If you have BCBSIL Commercial PPO* (primary or secondary)
As of Nov. 17, 2021, any visit with Springfield Clinic providers will be out-of-network. This applies to all 600+ of our providers and all clinic locations and services.
As of Aug. 19, 2021, you will be out-of-network for services obtained at the outpatient Springfield Clinic Surgery Center in Springfield.
*Some employers have made arrangements allowing their employees currently enrolled in a BCBSIL PPO plan to continue accessing the Springfield Clinic Surgery Center and seeing their Springfield Clinic provider at in-network rates after November 17. Contact your HR administrator to determine if your employer has made such an arrangement.
You are not impacted and will remain in-network with Springfield Clinic if you have one of the following plans:
Blue Cross Community Health Plan (Medicaid)
Blue Cross Community Medicare Medicaid Alignment Initiative (MMAI)
BCBS HMO Illinois UnityPoint 457 (Peoria Specialty Providers Only)
BCBS Medicare Supplements
*If you have BCBSIL Medicare or Medicaid as a primary, secondary or supplementary insurance the details are more intricate and will vary based on your type of insurance plan. If you have Medicare as your primary insurance and a BCBS Federal Employee Plan as secondary, please call our Patient Advocate Call Center to discuss whether you're affected or not.
If you have BCBSIL Choice (primary or secondary)
As of July 1, 2021, any visit with Springfield Clinic providers will be out-of-network.
While Blue Cross Blue Shield Choice Members are out-of-network July 1, Blue Cross Blue Shield ultimately decides whether to process a claim at the in-network or out-of-network rate. We recommend that patients call the phone number on the back of their member cards to determine which network rate will apply to the visit/procedure/service. If you have any other BCBS Secondary or BCBS Medicare Advantage you will need to check with BCBS.