UChicago Medicine's Accepted Insurance Plans
The University of Chicago Medicine participates in a variety of health insurance products and plans. If UChicago Medicine’s entities (including Comer Children's Hospital, Ingalls Memorial and the University of Chicago Physicians Group) are listed in your insurance company's network, you’ll be able to receive care at our facilities with your “in-network” benefits. That means your insurance company has agreed to accept certain negotiated rates, which can lower your out-of-pockets costs.
If your insurance network does not include UChicago Medicine, but has out-of-network benefits, you may have a higher out-of-pocket responsibility than if you receive services from an in-network provider.
Our list of accepted insurance providers is subject to change at any time. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Your insurance company's customer service representative can also help you verify your benefits, out-of-pocket costs and coverage.
Our Insurance Plans
The University of Chicago Medicine participates in a large number of health insurance products and plans. Please check the following lists to see if we accept your insurance.
We accept the following commercial/large group employer insurance plans:
| Commercial Insurance Plans | UChicago Medicine | Ingalls |
| Advantage Health Solutions HMO - Commercial Plans Only |
Y* | N |
| Advantage Health Solutions POS - Commercial Plans Only |
Y | N |
| Advantage Health Solutions Choice PPO - Commercial Plans Only |
Y | Y |
| Aetna Choice POS II |
Y | Y |
| Aetna Premier Care Network (APCN) Choice POS II |
N | Y |
| Aetna Premier Care Network Plus Choice POS II |
N | Y |
| Aetna Elect Choice EPO |
Y* | Y |
| Aetna Health Network Only |
Y | Y |
| Aetna Health Network Option |
Y | Y |
| Aetna HMO |
Y* | Y |
| Aetna Limited Benefits Insurance Plan PPO |
Y | Y |
| Aetna Managed Choice POS |
Y | Y |
| Aetna Meritain Health |
Y | Y |
| Aetna Open Access Elect Choice EPO |
Y | Y |
| Aetna Open Access HMO |
Y* | Y |
| Aetna Open Access Managed Choice POS |
Y | Y |
| Aetna Open Access Aetna Select |
Y | Y |
| Aetna Premier Care Network (APCN) Open Access Aetna Select |
N | Y |
| Aetna Premier Care Network Plus Open Access Aetna Select |
N | Y |
| Aetna Open Choice PPO |
Y | Y |
| Aetna Passport To Healthcare |
Y | Y |
| Aetna Quality Point-of-Service (QPOS) |
Y | Y |
| Aetna Savings Plus |
Y, Tier 2 |
Y |
| Aetna Select |
Y* | Y |
| Aetna Signature Administrators |
Y | Y |
| Aetna Student Health Plans |
Y | Y |
| Aetna Traditional Choice |
Y | Y |
| Aetna Voluntary Group Medical Plan (Indemnity Plan) |
Y | Y |
| ArcelorMittal Steel PPO |
Y | N |
| Baptist Health Network (Kentucky) PPO |
Y | N |
| BCBS Blue Advantage HMO [ADV] |
Y* | Y |
| BCBS BlueEdge HSA [PPO] |
Y | Y |
| BCBS BlueEdge Select HSA [BCS] |
N | N |
| BCBS BlueCard Program |
Y | Y |
| BCBS BluePrint PPO [PPO] |
Y | Y |
| BCBS Caterpillar |
Y | Y |
| BCBS Choice Options/Blue Options [BCO] |
Y, Tier 2 | Y, Tier 2 |
| BCBS Choice Select PPO [BCS] |
N | N |
| BCBS Federal Employee Health Benefits (FEHB) Basic Option |
Y | Y |
| BCBS Federal Employee Health Benefits (FEHB) FEP Blue Focus |
Y | Y |
| BCBS Federal Employee Health Benefits (FEHB) Standard Option |
Y | Y |
| BCBS HMO (HMOI) [HMO] | Y* | Y |
| BCBS PPO [PPO] |
Y | Y |
| Beech Street PPO |
Y | N |
| Cigna Choice Fund Open Access Plus |
Y | Y |
| Cigna Choice Fund PPO |
Y | Y |
| Cigna EPO |
Y | Y |
| Cigna One Health HMO |
Y** | Y |
| Cigna Local Plus |
N | N |
| Cigna Open Access Plus/Open Access Plus In-Network |
Y | Y |
| Cigna POS |
Y | Y |
| Cigna PPO |
Y | Y |
| City of Hammond Employees PPO |
Y | N |
| Cofinity PPO |
Y | Y |
| Community Health Alliance (Indiana) |
Y | N |
| Community Healthcare System PPO |
Y | N |
| First Health PPO |
Y | Y |
| Health Alliance HMO |
Y* | N |
| Health Alliance POS |
Y* | N |
| Health Alliance PPO |
Y | N |
| Health Care's Finest Network (HFN) |
Y | Y |
| Healthlink Open Access I (accessing the Unicare Agreement) |
Y | Y |
| Healthlink Open Access II (accessing the Unicare Agreement) |
Y | Y |
| Healthlink Open Access III (accessing the Unicare Agreement) |
Y | Y |
| Humana Choice POS |
N | Y |
| Humana ChoiceCare PPO |
N | Y |
| Humana EPO PPO Open Access |
N | Y |
| Humana HMO Premier / Premier Open Access |
N | Y |
| Humana HMO Select |
N | Y |
| Humana IL Platinum HMO |
N | Y |
| Humana National EPO |
N | Y |
| Humana National POS - Open Access |
N | Y |
| Humana PPO / Preferred PPO |
N | Y |
| Humana Preferred POS-Open Access |
N | Y |
| Imagine Health Smart E Network/SmartCare (Limited Network for Specific Employers) |
N | Y |
| Indiana Health Network PPO |
Y | N |
| Interplan Health Group (Owned by Health Smart) |
Y | Y |
| Lutheran Preferred PPO |
Y | N |
| Mohr Health Systems PPO |
Y | N |
| MultiPlan PPO |
Y | Y |
| PHCS PPO (Owned by Multiplan) |
Y | Y |
| PHCS Savility PPO (Owned by Multiplan) |
Y | Y |
| Preferred Network Access (PNA) for NECAIBEW Local Union 697 Only |
Y | Y |
| Preferred Plan, Inc. (Owned by Health Smart) |
Y | Y |
| Sagamore Health Network PPO |
Y | N |
| Select Health Network PPO |
Y | N |
| Southeastern Indiana Health Organization (SIHO) PPO |
Y | N |
| Three Rivers Provider Network PPO |
Y | N |
| Unicare HMO |
N | Y |
| Unicare POS |
Y | Y |
| Unicare PPO |
Y | Y |
| United Healthcare Affiliates through UHC PPO |
Y | Y |
| United Healthcare Charter |
N | N |
| United Healthcare Charter Plus |
N | Y |
| United Healthcare Choice HMO |
Y* | Y |
| United Healthcare Choice Plus (POS/PPO) |
Y | Y |
| United Healthcare Compass | N | N |
| United Healthcare Core |
N | Y |
| United Healthcare Navigate |
N | Y |
| United Healthcare Options (PPO) |
Y | Y |
| United Healthcare Select (HMO & EPO) |
Y* | Y |
| United Healthcare W500 Emergent Wrap |
Y | Y |
| University of Chicago Health Plan (UCHP) |
Y | Y |
Y-Contracted
N-Not Contracted
*Specialty care only with referral; No primary care
**Y, patients can have UCMC PCP. If PCP not at UCMC, specialists w/referrals only
We accept the following exchange or health insurance marketplace plans:
| Individual/Exchange Plans | UChicago Medicine | Ingalls |
| Aetna CVS: ChicagoLand Illinois HMO |
N | N |
|
Aetna CVS: ChicagoLand Illinois PPO (new plan for 2024) |
Y |
Y |
| Ambetter HMO | N | N |
| BCBS Blue Choice Preferred PPO [BCE] |
N | N |
| BCBS Blue FocusCare HMO [BFC] |
N | N |
| BCBS Blue Precision HMO [BAV] |
Y* | Y |
| BCBS BlueCare Direct with Advocate HMO [BHD] |
N | N |
| Cigna Connect HMO |
N | N |
| Oscar Health Choice |
Y** | Y |
| Oscar Health Select |
N | N |
Y-Contracted
N-Not Contracted
*Specialty care only with referral; No primary care
**Y, patients can have UCMC PCP. If PCP not at UCMC, specialists w/referrals only
We accept the following Medicare and Medicare Advantage insurance plans:
| Medicare/Medicare Advantage Plans | UChicago Medicine | Ingalls |
| Traditional Medicare | Y | Y |
| AARP Medicare Complete Access HMO | N | N |
| AARP Medicare Complete Plan 1 HMO | N | N |
| AARP Medicare Complete Plan 2 HMO |
N | N |
| Aetna Better Health Premier Plan MMAI |
N | N |
| Aetna Medicare Plan PPO | Y | Y |
| Aetna Medicare Prime Plan HMO | Y*** | Y*** |
| Aetna Medicare Prime Plan PPO | Y | Y |
| Ascension Complete IL (Centene Venture Health Plan) HMO | Y* | Y |
| BCBS Community MMAI | Transplant only | Y |
| BCBS Medicare Advantage HMO | Y** | N |
| BCBS Medicare Advantage HMO-POS | Y** | N |
| BCBS Medicare Advantage PPO | Y | Y |
| Cigna HealthSpring Medicare Advantage |
N | N |
| Humana Choice PPO |
Y | Y |
| Humana Community HMO |
N | N |
| Humana Employer HMO – Chicago |
Y* | Y |
| Humana Gold Choice PFFS |
Y | Y |
| Humana Gold Plus HMO – Chicago |
Y* | Y |
| Humana Gold Plus HMO – IN |
Y* | Y |
| Humana Health Plan MMAI |
N | N |
| Humana Medicare PPO/Employer PPO Plus |
Y | Y |
| Humana Total Care Advantage HMO |
N | N |
| Meridian Complete MMAI |
N | N |
| Provider Partners Health Plan |
Y | Y |
| UnitedHealthcare Group Medicare Advantage PPO |
N | N |
| UnitedHealthcare Nursing Home Plan HMO-POS SNP |
N | N |
| Zing Health |
N | Y |
Y-Contracted
N-Not Contracted
*If primary care provider is not a UChicago Medicine physician, referrals for specialist needed.
**, patients can have UCMC PCP (Site 753). If PCP not at UCMC, specialists w/referrals only.
*** Specialty care only with referral; No primary care
We accept the following Medicaid & HealthChoice Illinois plans:
| Medicaid | UChicago Medicine | Ingalls |
|---|---|---|
| Medicaid (Illinois) | Y | Y |
| Aetna Better Health |
Y* | Y |
| BCBS Community |
N | Y |
| CountyCare |
Y** | Y |
| Meridian |
N | N |
| Molina |
N | N |
| YouthCare (through Meridian) |
Y | Y |
Y-Contracted
Y*-Pediatrics and transplant-related care
Y**-In-network for pediatric primary and specialty care and adult specialty care only. Bariatric surgery not covered at UCMC only Stroger Hospital.
N-Not Contracted
To learn about your Medicaid health plan choices, call the Illinois Department of Healthcare & Family Services’ Client Enrollment Services at 877-912-8880 (TTY: 1-866-565-8576) or visit the website at www.enrollHFS.Illinois.gov.
If you have additional questions, contact our Office of Managed Care by email at managed.care@uchospitals.edu.
We accept the following behavioral health insurance plans:
| Behavioral Health | UChicago Medicine | Ingalls |
|---|---|---|
| Beacon Health Options | N | Y |
| Behavioral Health Systems | N | Y |
| ComPsych Inc. | N | Y |
| Magellan Health Services | N | Y |
| Managed Health Network (MHN) | N | Y |
| United Behavioral Health/Optum Health | Y | Y |
Y-Contracted
N-Not Contracted
We participate in the following transplant network plans:
- Aetna
- AIG Medical
- American Health Holding
- Blue Distinction Centers for Transplant (BDCT)
- Cigna LifeSource
- Community Healthcare System
- General Electric
- Interlink
- Kaiser Permanente
- Optum
- Southeastern Indiana Health Organization (SIHO)
- Tethys Health Ventures
- USA Network
- Zing Health (Medicare Advantage Plan)
Our list of accepted insurance providers is subject to change at any time. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Your insurance plan's customer service representatives can also help you verify your benefits, out-of-pocket costs and coverage. If you have questions regarding your insurance benefits at UChicago Medicine, please contact our financial counseling team at OPSFinancialCounseling@uchospitals.edu.
