MEDICAID NOTICE: Lurie Children’s continues to serve all patients enrolled in Medicaid. As a safety-net hospital, we will continue providing high-quality care to every child who needs us.

AVISO SOBRE MEDICAID: Lurie Children’s continúa atendiendo a todos los pacientes inscritos en Medicaid. Como hospital perteneciente a la red de protección social, continuaremos brindando atención de alta calidad a cada niño que nos necesite.

Commercial Plans We Accept

Important Information About the Plans We Accept

Determining health care benefits and coverage is very complicated. It is best to verify your coverage by reviewing your plan’s benefit book or contacting your plan’s customer service department for details on:

  • Eligibility
  • Member’s financial responsibility:  deductible, co-pay and co-insurance
  • Plan’s policy for referrals, prior-authorization or precertification 
  • Covered and non-covered services
  • Network status of providers

Please note, insurance plans are subject to change. Please call the member services phone number on your insurance card to verify if your plan is part of our network.

Specialty Networks

Insurance companies may utilize specialty networks for some services, including but not limited to: mental health, rehabilitation (therapy), eye and/or dental care. Please be sure to call your insurance company before making an appointment to confirm that both the hospital and provider are covered by your plan.

Changes to your Insurance Coverage

Please notify Lurie Children's about any changes to your insurance as soon as possible.

Browse plans below:

A | B | C | H | I | M | P | S | U | W


A

Aetna

  • Choice POS (includes HealthFund Plans)
  • Choice POS II (includes (HealthFund Plans)
  • Elect Choice
  • Health Network Only (includes HealthFund Plans)
  • Health Network Option (includes HealthFund Plans)
  • HMO
  • IL Preferred
  • Managed Choice POS
  • NAP
  • Open Access Elect Choice (includes HealthFund Plans)
  • Open Access HMO
  • Open Access Managed Choice (includes HealthFund Plans)
  • Open Access Select (includes HealthFund Plans)
  • Open Choice PPO (includes HealthFund Plans)
  • QPOS
  • Select
  • Signature Administrators PPO

Participating in the following Aetna Networks:  

  • Savings Plus
  • Performance Network
  • Premier Care Network
  • Premier Care Network Plus

The Alliance


B

Beech Street

Blue Cross Blue Shield
Please note: Blue Cross Choice PPO (with networks BCS & BCE) is not accepted/not contracted.

  • Blue Advantage HMO (Need a referral from a primary physician)
  • Blue Choice Options (Tier 2)
  • Blue Choice Unite Here Health - EIU (Group P16771 Only) 
  • Classic Blue
  • HMOI (Pending a referral from a primary physician)
  • Blue Precision HMO (Need a referral from a primary physician) 
  • PPO 

Participating in the following Network: 

  • High Performance Network 

C

Cigna

  • Choice Fund Open Access Plus
  • Choice Fund PPO
  • EPO
  • Network
  • Network Open Access
  • Network POS
  • Network POS Open Access
  • Open Access Plus
  • Open Access Plus
  • Network Open Access
  • PPO
  • Shared Administration Open Access Plus
  • Shared Administration PPO

Coventry Health Care


E

ECOH – Employers’ Coalition on Health


F

First Health


H

Health Alliance
(Please note: All products below require an approved referral from Health Alliance and the PCP)

  • HMO 
  • PPO

Healthlink

HealthSmart Preferred Care 

HFN

  • HFN 20/EPO
  • HFN 10/PPO
  • CHC

Humana

  • HMO
  • PPO
  • Choice POS
  • National POS – ​Open Access
  • National POS – Open Access Plus

I

Imagine Health (SmartCare)

Integrated Health Plan


M

MercyCare 
(Please note: All products below require an approved referral from MercyCare and the PCP)

  • EPO
  • HMO 
  • PPO 

Multiplan


P

PPO Next (Healthstar)

Preferred Health Network

PHCS - Private Healthcare Systems

Principal Healthcare PPO


S

Sagamore Health Network PPO

Security Health Plan

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U

United Healthcare

  • Allsavers Health Plan
  • Choice
  • Core
  • Core Essential
  • Doctors Plan
  • Edge
  • Golden Rule
  • Heritage/UHC of River Valley
  • Navigate
  • NexusACO OA/OAP
  • NexusACO R/RP (note: a referral from a primary physician is needed)
  • Options PPO
  • Select
  • Select Plus

W

WEA Trust

Wellmark PPO/Health Network

Cost Estimate Tool

Lurie Children’s understands that pricing for healthcare services can be complicated based on insurance coverage and specific plan details. We provide a cost estimation tool for our patient families to use. For any questions regarding estimates, please call 312.227.1333.