Rush Health - Contract Summary

Insurance Plans

Below is a list of insurance plans and the products that Rush participates with and the products that are non-contracted. For the list of Participating products, Rush is in your insurance company's network and you can receive care at Rush participating physician offices and hospitals at your in-network benefits level.

For the Non-contracted products, Rush is not in your insurance company's network, however, we are still happy to accept your insurance and provide you with services. If your policy has out-of-network benefits; your services can be processed against these benefits. This means that you may have a higher out of pocket responsibility than if you receive services from an in-network provider. Your insurance company's customer service representative can help verify your benefits and out-of-pocket costs. Should you require additional assistance regarding your out-of-pocket cost, we can provide you with financial assistance options.

If your insurance company is not listed here, or you have any other questions, please contact Contracts@Rush-Health.com.

Rush hopes we can be your health care provider of choice.

Printed 5/22/2019 7:56:39 PM

Insurance Plans	Comments
Aetna Participating products: Aetna - Illinois Preferred, Aetna Affordable Health Choices PPO, Aetna Choice POS , Aetna Choice POS II, Aetna Elect Choice EPO, Aetna Health Fund (AHF), Aetna Health Network Only, Aetna Health Network Option, Aetna HMO, Aetna Managed Choice POS, Aetna National Advantage Program (NAP), Aetna Open Access Aetna Select, Aetna Open Access Elect Choice, Aetna Open Access HMO, Aetna Open Access Managed Choice, Aetna Open Choice PPO, Aetna Passport to Health & Travel for Treatment (International), Aetna QPOS , Aetna Select, Aetna Signature Administrators PPO, Aetna State of Illinois PPO/HMO/OAP, Aetna USAccess		True	1	2	True
Aetna Non-contracted products: Aetna - Walmart Employees - Smartcare , Aetna Affordable Health Choices Indemnity, Aetna Choose and Save, Aetna Managed Choice Open Access - Savings Plus, Aetna Traditional Choice, Aetna Worker''s Comp Access		True	1	2	False
Aetna Medicare Advantage Participating products: Aetna Medicare Standard Plan PPO, Aetna Medicare Value Plan HMO, Aetna Medicare Value Plan PPO		True	1083	2	True
Beech Street Participating products: Beech Street PPO, ppoNEXT National Access PPO		True	3	2	True
Beech Street Non-contracted products: Beech Street Workers Compensation PPO, ppoNEXT Limited Benefit Plan, ppoNEXT National Access Plus, ppoNEXT Worker''s Compensation		True	3	2	False
Blue Cross Blue Shield Medicaid Participating products: BCBS Community Care Network - Medicaid		True	1086	2	True
Blue Cross Blue Shield of Illinois HMO-I Participating products: Blue Care Direct, Blue Cross Blue Shield of Illinois HMO Illinois, Blue Precision	Hospital and Specialist Referrals Only	True	4	1	True
Blue Cross Blue Shield of Illinois HMO-I Non-contracted products: Blue Cross Blue Shield of Illinois Blue Advantage HMO, Blue Cross Blue Shield of Illinois Blue Perform HMO, Blue Cross Blue Shield of Illinois Classic Blue HMO		True	4	1	False
Blue Cross Blue Shield of Illinois Medicare Advantage Participating products: Blue Cross Blue Shield Medicare Advantage Choice Plus PPO, Blue Cross Blue Shield Medicare Advantage Choice Premier PPO	Effective January 1, 2017	True	1082	2	True
Blue Cross Blue Shield of Illinois Medicare Advantage Non-contracted products: Blue Cross Medicare Advantage Basic HMO, Blue Cross Medicare Advantage Basic Plus HMO-POS, Blue Cross Medicare Advantage Premier Plus HMO-POS		True	1082	2	False
Blue Cross Blue Shield of Illinois PPO Participating products: Blue Cross Blue Shield of Illinois Blue Advantage Entrepreneur PPO, Blue Cross Blue Shield of Illinois Blue Advantage Health Plan PPO, Blue Cross Blue Shield of Illinois Blue Edge , Blue Cross Blue Shield of Illinois CMM, Blue Cross Blue Shield of Illinois EPO, Blue Cross Blue Shield of Illinois PPO, Blue Cross Blue Shield of Illinois PPO Hospital Network, Blue Options/Blue Choice Options (BCO)		True	4	2	True
Blue Cross Blue Shield of Illinois PPO Non-contracted products: Blue Choice Preferred Bronze PPO 105, Blue Choice Preferred Bronze PPO 106, Blue Choice Preferred Bronze PPO 107 - One $0 PCP visit, BLue Choice Preferred Bronze PPO 108, Blue Choice Preferred Gold PPO 101, Blue Choice Preferred Security PPO 100, Blue Choice Preferred Silver PPO 102, Blue Choice Preferred Silver PPO 103 - Three $0 PCP Visits, Blue Choice Preferred Silver PPO 104, Blue Choice Preferred Silver PPO 109 - Standardized, Blue Cross Blue Shield Basic 103, a Multi-State Plan, Blue Cross Blue Shield Medicare Select, Blue Cross Blue Shield of Illinois Blue Choice Select , Blue Cross Blue Shield of Illinois Community Participating Option (CPO), Blue Cross Blue Shield Premier 101, a Multi-State Plan, Blue Cross Blue Shield Solution 102, a Multi-State Plan, Blue FocusCare Bronze 104, Blue FocusCare Gold 101, Blue FocusCare Silver 102, Blue FocusCare Silver 103, Blue Precision Bronze HMO 103, Blue Precision Gold HMO 101, Blue Precision Silver HMO 102, Blue Precision Silver HMO 106, BlueCare Direct Bronze 103 with Advocate, BlueCare Direct Gold 101 with Advocate, BlueCare Direct Silver 102 with Advocate, BlueCare Direct Silver 104 with Advocate		True	4	2	False
Cigna Participating products: Cigna Choice Fund Open Access Plus, Cigna Choice Fund PPO, Cigna EPO, Cigna HMO, Cigna HMO Open Access, Cigna Network, Cigna Network Open Access, Cigna Network POS, Cigna Network POS Open Access, Cigna One Health, Cigna Open Access Plus, Cigna Open Access Plus In-Network, Cigna POS, Cigna POS Open Access, Cigna PPO		True	5	2	True
Cigna Non-contracted products: Cigna - LocalPlus, Cigna Connect 1200, Cigna Connect 2500, Cigna Connect 2750, Cigna Connect 6250, Cigna Connect HSA 5500, Cigna Fundamental Care, Cigna Indemnity, Cigna Medicare Access PFFS, Cigna Starbridge, Cigna US-IL Connect 3500, Cigna US-IL Connect 6650		True	5	2	False
Cigna Behavioral Health Participating products: Cigna Behavioral Health, Cigna Behavioral Health Non Cigna Payers		True	1075	2	True
Cigna/Allegiance - Rush Employees Participating products: Cigna - Allegiance Rush Employee Basic & Premier PPO, Cigna - Allegiance Rush Employee Select EPO		True	5	2	True
Corvel Participating products: Corvel Workers Compensation		True	1074	2	True
CountyCare Participating products: CountyCare		True	1077	2	True
Coventry Participating products: Coventry Health Care National Network, Coventry National Network Mail Handlers Benefit Plan, Coventry Worker''s Comp Services, First Health Network		True	24	2	True
Coventry Non-contracted products: Coventry Health Care of Illinois (PersonalCare), Medicare Advantra, Medicare Advantra Freedom PFFS		True	24	2	False
Great-West Healthcare Participating products: Great West Open Access Plus, Great West PPO, GWH-CIGNA Open Access Plus, GWH-CIGNA PPO		True	8	2	True
Healthcare's Finest Network Participating products: HFN 10 PPO, HFN 20 EPO, HFN Platinum, HFN Workers Compensation		True	9	2	True
Healthcare's Finest Network Non-contracted products: Healthcare''s Finest Medicare Select, HFN ID		True	9	2	False
Humana Participating products: (Humana HMO Select - Rush Health Specialist Only), (Humana Illinois Platinum HMO - Rush Health Specialists Only), ChoiceCare Network PPO, Humana Choice POS, Humana HMO Premier, Humana HMO Premier Open Access, Humana National POS - Open Access, Humana PPO, Humana Preferred POS-Open Access, Humana Preferred PPO		True	10	2	True
Humana Non-contracted products: Coordinated Care Network (CCN), Humana Gold Choice PFFS, Humana Gold Plus HMO, Humana Group Medicare HMO, Humana Group Medicare PFFS, Humana Group Medicare PPO, Humana Indemnity, Humana Medicare ChoicePPO, Humana Tri-Care		True	10	2	False
Meridian Participating products: Meridian - Medicaid		True	1088	2	True
MultiPlan Participating products: MultiPlan PPO, Private Healthcare Systems (PHCS) PPO		True	13	2	True
MultiPlan Non-contracted products: PHCS Savility, Private Health Care Systems - Healthy Directions		True	13	2	False
Preferred Plan Participating products: Preferred Plan PPO		True	17	2	True
United Healthcare Participating products: United Healthcare Affiliates Direct Billing, United Healthcare Choice, United Healthcare Choice Plus, United Healthcare Core, United Healthcare Golden Rule, United Healthcare Navigate, United Healthcare Options PPO, United Healthcare Oxford, United Healthcare Select, United Healthcare Select Plus, United Healthcare UMR		True	1073	2	True
United Healthcare Non-contracted products: United Healthcare Charter Plan, United Healthcare Indemnity, United Healthcare Medicare Advantage/Medicare Complete, United Healthcare Medicare Select, United Healthcare Nexus ACO		True	1073	2	False
USA Managed Care Organization Participating products: USA EPO, USA PPO, USA Workers'' Compensation		True	22	2	True
USA Managed Care Organization Non-contracted products: USA Managed Care Organization Medicare Select		True	22	2	False


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