|
You
are here: Home > Patients
> Accepted Insurance Providers
Accepted
Insurance Providers
Loyola
University Health System participates in a number of
managed care insurance plans**. Below are listed the
names of the largest managed care plans contracting
with Loyola. Patients are advised to contact their insurance
company before and appointment to verify individual
physician participation. If the physician is not listed
with the plan, please contact Loyola Department of Provider
Relations at (708) 216-3291. those plans shown with
an * indicated that a primary care physician (PCP) may
be chosen at Loyola for that particular HMO/POS product.
Please note that this list is not all-inclusive and
is subject to change at any time. If your plan is not
listed here, please call (708) 216-3291 for additional
information.
| Managed
Care Plans Accepted |
HMO |
POS |
PPO |
| BlueCross
/ BlueShield of Illinois PPO |
|
|
x |
Blue
Choice (POS)*
(May select Loyola PCP) |
|
x |
|
| CappCare
PPO |
|
|
x |
| Cigna
Health Plans |
x |
x |
x |
| Community
Care Network (CCN) |
|
x |
x |
| Employee
Health Systems, Inc. (EHS) |
|
|
x |
| First
Health Network (Affordable) |
|
x |
x |
| Harmony
Health Plan of Illinois |
x |
|
|
| Health
Marketing, Inc. |
|
|
x |
| Healthcare's
Finest Network |
|
|
x |
| HealthStar |
|
|
x |
HMO
Illinois*
(May select Loyola PCP) |
x |
|
|
| Humana
Health Care Plans |
x |
x |
x |
One
Health Plan of Illinois*
(May select Loyola PCP for HMO/POS) |
x |
x |
x |
| Personal
Care Insurance of Illinois |
x |
x |
x |
| Preferred
Health Network |
|
|
x |
| Preferred
Network Access |
|
|
x |
| Preferred
Plan |
|
|
x |
| Private
Health Care Systems (PHCS) |
|
x |
x |
| Rockford
Health Plans, Inc. |
x |
x |
x |
| State
of Illinois |
|
|
x |
| Unicare
Health Plans |
x |
x |
x |
United
Health Care*
(May select Loyola PCP for HMO/POS/Open
Access) |
x |
x |
x |
| USA
Health Network |
|
|
x |
| Wellmark-Health
Network |
|
|
x |
* A Loyola
Primary Care Physician can be chosen for the following
managed care plans:
HMO Illinois
(excludes Blue Advantage HMO or BC/BS HMO for Seniors)
One Health Plan HMO/POS
United Healthcare HMO/POS (exculdes non-MetraHealth
HMO/POS and United Medicare Complete HMO.MetraHealth
only)
**In accordance
with Illinois state legislation, Loyola University Health
System does allow open access to obstetricians and gynecologists
for women who have enrolled in an HMO consistent with
the HMO policy. Please contact your insurance company
for further information regarding the insurer's policy
on open access to obstetricians and gynecologists.
Obstetrics
Includes:
Services:
- an initial evaluation
- up to 12 subsequent
routine prenatal care visits
- any 23-hour admission
to rule out labor
- hospital admission for
delivery
- one postpartum visit
- emergency/emergent antenatal
admission for hypertension, metabolic disturbances,
pre-term rupture of membranes, third trimester bleeding,
preeclampsia
- genetic counseling with
amniocentesis for AMA, and/or abnormal triple testing,
and/or any other abnormalities
Tests:
- hemoglobin
- hemocrit
- blood type
- chlamydia
- hepatitis screen
- antibody screen
- Rapic Plasma Reagin
- rubella
- pap smear
- Gonococcus
- urine culture and sensitivity
- triple test if less
than 35 years
- amnio if over 35 years,
genetic counseling if amnio shows abnormalities
- 50 gram glucola
- rhogam x 1 if Rh negative
- perinatal strep screen
- one basic ultrasound
- repeat ultrasound for
third trimester bleeding, decreased fetal growth or
size greater than dates
- 3 hour glucose tolerance
test (GTT) if glucose screen abnormal
- 24 hour urine for proteinuria,
preeclampsia
- amniocentesis if history
of prior congenital or genetic abnormality
- targeted level II sonography
if prior history of congenital or genetic abnormalities
- Complete blood count
(CBC), liver function tests, fibrinogen and fibrin
split products for preeclampsia
- non-stress testing and/or
biophysical testing (may substitute contraction stress
test for biophysical profile) if post estimated date
of confinement, post dates, intrauterine growth retardation,
preeclampsia or decreased fetal movement
- HIV Testing
Gynecology
Includes:
Services:
Tests:
- pap smear
- cervical/vaginal culture
- CBC/HB/HCT
- UA
- urine culture
- pregnancy test
- quantitative serum HCG
- endometrial biopsy
- FSH/LH
- vulvar biopsy
- I and D abscess/cyst
- colposcopy (protocol
necessary)
- pelvic ultrasound
- routine mammogram over
the age of 50 years
|
