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Insurance Information

Loyola University Health System facilities and physicians accept most insurance plans, including many HMO, PPO and POS plans and Medicare.

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

We’ve shared answers to frequently asked questions that may help you.

Our Provider Relations staff can answer questions about insurance plans we accept: 708-216-5014.

Largest Plans Accepted

Insurance Provider

HMO 

POS 

PPO

Aetna Insurance

Blue Cross/Blue Shield of Illinois HMO (also known as HMO Illinois)
May select a Loyola Primary Care Provider (PCP)
Excludes Blue Advantage HMO

   

Blue Cross/Blue Shield of Illinois Blue Choice POS
May select a Loyola PCP

 

 

Blue Cross/Blue Shield of Illinois PPO

   

Cigna Health Care
Includes State of Illinois
May select Loyola  PCP

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

   

Concentra/Beech Street/Capp Care PPO
Excludes Best Benefits, CHBA, Christian Care Medi-Share, Plan Plus

   

Coventry Health Care/First Health
For McDonald's Corp. insured only

 

 

Healthcare's Finest Network (HFN)

   

Humana
May select a Loyola PCP for “Humana National HMO” only
Excludes all other Humana HMO/POS plans

Preferred Network Access

   

Preferred Plan (PPI)
Excludes Pro Net, Pro America

   

Private Health Care Systems (PHCS)
Excludes Capella Group, For Your Good Health, Chamber Health, Advantage Care Plus

   

Providers First PPO

   

Rockford Health Plans Inc.

Unicare Health Plans
May not select a Loyola PCP

United Health Care
May select a Loyola PCP.
Excludes United Medicare replacement products

USA Managed Care

   

 

Affordable Care Act Insurance

In addition, Loyola Medicine is affiliated with several plans offered through the Health Insurance Marketplace, including:

  • Blue Cross PPO
  • Blue Cross Choice
  • Blue Precision
  • Land of Lincoln Preferred
  • Co-Options Land of Lincoln National
  • Land of Lincoln Freedom
  • Humana Choice POS
  • Humana Chicago HMOx
  • United HealthCare Compass

Learn more about the Affordable Care Act.

Loyola Family Care

Loyola Family Care is a new health plan for qualified Illinois Medicaid recipients. Learn more about Loyola Family Care.

Our Obstetrics & Gynecology Policy

In accordance with Illinois state legislation, Loyola University Health System allows open access to obstetricians and gynecologists (OB/GYN) for women who have enrolled in an HMO consistent with the HMO policy. Please contact your insurance company for more information regarding the insurer’s policy on open access to obstetricians and gynecologists.

What Obstetrics Care 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, pre-eclampsia
  • 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
What Gynecology Care Includes

Gynecological services include:

  • Visits
  • Pap smear

Gynecological tests include:

  • 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