Patient checking in with a receptionist handing an insurance card in a lobby area

    In-Network Insurance

    Blue Cross Blue Shield Developments

    Springfield Clinic has been notified that Blue Cross Blue Shield of IL has terminated our existing commercial network agreements for our physicians and advanced practitioners at all locations.

    In-Network Insurance

    All patients are encouraged to verify their benefits with their plan administrator. For the most accurate and up-to-date information please contact your insurance carrier (refer to your insurance membership card for contact information) or human resource department to see if Springfield Clinic providers are considered in-network for your plan.

    Participating commercial plans

    • Aetna - HMO & PPO

    • Blue Cross / Blue Shield - PPO (BCBS has terminated this plan effective November 17, 2021 - Learn More)

    • CIGNA - HMO & PPO

    • Consociate Care - PPO

    • Current Health

    • Health Alliance Medical Plans - HMO, PPO & POS

    • HealthLink - OAP & PPO

    • HFN - PPO

    • HOPE Trust

    • Humana - Choice Care

    • Live 360 (Health Choices)

    • Medical Associates Health Plans

    • Multiplan/PHCS

    • UnitedHealthCare - HMO & PPO

    State of Illinois Employees

    • Aetna - HMO & OAP

    • Consumer Driven Health Plan (CDHP) - Administered by Aetna

    • Health Alliance Medical Plans - HMO

    • HealthLink - OAP 

    • Quality Care Health Plan (QCHP) - Administered by Aetna

    Medicaid Managed Care products

    • Blue Cross Community Health Plans

    • Meridian Health Plan

    • Molina

    • YouthCare

    Government plans

    • Tricare - Non-network providers

    • VA/Optum VACCN - VA Choice/Patient-Centered Community Care Programs

    Medicare

    Medicare enrollees considering their Medicare Advantage options have the comfort of knowing that Springfield Clinic — all doctors, all services, all locations — participates in the following plans. Selection of any of these Medicare Advantage plans will ensure current Springfield Clinic patients have continuity of care and any new patients will be welcomed into Springfield Clinic’s circle of care.

    The following options are currently available:

    • Aetna HMO, PPO

    • BCBS PHAI 773 Medicare Advantage HMO (through Sept. 30, 2021)

    • Health Alliance

    • Humana - Medicare PFFS, PPO, HMO

    • Medical Associates Health Plan (Cost)

    • UnitedHealthcare Medicare Advantage (some plans do not include the Ambulatory Surgery Center)

    Springfield Clinic Peoria Patients

    In addition to all plans listed, Springfield Clinic Peoria providers also participate in the following insurance plans:

    • Blue Cross Blue Shield HMO through site # 457 (Methodist First and UnityPoint)

    • Caterpillar Network administered by United Healthcare

    • HealthPartners UnityPoint Health

    • HealthSmart

    • OSF Direct Access Network

    • OSF Employee Health Plan (Humana – Tier 2)

    • Unity Point Accountable Care Plan – Medicare Advantage (Specialty Providers Only)

    • UnityPoint Accountable Care Plan – Walmart (Specialty Providers Only)

    • UnityPoint Health Plus (Specialty Providers Only)

    • WellCare

    Contact Us

    Need assistance or looking for more information? Our team is here to help! Contact Springfield Clinic Managed Care at 217.391.7086 weekdays between 8 a.m. and 5 p.m.