Self Funded, HMO, POS, PPO Fully insured products, Self Funded, HMO, POS, PPO Fully insured products, Self Funded, HMO, POS, PPO Fully insured products, Self Funded, HMO, POS, PPO Fully insured products, Self Funded, HMO, POS, PPO O, PPO
Health Alliance Medicare Advantage All Medicare Advantage plans All Medicare Advantage plans All Medicare Advantage plans All Medicare Advantage plans All Medicare Advantage plans All Medicare Advantage plans All Medicare Advantage plans
Health Alliance Simplete Medicare Advantage  Medicare Advantage  Medicare Advantage  Medicare Advantage  Medicare Advantage  Medicare Advantage  Medicare Advantage 
HealthLink PPO PPO PPO PPO, CompManagement, Open Access II HMO, PPO HMO, PPO HMO, PPO HMO, PPO
HealthSCOPE Benefits, Inc. Direct contract for employer groups:
  1. Central Illinois Pipe Trades
  2. Heat and Frost Insulators Local 18 Health & Welfare Fund
HealthSmart Benefit Solutions HMO, PPO, Work Comp, Indemnity
HFN/Zelis Commercial & Work Comp Plans Commercial & Work Comp Plans Commercial & Work Comp Plans Commercial & Work Comp Plans Commercial & Work Comp Plans Commercial & Work Comp Plans HMO, PPO, Work Comp
Hope Trust Direct Agreement. 
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 HMO, PPO
Humana Military/TriCare (CHAMPUS) Due to recent change from HealthNet to Humana Military – must call to confirm all facility & physician participation.
Insurance Administrators of America, Inc. [IAAI] PPO Network
McLane Company, Inc. Direct contract (Par via BC/BS)
Meridian Health Plan Medicaid Products & Medicare Duals Product Medicaid Products & Medicare Duals Product Medicaid Products & Medicare Duals Product Medicaid Products & Medicare Duals Product Medicaid Products & Medicare Duals Product Medicaid Products & Medicare Duals Product Medicaid Products & Medicare Duals Product
Methodist First Choice PHO network
Molina Healthcare of Illinois Medicaid Products and Medicare Duals Products Medicaid Products and Medicare Duals Products Medicaid Products and Medicare Duals Products Medicaid Products and Medicare Duals Products Medicaid Products and Medicare Duals Products Medicaid Products and Medicare Duals Products Medicaid Products and Medicare Duals Products
MultiPlan / Private HealthCare Systems [PHCS] (combined agreement) PPO & Savility PPO & Savility PPO & Savility PPO & Savility PPO & Savility PPO & Savility HMO, PPO
Schlarman Health Fund Direct Employer Agreement Par via Blue Cross Blue Shield; Participation Varies
Three Rivers Provider Network HMO, PPO, Work Comp
UFCW National Health and Welfare Direct Contract (Par via BC/BS)
Union Pacific Railroad Employes™ Health Systems Direct Agreement 
United Healthcare PPO PPO PPO Commercial and Medicare Advantage products Commercial and Medicare Advantage products Commercial and Medicare Advantage products HMO, PPO, Medicare Advantage
USA MCO, Inc. PPO, Work Comp
Wabash Memorial Hospital Association Direct Agreement 
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) Carle Richland Memorial Hospital (CRMH)
Amish (now Plain Church Medical Group and Amish Hospital Aid) Letter of Agreement for the following counties only: Coles, Douglas, Moultrie, Crawford, Cumberland, Jasper, Clark, and Richland only. Must have Plain Church Medical Group card or Amish Hospital Aid card for contractual discount to be applied. All others are Self Pay.
Christian Healthcare Ministries Direct Agreement. 
Med Cost Solutions Direct Agreement for Liberty HealthShare members only Direct Agreement for Liberty HealthShare members only Direct Agreement for Liberty HealthShare members only
Mennonite Agreement for the counties of: Coles, Douglas, Moultrie and Crawford ONLY
Samaritans Ministries International Letter of Agreement Direct Agreement Direct Agreement Direct Agreement Direct Agreement