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Accepted Insurances

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Does my insurance give me access to the quality care and physicians at Dreyer?

The providers at Dreyer Medical Clinic are approved by numerous health insurance and managed care plans. Specific questions about your health insurance should be directed to your employer's benefits counselor or to the plan's customer service or membership representatives.


HMOs:

  • Aetna Open Access HMO
  • Blue Cross Blue Shield of Illinois
    • Blue Advantage
    • HMO of Illinois (HMOI)
    • Blue Medicare Advantage HMO
  • Humana
    • Humana Medicare Gold Plus (Dreyer does not participate with Humana Gold Plus SNP)
    • Humana National HMO (fee-for-service)
    • Humana HMO

POS plans:

  • Aetna
    • Aetna Choice
    • Aetna Choice POS II
    • Aetna Open Access Managed Choice
    • Aetna Managed Choice Open Access POS
    • POS II
    • Managed Choice
    • Quality Point of Service (QPOS)
  • Great West
  • Health Alliance Medical Plans
  • Humana
  • Personal Care (for Provena Employees only)

PPO Networks:

  • Admar/BCE Emergis
  • Advocate PPO
  • Aetna
    • Aetna PPO
    • Open Choice PPO
  • Beech Street (merged with PPO Next)
  • Benefit Administrative Service
  • Benefit Systems & Services, Inc.
  • Blue Cross Blue Shield of Illinois
  • Capp Care
  • Cigna PPO
    • Orthonet is not contracted with Dreyer for physical therapy, occupational therapy, or speech therapy, and is considered out-of-network. Please inform us at your first appointment if you would like your out-of-network benefits billed.
  • City of Batavia
  • Coventry Health Care/First Health
  • Health and Welfare Network (through Preferred Plan)
  • Health Network/Wellmark/Emergis
  • Health Network America/HNA
  • Health Star
  • HFN DPA
  • Humana
    • Humana Choice Care PPO
    • Humana Gold Choice
    • Humana Medicare Advantage PPO
  • IHG - Preferred Plan (Interplan Health Group)
  • Imagine Health (SMART CARE)
    • Wal-Mart (SAMS) and Home Depot
  • Inetco
  • Multiplan
  • One Health Plan PPO
    • Anthem Health & Life
    • New England Financial
  • Preferred Health Network/PHN
  • Preferred Network Access
  • Private Health Care System/PHCS
  • ProAmerica (through Interplan)
  • Professional Benefit Administrators
  • Prunetwork/Prucare (through Interplan)
  • PPO Next
  • Savility
  • Three Rivers Insurance
  • Unicare PPO
  • UnitedHealthcare (out of network for behavioral health)
    • Basics Products
    • Choice
    • Choice Plus
    • Core PPO
    • Option PPO
    • Select
    • Select Plus
  • USA MCO (through Preferred Plan)

Governmental Plans:

  • Aetna Better Health - Dreyer is contracted for Nephrology patients only.
  • Harmony Health Plan - Dreyer does not participate with this plan
  • Illini Care - Dreyer is not contracted with IlliniCare
  • Illinois Department of Public Aid (IDPA, Medicaid) - Dreyer does not accept this insurance for new patients
  • Medicare - Dreyer is a participating provider (PAR) with Medicare.
  • Tricare (standard) (formerly known as Champus)


Open Access:

  • Cigna
    • Cigna Choice Fund OA Plus
    • Cigna Open Access Plus
  • Great West
  • Humana National POS - Open Access

Others:

  • Aetna
    • Aetna Better Health/ABD (Nephrology only)
    • Aetna Select Plans
    • Aetna Signature Administrators (ASA)
    • Cofinity
    • Elect Choice EPO
    • National Advantage Program
    • Open Access Elect Choice EPO
    • Traditional Choice
    • US Access
  • Humana National EPO
  • Medicare Private Fee-for-Service Plans (multiple)
  • Pronet (Provider Network of America) PPO/POS (through Preferred Plan)
  • Secure Horizons Direct from Pacificare

Self-Funded:

  • Argonaut PPO (Dreyer has a contract for worker's compensation only.)
  • Caterpillar PPO
  • City of Batavia PPO
  • Fox Metro PPO
  • Mooseheart PPO
  • Plano Molding PPO
  • Rockford Diocese PPO

Workers' Compensation:

  • Dreyer will submit appropriate billing to a designated insurance company or to the patient's employer.

Notes about insurance:

The Clinic is selective about the insurance companies with which it contracts to provide services. Managed care insurers typically cover preventive screenings that meet or exceed nationally accepted standards of practice. Some plans cover education expenses.

Today, most health plans require patients to pay for a portion of the services they receive. If your insurance requires copayments, please remember that these are due at the time of service.

The Dreyer Managed Care Department can help patients with many insurance and managed care questions, and can also submit health insurance claims on behalf of patients. They can be reached at 630-859-0400.


Last Updated on Wednesday, 20 November 2013 18:04
 

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