Insurance Information

Loyola University Health System (Loyola) can meet your health-care needs from preventive care to hospitalization, rehabilitation and home care. Loyola facilities and physicians accept most insurance plans, including many HMO, PPO and POS plans and Medicare.

Health insurance can be a confusing subject. Be sure to ask your plan administrator plenty of questions. If you’re not sure what to ask, we’ve developed some questions for you.

In addition, Loyola offers financial assistance and charity care for patients who require financial assistance or who are experiencing temporary financial hardship.

Loyola follows the laws of Illinois in allowing women enrolled in an HMO access to obstetricians and gynecologists. Read our OB/Gyne Policy.

If you still have questions, call us at (888) LUHS-888 and ask for extension 65014.

Largest Managed Care Plans Accepted	HMO	POS	PPO
Blue Cross/Blue Shield of Illinois HMO (also known as HMO Illinois)* (May select a Loyola PCP) (Excludes: Blue Advantage HMO)	x
Blue Cross/Blue Shield of Illinois Blue Choice POS*		x
Blue Cross/Blue Shield of Illinois PPO			x
Concentra/Beech Street/Capp Care PPO (Excludes: Best Benefits, CHBA, Christian Care Medi-Share, Plan Plus)			x
Concentra/ppoNext/PHN (Preferred Health Network) (Excludes: New Dimension Medical PPO, American Health Benefits, Family Care Health Savings Plan, Full Access, Health One, IAB, National Healthcare Plan)			x
Coventry Health Care/First Health (For McDonald's Corp. insureds only)			x
Cigna Health Care (includes State of Illinois)* (May select Loyola PCP)	x	x	x
Great West Healthcare* (May select a Loyola PCP) (Excludes: One Plan/Open Access)	x	x	x
Harmony Health Plan of Illinois (May not select a Loyola PCP)	x
Healthcare's Finest Network (HFN)			x
Humana (May select a Loyola PCP for “Humana National HMO” only)	x	x	x
Preferred Network Access			x
Preferred Plan (PPI) (Excludes: Pro Net, Pro America)			x
Private Health Care Systems (PHCS) (Excludes: Capella Group, For Your Good Health, Chamber Health, Advantage Care Plus)			x
Providers First PPO			x
Rockford Health Plans, Inc.	x	x	x
Unicare Health Plans (May not select a Loyola PCP)	x	x	x
United Health Care* (May select a Loyola PCP (excludes United Medicare replacement products))	x	x	x
USA Managed Care			x

*A Loyola Primary Care Physician (PCP) may be chosen for the following HMO/POS plans:

Blue Cross/Blue Shield HMO (excludes Blue Advantage HMO) Blue Cross/Blue Shield POS
Cigna Healthcare HMO/POS
Great-West Healthcare HMO/POS (excludes One Plan/Open Access)
Humana National HMO only (excludes all other Humana HMO/POS plans)
United Health Care HMO/POS (excludes United Medicare replacement plans)

OB/GYNE POLICY

**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
Rapid Plasma Reagin
Rubella
Pap smear
Gonococcus
Urine culture and sensitivity
Triple test if less than 35 years
Amniocentesis if over 35 years, genetic counseling if amniocentesis 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: