Health Plans Accepted

Carle Foundation Hospital, Carle Physician Group and Hoopeston Regional Health Center may have separate contract arrangements in place and may or may not participate in all of the same insurance plans.

All patients are urged to verify their benefits and coverage with their insurance plan to determine whether services will be covered as in-network or out-of-network benefits.

Carle health plan contracts – as of January 1, 2018
Name Notes CPG CFH CHRHC ALL
Aetna CFH & CPG: Select PPO Products only
CHRHC: All Non-Cap Products - including PPO, Work Comp, & Government Plans (i.e., Medicare, Medicaid, etc.)
      X
Amish (now Plain Church Medical Group) Letter of Agreement for the following counties only: Coles, Douglas, Moultrie & Crawford only. Must have Plain Church Medical Group card for contractual discount to be applied. All others are Self Pay.       X
Beech Street CFH: Medicare Advantage only
CHRHC: PPO (excludes Work Comp, Long Term Care, and Auto Medical Plans)
  X X  
Benefit Support, Inc. TPA - Limited multiple employer groups X X    
Blue Cross/Blue Shield of IL Traditional and PPO Provider Partcipation Varies X X X
Central States Health & Welfare Fund Direct contract X (Par via BC/BS) (Par via BC/BS)

X

CIGNA / Great West Healthcare PPO       X
Community Partners Health Plan, Inc. PPO network Provider Participation Varies through a separate agreement with HAMP X    
CorVel CPG: PPO Work Comp only
CFH: PPO Work Comp and Auto Liability
X X    
Coventry / Personal Care / First Health CPG: (effective 1/1/12)
Fully Insured PPO Products; HMO for tertiary care and approved care only; Tier 2 for State of Illinois OAP, Work Comp
CFH: (effective 1/1/12)
Fully Insured PPO Products; Medicare Advantage and Worker's Comp; Tier 1 for State of Illinois OAP
CHRHC: May be designated by Coventry as a par provider in - HMO, POS, PPO, Self-Funded plans administered by health plan & member companies or by other payors, Work Comp, Medicare Advantage
      X
Harmony Health Plan (a Wellcare Company) Medicaid Products       X
HealthSCOPE Benefits, Inc. Direct contract for employer groups:
  1. Central Illinois Pipe Trades
  2. Heat and Frost Insulators Local 18 Health & Welfare Fund
X (Par via BC/BS) (Par via BC/BS)
 
Health Alliance Medical Plans All products - Including Health Alliance Connect (ICP/SPD & FHP Plans)       X
Health Alliance Medicare Advantage Medicare Advantage       X
HealthLink PPO CPG & CFH: PPO network
CHRHC: PPO, CompManagement, Open Access II
      X
HFN & HFN Platinum CPG: PPO
CFH: PPO and Work Comp
      X
Humana / Choice Care CHRHC: Hospital & Roberts Clinic only on physician contract   (Par via CPHP) X  
Insurance Administrators of America, Inc. [IAAI] PPO Network X      
McLane Company, Inc. Direct contract X (Par via BC/BS) (Par via BC/BS) (Par via BC/BS)
Mennonite Agreement for the counties of: Coles, Douglas, Moultrie and Crawford ONLY X     X
Methodist First Choice PHO network   X    
Meridian Health Plan Medicaid Products       X
Molina Healthcare of Illinois Medicaid Products       X
MultiPlan / Private HealthCare Systems [PHCS]
(combined agreement)
PPO & Savility       X
OSF Employees via Humana QCP Open Access – OSF EMPLOYEES ONLY X      
Schlarman Health Fund Direct Employer Agreement Provider Partcipation Varies Par via BCBS Par via BCBS  
TriCare (CHAMPUS)
Administered by Humana Military
PPO & HMO   X X  
UFCW National Health and Welfare (effective 1/1/12)
Direct Contract
X (Par via BC/BS) (Par via BC/BS) (Par via BC/BS)
Union Pacific Railroad Employes™ Health Systems Direct contract with payor for this employer group only X (Par via BC/BS) (Par via BC/BS) (Par via BC/BS)
United Healthcare PPO       X
Wabash Memorial Hospital Association Direct contract for their railroad plan members X (Par via BC/BS) (Par via BC/BS) (Par via BC/BS)