Advocate Meridian Health Plan of Illinois

• Medicaid HMO

Aetna

• Aetna HMO/POS/EPO/PPO
• Aetna Open Choice PPO
• Aetna Choice POS
• Aetna Choice POS II
• Aetna HMO
• Aetna QPOS
• Aetna Select
• Open Access Aetna Select
• Aetna Elect Choice HMO (includes Aetna Health Funds)
• Aetna Open Access Elect Choice (includes Aetna Health
• Funds)
• Aetna Health Network Only
• Aetna Health Network Option
• Aetna Open Choice PPO

Aetna

• State of Illinois-SOI
• Aetna HMO (Formerly Coventry HMO) – SOI
• Aetna Choice POS II (Formerly Coventry OAP)-SOI
• Managed Choice POS
• Managed Choice Open Access PPO
• National Advantage Program (NAP)
• PPO Şignature Authority (ASA or SRC) PPO
• Aetna Whole Health
• Medicare Value Plan (PPO)
• Medicare Standard Plan (PPO)
• Medicare Open Access (HMO/POS)

Referrals and Claims managed/paid by Aetna

Beech Street / PPO Next PPO
Blue Cross Blue Shield Illinois

• BlueCare Direct HMO
• Blue Precision HMO
• Blue Advantage HMO
• HMO Illinois
• Blue Medicare Advantage Basic HMO
• Blue Medicare Advantage Basic Plus HMO-POS
• Blue Medicare Advantage Premier Plus HMO-POS
• Claims are paid by BCBS Illinois

Blue Cross Medicare Advantage PPO .

• Choice Plus PPO
• Choice Premier PPO

Blue Cross Community MMAI HMO (Medicare-Medicaid)
Cigna

• Cigna HMO / Network
• Cigna PPO
• Cigna Choice Fund PPO/EPO
• Open Access Plus/Choice Fund OA Plus POS
• Cigna C5 PPO

First Health EPO & PPO Cofinity PPO
Coventry HMO & PPO
HealthLink / Unicare PPO
HEN

• HEN Total Care PPO
• HEN PPO & EPO
• HEN Platinum EPO

HST Care Connect EPO

Humana

• Humana Select HMO
• Humana Platinum HMO
• Humana Advocate Centered HMO Plan
• Humana PPO
• Humana Preferred PPO POS-Open Access
• Humana Advocate Centered EPO Plan
• Humana Choice POS o Humana ChoiceCare/National PPO
• Humana National EPO/HMO/POS-Open Access
• Humana Premier HMO
• Humana Illinois CCN HMO
• Humana Medicare Advantage Plans
  • Humana Gold Plus – HMO >
  • HumanaChoice – PPO
  • Humana Gold Choice – Private Fee-for-service (PFFS)

PHCS & MultiPlan Inc. PPO

• Private Healthcare Systems (PHCS) PPO
• PHCS Savility PPO
• MultiPlan Inc. PPO
• PHCS & MultiPlans plans exclude PBA &

SEIU – Local 4 HMO & PPO
Union Medical (Local 1546) HMO
United Healthcare

• United Healthcare/Choice Plus/Select Plus POS
• United Healthcare Choice Select HMO
• United Healthcare Core PPO
• United Healthcare Options PPO
• United Healthcare Navigate HMO & POS
• United Healthcare HDHP Basics PPO
• United Healthcare Medicare Advantage
• Medicare Solutions PPO/Group Retirees
• United Healthcare Charter HMO
• United Healthcare NexusACO R and NexusACO OA
• Railroad Employees National Health & Welfare Plan- (Group 023000)

Railroad Employees The National Railway Carriers & United Transportation Union Health and Welfare Plan (Group 690100)

In-Network for United Healthcare Affiliate:

• Harken Health ChoicePlus

United Healthcare

• AARP Medicare Complete HMO
• AARP Medicare Complete ACCESS HMO
• AARP Medicare Complete Plan 1 HMO
• AARP Medicare Complete Plan 2 HMO