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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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Location

Carle Health Plan Contracts - as of November 20, 2020.
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 PPO, EPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, Work Comp; Medicare Advantage Until 12/31/20 PPO, EPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, Work Comp; Medicare Advantage Until 12/31/20 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
Beacon Hill PPO and Medicare Advantage products
Beech Street Medicare Advantage PFFS and PPO only PPO (excludes Work Comp, Long Term Care, and Auto Medical Plans)
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, 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 HMO, PPO, Indemnity
Caterpillar Direct contract
Central States Health & Welfare Fund Direct contract (Par via BC/BS) (Par via BC/BS)
ChoiceCare Network HMO and PPO
CIGNA PPO PPO PPO PPO PPO PPO HMO and PPO
Community Care Network (CCN) HMO, PPO
Community Partners Health Plan, Inc. PPO network Provider Participation Varies through a separate agreement with HAMP
CorVel PPO 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 (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 HMO, PPO
Health Alliance Medicare Advantage All products
Health Alliance Simplete Medicare Advantage 
HealthLink PPO PPO network PPO network PPO, CompManagement, Open Access II 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
 (Par via BC/BS) (Par via BC/BS)
HealthSmart Benefit Solutions HMO, PPO, Work Comp, Indemnity
HFN/Zelis Commercial  & Work Comp Plans HMO, PPO, Work Comp
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
IlliniCare Health Medicaid Products & Medicare Duals Product
Insurance Administrators of America, Inc. [IAAI] PPO Network
McLane Company, Inc. Direct contract (Par via BC/BS) (Par via BC/BS)
Meridian Health Plan Medicaid Products & Medicare Duals Product
Methodist First Choice PHO network
Molina Healthcare of Illinois Medicaid Products 
MultiPlan / Private HealthCare Systems [PHCS] (combined agreement) PPO & Savility HMO, PPO
Schlarman Health Fund Direct Employer Agreement Provider Participation Varies Par via BCBS Par via BCBS
Three Rivers Provider Network HMO, PPO, Work Comp
TriCare (CHAMPUS) Administered by Humana Military Due to recent change from HealthNet to Humana Military – must call to confirm all facility & physician participation.
UFCW National Health and Welfare (effective 1/1/12) Direct Contract (Par via BC/BS) (Par via BC/BS)
Union Pacific Railroad Employes™ Health Systems ONLY Direct Agreement Under CPG
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 ONLY Direct Agreement Under CPG