Accepted Insurance Plans

Accepted Insurance Plans

Memorial Hospital East participates in the following managed care plans*:

Aetna Health, Inc. (includes Coventry Health)

Plan Names: Aetna Health Network only, Aetna Open Access HMO, Quality Point of Service (QPOS), Aetna Choice POS, Aetna Choice POS II, Aetna Health Network Option, Aetna Select, Open Access Aetna Select, Managed Choice, Aetna Open Access Managed Choice, Elect Choice, Aetna Open Access Elect Choice, Open Choice, Aetna Affordable Health Choices (PPO), National Advantage Program (NAP), Aetna Medicare HMO, Aetna Medicare HMO/POS, Aetna Medicare HMO-D-SNP, Aetna Medicare PPO, First Health
Type: HMO/POS/PPO/EPO

Anthem/Blue Preferred (formerly Blue Choice)

Type: HMO/POS

Anthem (BCBSMO) (aka Right Choice)

Plan Names: BLUE Access PPO, BLUE Access CHOICE PLUS, BLUE Card PPO, BLUE Card Traditional, Traditional/Indemnity, BLUE Preferred Options
Type: POS/PPO

Anthem (BCBSMO) (aka Right Choice)

Plan Names: Anthem, MediBlue HMO, MediBlue PPO, MediBlue Dual Advantage (HMO SNP)
Type: Medicare Advantage

Blue Cross Blue Shield of Illinois

Type: PPO/HMO

CIGNA HealthCare (includes Great-West Healthcare)

Plan Names: EPO, HMO, Network, HMO Open Access (Open Access), Network Open Access, OAP - In Network, FlexCare, HPOS (HMO POS & Network POS), HMO POS Open Access, Open Access Plus (Network Open Access Plus & Network POS Open Access Plus), POS Open Access (HMO POS Open Access & Network POS Open Access), PPO, PPO Plus, Preferred Provider Access, Preferred Provider Access Plus, Cigna Connect, Individual Family Plans (IFP) (except Memorial Hospital Belleville and Memorial Hospital East), SureFit
Type: HMO/POS/PPO/EPO

CoxHealth Network

Type: HMO/POS/PPO/EPO

Essence Healthcare

Plan Names: Essence Advantage HMO, Essence Advantage Plus HMO, Platinum product discontinued
Type: Medicare HMO

Health Alliance Medical Plans

Type:

  • Commercial – HMO, PPO, POS
  • Medicare – HMO/PPO
  • Medicare - POS

HealthLink

Type: HMO/HMO/POS/PPO/Open Access      

HealthNet Federal Services (Tricare West)

Plan Names: TRICARE Prime, TRICARE Prime Remote, TRICARE Young Adult Prime, TRICARE Standard, TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult Standard
Type: Military Plan

HealthSCOPE Benefits, Inc.

Type: PPO

HFN, Inc. (aka Zelis HealthCare)

Type: PPO

Humana ChoiceCare

Plan Names: Humana PPO, Humana National POS-Open Access, HumanaOne PPO
Type: PPO/POS

Humana Medicare

Plan Names: Humana Gold Plus HMO, Humana Choice PPO, Humana Choice Regional PPO, Humana POS All BJC Facilities and Service Organizations are participating providers in PPO and POS
Type: PPO/HMO/POS

Humana Military Services (Tricare East)

Plan Names: TRICARE Prime, TRICARE Prime Remote, TRICARE Young Adult Prime, TRICARE Standard, TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult Standard
Type: Military Plan

IlliniCare

Type: Medicaid

Meridian Health Plan

Type: Medicaid HMO

Missouri Care, Inc.

Type: Medicaid HMO

Molina Healthcare of Illiniois

Type: Medicaid

Multiplan, Inc. (includes Private Healthcare Systems-PHCS and Beech Street)

Type: Commercial PPO 

United Healthcare

Plan Names: AARP or UnitedHealthcare Medicare Solutions Medicare Complete HMO (H2802, PBP #028,032,033 / H2802 PBP #029), AARP or UnitedHealthcare Medicare Solutions Medicare Complete Choice Plan 1 PPO (H2228, PBP #030), AARP or UnitedHealthcare Medicare Solutions Medicare Complete Choice Plan 2 PPO (H2228, PBP #048), Care Improvement Plus (R3444, 008, 009, 011, 012), UnitedHealthcare Group Medicare Advantage NPPO group retiree product (H1509- PBP #801, 803, 804, 806-808, 819, 821 / H1537- PBP #816-817), UnitedHealthcare Group Medicare Advantage HMO group retiree product (H2802- PBP #804, 805, 806), UnitedHealthcare Nursing Home Plan (PPO SNP (H0710, PBP #016), UnitedHealthcare Dual Complete HMO-SNP (H0169, PBP #002)
Type: Medicare Advantage

United Healthcare

Plan Names: Choice, Choice +(including Navigate), Select, Select +, Options PPO, Core & Core Essential
Type: Commercial

If you have any questions, call (618) 257-5523

*As of 8.24.2020