Blue Cross Blue Shield Developments
Last updated 2/27/24
Springfield Clinic and Blue Cross Blue Shield of Illinois have agreed to a new five year agreement that will allow patients/members to return to in-network status at Springfield Clinic beginning on Jan. 1, 2024. This agreement is for most BCBS plans except Blue Choice. If you have questions about plans and in-network status, please contact Springfield Clinic's Patient Advocate Center at 217.391.7086.
IN-NETWORK (EFFECTIVE JAN. 1, 2024)
*OSF Employee Health Plan Tier 2.
**Please verify network status with BCBS as some of these plans including those associated with PHAI (Site #774) are out-of-network while other plans are in-network.
*Some Choice plans, like the one offered to State of Illinois Employees, have Tier 2 benefits that allow patients to utilize the PPO network. This can be identified by "BCO" on the front of the card, as well as information concerning Tiered Plans on the back of the card. Please verify network status with BCBS.
**Springfield Clinic Surgery Center (formerly known as Springfield Clinic Ambulatory Surgery Center) and a few providers are in-network with HMO. Please verify network status with Springfield Clinic's Patient Advocate Center at 217.391.7086.
Frequently Asked Questions
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 & ACA/Exchange Plans
Blue Cross / Blue Shield - PPO (in-network as of 1/1/24)
CIGNA - HMO & PPO
Consociate Care - PPO
Health Alliance Medical Plans - HMO, PPO, POS & ACA/Exchange Plans
HealthLink - OAP & PPO
HFN - PPO
Humana - Choice Care
Live 360 (Health Choices)
Medical Associates Health Plans
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
Blue Cross Community MMAI
Humana MMAI plan
Meridian Health Plan
Molina Dual Options Medicare-Medicaid Plan
Tricare - Non-network providers
VA/Optum VACCN - VA Choice/Patient-Centered Community Care Programs
Medicare enrollees considering their Medicare Advantage options have the comfort of knowing that Springfield Clinic — all doctors, all services, all locations including the Ambulatory Surgery Center unless otherwise indicated — 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 Medicare Advantage: HMO and PPO
Cigna Medicare Advantage: HMO and PPO
Health Alliance Medicare Advantage
Humana Medicare Advantage: PFFS, PPO and HMO
Medical Associates Health Plan (Cost)
UnitedHealthcare Medicare Advantage (effective 11/1/22 all plans will include the Ambulatory Surgery Center)
WellCare Medicare Advantage
Springfield Clinic Peoria Patients
In addition to all plans listed, Springfield Clinic Peoria providers also participate in the following insurance plans:
Caterpillar Network administered by United Healthcare and BCBS
HealthPartners UnityPoint Health
OSF Direct Access Network
Unity Point Accountable Care Plan – Medicare Advantage (Specialty Providers Only)
UnityPoint Health Plus (Specialty Providers Only)
Need assistance or looking for more information? Our team is here to help! Contact Springfield Clinic's Patient Advocate Center at 217.391.7086 Monday through Thursday 8:00 a.m. - 7:00 p.m., Friday 8:00 a.m. - 5:00 p.m. and Saturday 8:00 a.m. - 12:00 p.m.