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.
| 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:
|
(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 |
| 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 |