Government Plans 2016
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1 Government Plans 2016 Use the site Find a Doctor and contact your insurance provider to verify participation. Definitions MMAI Persons eligible for Medicaid and, also called dual eligible. FHP Medicaid population of children, families and pregnant women (formerly TANF). ICP Older adults and adults with disabilities who are eligible for Medicaid but not eligible for. TriCare Population made of current or former active duty military personnel and their families. is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with end- stage renal disease. Medicaid Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources for medical care. Advantage A type of health plan offered by a private company that contracts with to provide Part A and Part B benefits. Plan Legend = Participating N = Not participating ^ = Referral required * NMH, NLFH and NMG are effective with United HealthCare for Advantage Plans eff 1/1/16, please contact United HealthCare for additional information for regarding plan options ** Northwestern Medicine Regional Medical Group(RMG), Primary Care Physicians (PCP), are no longer accepting new patients for these plans. RMG Specialists are accepting new patients if the patient has a referral from an RMG PCP or the PCP is on the medical staff at NMH, NLFH, CDH or Delnor. NMH = Northwestern Memorial Hospital NLFH = Northwestern Lake Forest Hospital NMG = Northwestern Medical Group NHC = Northwestern HealthCare (independent physicians at NLFH and NMH - please confirm the provider participation in your plan at the time of scheduling) CDH = Northwestern Medical Central DuPage Hospital Delnor = Northwestern Medicine Delnor Hospital RMG = Northwestern Medicine Regional Medical Group. Formerly known as Cadence Physician Group. # This includes select NMG Providers, verify at time of scheduling 251 East Huron Street, Chicago, Illinois 60611
2 Governmental Plans Plan Type NMH NLFH NMG NHC CDH Delnor RMG Medicaid Tricare - Prime Tricare - Prime Extra Tricare - Prime Remote Tricare - Prime Select Tricare - Prime Standard Tricare - Reserve Select Traditional N Traditional Medicaid N Plan N N N Plan N N N Plan Plan Plan Plan N N N N N N N N N N N N Advantage Plans Plan Type NMH NLFH NMG NHC CDH Delnor RMG Aetna -PPO Aetna -HMO Aetna -POS BCBS- Blue Advantage HMO (eff 1/1/15) BCBS -Choice Premier PPO BCBS -Choice Plus PPO BCBS -PPO Family Health Network Cigna HealthSpring Advantage HMO Cigna HealthSpring Premier HMO-POS Cigna HealthSpring Primary Plan IHMO Cigna HealthSpring Total Care HMO SNP Coventry Advantra Family Health Network HMO Health Alliance Humana Choice PPO Humana Gold Plus HMO Advantage Advantage Advantage Advantage N N N N N Advantage ^ ^ ^ N ^ ^ ^ Advantage N N N N N
3 Humana Gold Choice PFFS Humana Choice Meridian United HealthCare Group Advantage PPO United HealthCare AARP Complete Plan 1 United HealthCare AARP Complete Plan 2 Advantage Advantage Advantage /Medicaid Alignment Initiative Agreements (MMAI) Plan Type NMH NLFH NMG NHC CDH Delnor RMG Aetna Better Health MMAI ** Blue Cross Blue Shield MMAI N ** Cigna HealthSpring MMAI Meridian MMAI ** Family Health Plan (Formerly Temporary Assistance For Needy Families [TANF] and ACA Medicaid Expansion Plan Type NMH NLFH NMG NHC CDH Delnor RMG Aetna Better Health Blue Cross Blue Shield CountyCare Family Health Network Harmony Health Plan Health Alliance IlliniCare Meridian PsychHealth (FHN Behavioral Health) Cenpatico Expansion N ** Expansion ** Expansion N N N N Expansion ^ ^ ^ N ** Expansion N N N N N N N Expansion ^ ^ ^ N ^ ^ ^ Expansion N ** Expansion ** Expansion Expansion N N N Integrated Care Plan Plan Type NMH NLFH NMG NHC CDH Delnor RMG Aetna Better Health ICP N ** Cigna - HealthSpring ICP Blue Cross Blue Shield ICP ** Community Care Alliance of IL ICP ** CountyCare ICP N N N N Family Health Network ICP ^ ^ ^ N **
4 Health Alliance ICP ^ ^ 2 ^ N N N N 5 IlliniCare ICP N ** Meridian ICP ^ ^ ^ N ** PsychHealth (FHN Behavioral Health) ICP Cenpatico ICP N N N
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