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 & ACA/Exchange Plans

    • HealthLink - OAP & PPO

    • HFN - PPO

    • HOPE Trust

    • Humana - Choice Care

    • Live 360 (Health Choices)

    • Medical Associates Health Plans

    • Multiplan/PHCS

    • Springfield Clinic Advantage

    • 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

    • MeridianComplete (MMAI)

    • Molina

    • Molina Dual Options Medicare-Medicaid Plan

    • 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 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 (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:

    • BCBS HMO UnityPoint Site 457 (Specialty Providers Only)

    • Caterpillar Network administered by United Healthcare

    • HealthPartners UnityPoint Health

    • HealthSmart

    • OSF Direct Access Network

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

    • UnityPoint Health Plus (Specialty Providers Only)

    Contact Us

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