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Patient checking in with a receptionist handing an insurance card in a lobby area

    In-Network Insurance

    In-Network Insurance

    All patients are encouraged to verify their benefits with their plan administrator. For the most accurate and up-to-date information please contact your insurance carrier (refer to your insurance membership card for contact information) or human resource department to see if Springfield Clinic providers are considered in-network for your plan.

    Participating commercial plans

    • Aetna, Including:

      • Aetna - HMO & PPO & ACA/Exchange Plans

      • Meritain Health & First Health Network

    • Blue Cross Blue Shield - PPO (see BCBS in-network breakout below)

    • CIGNA - HMO & PPO

    • Consociate Care - PPO

    • Current Health

    • Health Alliance Medical Plans - HMO, PPO, POS & ACA/Exchange Plans (through 12/31/25)

    • HealthLink - OAP & PPO

    • HealthSmart

    • HFN - PPO

    • HOPE Trust

    • Multiplan/PHCS

    • Springfield Clinic Advantage

    • UnitedHealthCare, Including:

      • UnitedHealthCare - HMO & PPO

      • UMR & GEHA

    State of Illinois Employees

    • Aetna - HMO & OAP

    • BCBS Blue Choice Plan - Tier 2 Provider (see BCBS in-network breakout below)

    • Consumer Driven Health Plan (CDHP) - Administered by Aetna

    • Health Alliance Medical Plans - HMO (through 6/30/25)

    • HealthLink - OAP 

    • Quality Care Health Plan (QCHP) - Administered by Aetna

    Exchange/Marketplace Plans

    • Aetna Marketplace Plans

    • Health Alliance Marketplace Plans (through 12/31/25)

    Medicaid Managed Care products

    • Blue Cross Community Health Plans (see BCBS in-network breakout below)

    • Blue Cross Community MMAI (see BCBS in-network breakout below)

    • Humana MMAI plan

    • Meridian Health Plan

    • MeridianComplete (MMAI)

    • Molina

    • Molina Dual Options Medicare-Medicaid Plan

    • YouthCare

    Government plans

    • Tricare - Non-network providers

    • VA/Optum VACCN - VA Choice/Patient-Centered Community Care Programs

    Medicare

    Medicare enrollees considering their Medicare Advantage options have the comfort of knowing that Springfield Clinic — all doctors, all services, all locations including the Ambulatory Surgery Center unless otherwise indicated — participates in the following plans. Selection of any of these Medicare Advantage plans will ensure current Springfield Clinic patients have continuity of care and any new patients will be welcomed into Springfield Clinic’s circle of care.

    The following options are currently available:

    • Aetna Medicare Advantage: HMO and PPO

    • Cigna Medicare Advantage/HealthSpring: HMO and PPO

    • Health Alliance Medicare Advantage

    • Humana Medicare Advantage: PFFS, PPO and HMO

    • Medical Associates Health Plan (Cost)

    • UnitedHealthcare Medicare Advantage

    • WellCare Medicare Advantage

    Springfield Clinic Peoria Patients

    In addition to all plans listed, Springfield Clinic Peoria providers also participate in the following insurance plans:

    • Caterpillar Network administered by United Healthcare and BCBS

    • HealthPartners UnityPoint Health

    • OSF Direct Access Network

    • Health Plus (Specialty Providers Only)

    Blue Cross Blue Shield Coverage

    IN-NETWORK

    OUT-OF-NETWORK

    • PPO*

    • Medicare Advantage PPO & Group PPO (XOD & JLX)

    • Some Medicare Advantage HMO (XOJ)**

    • Medicare Supplement (XOS)

    • Blue Cross Community MMAI

    • Blue Cross Community Health Plan (Medicaid)

    • Choice*

    • HMO**

    *OSF Employee Health Plan Tier 2.

     

    **Excludes MCR ADV plans that are administered by the IPA's Duly and Loyola.

    *Some Choice plans, like the one offered to State of Illinois Employees, have Tier 2 benefits that allow patients to utilize the PPO network. This can be identified by "BCO" on the front of the card, as well as information

    concerning Tiered Plans on the back of the card. Please verify network status with BCBS.

     

    **Springfield Clinic Surgery Center (Peoria and Springfield) and a few providers are

    in-network with HMO. Please verify network status with Springfield Clinic's Patient Advocate Center at 217.391.7086.

    Frequently Asked Questions

    Contact Us

    Need assistance or looking for more information? Our team is here to help! Contact Springfield Clinic's Patient Advocate Center at 217.391.7086 Monday through Thursday 8:00 a.m. - 7:00 p.m., Friday 8:00 a.m. - 5:00 p.m. and Saturday 8:00 a.m. - 12:00 p.m.