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Health Plans Accepted

Carle Health is in network with a variety of regional and statewide insurance plans. However, network inclusion and tier status can vary.

Patients should take an active role in reviewing their health insurance options. It is important to review all plan choices carefully, confirm if Carle Health is within their network, and understand the applicable tier of coverage. Patients are advised to verify their benefits and coverage with their insurance plan to determine if services are covered as in-network or out-of-network benefits.

STATE EMPLOYEES: EXPLORE YOUR OPTIONS

Please note: While we strive to provide accurate and up-to-date information, it’s crucial to verify the details directly with your chosen health plan. For the most current information, please contact your benefit administrator. Information updated as of April 2025

Regional Descriptions
Central Region - inclusive of facilities located in Bloomington, Normal, El Paso, Eureka and surrounding communities
East Region - inclusive of facilities located in Champaign, Urbana, Mahomet, Danville, Monticello, Rantoul, Mattoon/Charleston and Hoopeston and its surrounding communities
South Region - inclusive of facilities located in Olney and surrounding communities
West Region - inclusive of facilities located in Pekin, Peoria, Morton, Washington and surrounding communities in the Greater Peoria area
LISTING OF LARGER IN-NETWORK NATIONAL AND REGIONAL PAYORS
Payor Name Plans/Products In-Network
Includes All Regions: Please see regional descriptions above.		 Plans/Products In-Network
Includes Only Select Regions: Please confirm coverage with plan administrator.
Aetna Commercial PPO, OAP, POS, CDHP, QCHP. Medicare Advantage PPO. Additional products: QPOS, Elect Choice, Open Choice, Managed Choice POS, Aetna Choice POS II, Aetna Select, Aetna Student Health, Aetna Signature Administrators, Joint Claims Administration, Meritain/Meritain Shared Adm Services, Passport Health and National Advantage Programs (NAP) Commercial HMO, FEHB, EPO In-Network only for South, Central and West Regions
Workers Comp In-Network only for East and South Regions. Medicare Advantage HMO In-Network only for Central and West Region.
Aetna Better Health Medicaid & Medicare/Medicaid Duals Products  
First Health (Aetna Rental Network) PPO Rental Network  
Blue Cross/Blue Shield of IL Commercial PPO, OAP, Blue Choice, Medicare Advantage PPO, BCBS Community (Medicaid & Medicare/Medicaid Duals products) Commercial HMO In-Network only for Carle BroMenn Medical Center and Carle Eureka Hospital in Central Region. Medicare Advantage HMO only In-Network for West Region.
CIGNA Commercial PPO and Self-funded  
Health Alliance Medical Plans Commercial PPO, HMO, POS, Self-funded, Exchange product. Medicare Advantage PPO & HMO.  
Humana/ Choice Care Carle Homecare and Hospice. Medicare Advantage HMO & PPO, Medicaid & Medicare/Medicaid Duals products in Central and West Regions.
Hoopeston Medicare Advantage HMO & PPO In-Network Hospital only in East Region.
Medicare Advantage HMO & PPO In-Network in South Region
Meridian Health Plan Medicaid & Medicare/Medicaid Duals and Youthcare Products  
Molina Healthcare of Illinois Medicaid & Medicare/Medicaid Duals Products  
TriWest (Tricare)   East Region only
United Healthcare Commercial PPO Medicare Advantage PPO & HMO in Central, West and South Regions.
United Behavioral Health   West Region only
OTHER IN-NETWORK PAYORS
Payor Name Plans/Products In-Network
Includes All Regions: Please see regional descriptions above.		 Plans/Products In-Network
Includes Only Select Regions: Please confirm coverage with plan administrator.
Beech Street   Medicare Advantage PFFS and PPO Carle Foundation Hospital only in East Region.
Benefit Support, Inc.   Employer group agreement In-Network for Covington Foods and Rogers Supply for Carle Foundation Hospital & Carle Physician Group only in East Region
Caterpillar   Central and West Regions only
Central States Health & Welfare Fund   Employer Group agreement In-Network for Carle Physician Group only in East Region
Community Partners Health Plan, Inc.   PPO In-Network Agreement only for Central and East Regions. Hoopeston is limited to physicians only
CorVel   Auto Liability, EPO, PPO-In Network for Carle Foundation Hospital only in East Region
South Region-EPO, PPO, Work Comp
Evolutions Healthcare Systems   Work Comp, Self-Funded, Employee Welfare Benefit In-Network only for South Region.
Healthlink Commercial PPO South Region - HMO and CompManagement also in-network
CompManagement and Open Access II in-network only for Carle Hoopeston Hospital in East Region.
Commercial HMO in-network for Central and West Regions.
HealthSCOPE Benefits, Inc.   Employer group agreement for Central Illinois Pipe Trades and Heat and Frost Insulators Local 18 Health & Welfare Fund In-Network for Carle Physician Group only in East Region
HFN/Zelis Commercial Auto In-Network in West Region only
Work Comp-South and West Regions only
Insurance Administrators of America, Inc. [IAAI]   PPO In Network for Carle Physician Group only in the East Region
Multiplan/Private HealthCare Systems [PHCS] Commercial PPO & Savility Commercial HMO In-Network only in the South Region
Three Rivers Provider Network   HMO, PPO, Work Comp In-Network only for the South Region
UFCW National Health and Welfare   Employer Agreement In Network for Carle Physician Group only in the East Region.
USA MCO, Inc.   PPO & Workers Comp In-Network only in South Region
Wellcare Medicare Advantage HMO/PPO in-network for West Region

Other limited agreements in some service areas.