Orthoexperts.com
2018 Midwest Orthopaedic Consultants Participating Health PlansThis listing reflects current MOC contracts. However individual physician’s network participation may vary. In order to receive the highest level of benefits, PLEASE CHECK WITH YOUR HEALTH PLAN TO VERIFY PHYSICIAN PARTICIPATION. THIS IS NOT A GUARANTEE OF PAYMENTCOMMERCIAL PLANSPPO - Unrestricted Care, Physical Therapy, MRI/Advanced Imaging, Injections, Bracing HMO - Managed Care NEEDS REFERRAL, limited to in network facilities/hospitals, restrictions on boutique centers/surgery centersAetna: HMO, EPO, PPO, QPOS, Choice, Elect Choice, Managed Choice, Open Access, Open Choice, Select, Signature, Whole Health, Allied, Advantage, WholeBlue Cross Blue ShieldPPO, EPO: Blue edge, Select, Blue Options, Blue Print, Blue Security, Multi-State, Value Choice, BlueCare Direct HMOBlue Choice: Select PPO, Select Value, OptionsHMO: HMO Illinois Blue Advantage, Blue PrecisionFederal EmployeeLabor FundCigna: PPO, EPO, HMO, POS, Choice, Open Access, State of Illinois (note: we do not participate in Local Plus)CoreCare /CorVelCoventry Healthcare: PPO, EPODartFirst Health: PPO, EPOGreat West Healthcare: PPO, POS, Open AccessHealthlinkHFN: PPO, EPOHumana: HMO, PPO, POS, EPO, ChoiceCare, Premier, NationalMeritainMultiPlanMutual of OmahaPrivate Healthcare Systems (PHCS)TricareUnited Healthcare: Choice/Choice Plus POS, Core POS, Definity Health, Golden Rule, Midwest Security Administrators, Navigate HMO/POS, Options PPO, Oxford Health, Premier HMO, Select/Select Plus HMO/POSMEDICARE Covers 80%, 20% patient responsibilityMEDICARE ADVANTAGE PLANSAetna Medicare Advantage: HMO, PPOBlue Cross Blue Shield Medicare Advantage: Basic (HMO), Basic Plus (HMO-POS), Premier Plus(HMO-POS), Choice Plus PPO, Choice Premier PPOCoventry Medicare Advantage: HMO, PPOHumana Medicare Advantage: Gold Plus HMO, Gold Plus HMO/POS, Gold Choice PFFS, Choice PPO, Choice Regional PPOUnited Healthcare Medicare Advantage: HMO, PPO, AARP Medicare CompleteINSURANCE EXCHANGE PLANS / ADVOCATEBlue Cross Blue Shield: Blue Choice Preferred PPO (Bronze/Silver/Gold), Blue Precision HMO, Blue Care DirectUnited Healthcare: CompassWORKERS’ COMPENSTATIONMEDICAID (STATE FUNDED) AND DUAL-ELIGIBLE PLANS (MMAI, ICP)Blue Cross Blue Shield Community Options MMAI (Medicare/Medicaid Alignment Initiative)Humana MMAI (Medicare/Medicaid Alignment Initiative)Meridian ................
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