Insurance Information

Gottlieb accepts many types of insurance, including policies from major insurers, dental and vision plans, Medicare replacement and supplemental policies, Medicaid, Affordable Care Act plans, and other coverage. Note: Most HMO plans require a referral from your primary care provider. Please check with your insurance carrier if you have questions about your benefits.

Find more information about insurance on our websites:​

*serviced by MedicareCompareUSA, an independent insurance agency that is not affiliated with the federal Medicare program. All services provided at no cost; MedicareCompareUSA and its affiliated agents are paid directly by the Medicare plan chosen by the beneficiary. 

 

List of Accepted Insurance Plans

INSURANCE OR PAYOR NAME    

TYPE OF PLAN

Aetna   

HMO

Aetna

PPO, including Aetna Open Access, Choice POS II, Choice Plus, QPOS, Open Choice, Elect Choice, Meritain POS

Aetna Signature Administrators

PPO

Beech Street

PPO

Blue Cross/Blue Shield Coordinated Home Care

Home Health Care

BlueCross/Blue Shield of Illinois

HMO (HMO of Illinois; Blue Advantage; Blue Precision)

BlueCross/Blue Shield of Illinois

PPO, including Blue Choice products

Blue Cross/Blue Shield Out-of-State (non-Illinois)

HMO

Blue Cross/Blue Shield Out-of-State (non-Illinois)

PPO

Christian Brothers Services

PPO

Cigna

HMO

Cigna

PPO

CoMed 

First Health

PPO

PPO

HealthLink

HMO

HealthLink

PPO

HFN Inc. (Healthcare's Finest Network)

PPO

HFN Inc. (Healthcare's Finest Network)

HMO, including Coordinated Care Network

Humana

PPO

LifeTrac Network

Transplant Network

Monastery of the Holy Cross

PPO

Optum Health

Transplant Network

PHCS

PPO

PPO Next

PPO

Preferred Network Access (PNA)

PPO

Preferred Plan Inc. (PPI)

PPO

Private Health Care Systems (PHCS)

PPO

Providers First PPO

PPO

Rockford Health Plans Inc.

HMO – Patient may be referred but cannot select Loyola primary care physician

Rockford Health Plans Inc.

PPO – Patient may be referred but cannot select Loyola primary care physician

RML (Rush MacNeal Loyola) Specialty Hospital

Specialty Hospital – hospital only

Select Health Network

HMO

Select Health Network

PPO

Student Insurance Loyola (Stritch School of Medicine)

PPO

Union Health Services Inc. (SEIU Local 25 and Local 1 Health and Welfare Fund)

HMO

Union Health Services Inc. (SEIU Local 25 and Local 1 Health and Welfare Fund)

PPO

United HealthCare

HMO

United HealthCare

PPO

US Steel – Garyworks

PPO specialists and hospital only

USA Managed Care

PPO

Village of North Riverside

PPO

HEALTHCARE MARKETPLACE EXCHANGE PLANS

Blue Choice products 

PPO

Blue Precision products

HMO

MEDICARE REPLACEMENT AND SUPPLEMENTAL PLANS

REPLACEMENT PLANS

 

AARP Medicare (through United Health Care) Replacement / Advantage

Medicare Complete Plan 1 and Plan 2

Aetna Medicare Replacement / Advantage

HMO, including Aetna Medicare Value plans

Aetna Medicare Replacement / Advantage

PPO, including Aetna Medicare Value plans and Aetna Medicare Standard plans

Blue Cross/Blue Shield Medicare Replacement / Advantage

HMO, including Blue Cross Medicare Advantage Basic, Basic Plus and Premium Plus

Blue Cross/Blue Shield Medicare Replacement / Advantage

PPO, including Blue Cross Medicare Advantage Choice Plus and Premier

Cigna Healthspring Medicare Replacement / Advantage

Humana Medicare Replacement / Advantage

Medicare Replacement / Advantage Plans

HMO, including Gold Plus – specialists only, referral required

Humana Medicare Replacement / Advantage

PPO, including Humana Choice and Gold Choice – specialists only

United Healthcare Medicare Replacement / Advantage

Wellcare Medicare Replacement / Advantage 

PPO, Group Medicare Advantage  plans

HMO

SUPPLEMENTAL PLANS

 

Loyola accepts most supplemental plans

When choosing a plan, please note that some Medicare supplements restrict which providers and hospitals will be covered as in-network.

MEDICAID AND OTHER TYPES OF COVERAGE AND PLANS

Access to Care 

Charity program that provides primary care to those who do not qualify for federal or state aid

Blue Cross/Blue Shield of Illinois

HealthChoice Illinois – Medicaid Managed Care

DCFS

State of Illinois program through the Department of Children and Family Service      

Early Intervention

Illinois Department of Human Services program for children up to age 3 who have developmental delays

Harmony

HealthChoice Illinois – Medicaid Managed Care

Medicaid

State program

Molina Healthcare 

HealthChoice Illinois – Medicaid Managed Care

 

 

MEDICARE / MEDICAID INITIATIVE PROGRAMS

Blue Cross/Blue Shield MMAI

Medicare / Medicaid Initiative Program (Duals) Medicare is primary care; Medicaid benefits are secondary.

 

 

MILITARY PROGRAMS

CHAMPVA

Program for disabled veterans and family members

 

 

VISION PLANS

Always Vision

Vision Plan

Starmount

Vision Plan

Frequently Asked Questions About Insurance

We hope you find all of the information you need here, but, if you need additional information, our provider relations staff can help answer your insurance-related questions. Provider relations can be reached by calling 708-216-5014.

If you have more questions, please call 888-584-7888. We'll put you in touch with the right person to answer your questions about health insurance, help you locate a doctor and provide general information.

How do I know whether Loyola Medicine is part of my insurance plan? 
Talk to a representative of the health insurance plan. Ask if the plan contracts with Gottlieb Memorial Hospital. If your health insurance plan requires you to use a primary care physician (PCP), ask your PCP to refer you to a Loyola-affiliated provider when necessary and appropriate. Loyola contracts with many providers.

How do I find a Loyola doctor who is in my health plan? 
Call us at 888-584-7888. We'll help you locate a doctor who meets your healthcare needs and participates in your insurance plan. 

With so many hospitals in the Chicago area, why should I choose Loyola Medicine? 
Our doctors can meet your healthcare needs, from preventive care to hospitalization, rehabilitation and home care. And with numerous locations offering both primary and specialty care, there is a Loyola doctor conveniently located near your home or work.

Is Loyola Medicine a health insurance plan? 
No. But Loyola works closely with several health maintenance organizations. Loyola contracts with many major health insurance plans, preferred provider organizations and point of service plans for their members' care. There are many health plans that give you access to Loyola doctors and services.

Still have questions?
Call us at 888-584-7888. We'll put you in touch with the right people to answer your questions about health insurance, help you choose a doctor and provide general information.

Our Obstetrics and Gynecology Policy

Obstetric care includes the following services:

  • An initial evaluation
  • Any 23-hour admission to rule out labor
  • Emergency/emergent antenatal admission for hypertension, metabolic disturbances, preterm rupture of membranes, third trimester bleeding, pre-eclampsia
  • Genetic counseling with amniocentesis for AMA, and/or abnormal triple testing and/or any other abnormalities
  • Hospital admission for delivery
  • One postpartum visit
  • Up to 12 subsequent routine prenatal care visits

Obstetric care includes the following tests:

  • 24-hour urine for proteinuria, preeclampsia
  • 3-hour glucose tolerance test (GTT) if glucose screen abnormal
  • 50 gram glucola
  • Amniocentesis if history of prior congenital or genetic abnormality
  • Amniocentesis if over 35 years, genetic counseling if amniocentesis shows abnormalities
  • Antibody screen
  • Blood type
  • Chlamydia
  • Complete blood count (CBC), liver function tests, fibrinogen and fibrin split products for preeclampsia
  • Gonococcus
  • Hemocrit
  • Hemoglobin
  • Hepatitis screen
  • HIV testing
  • Non-stress testing and/or biophysical testing (may substitute contraction stress test for biophysical profile) if post estimated date of confinement, post dates, intrauterine growth retardation, preeclampsia or decreased fetal movement
  • One basic ultrasound
  • Pap smear
  • Perinatal strep screen
  • Rapid plasma reagin (RPR)
  • Repeat ultrasound for third trimester bleeding, decreased fetal growth or size greater than dates
  • Rhogam x 1 if Rh negative
  • Rubella
  • Urine culture and sensitivity
  • Targeted level II sonography if prior history of congenital or genetic abnormalities
  • Triple test if less than 35 years

What Gynecology Care Includes

Gynecologic care includes the following services:

  • Pap smear
  • Visits

Gynecologic care includes the following tests:

  • Blood tests including CBC, HB and HCT
  • Cervical/vaginal culture
  • Colposcopy (protocol necessary)
  • Endometrial biopsy
  • FSH and LH tests
  • Incision and drainage (I and D) of abscesses and cysts
  • Pelvic ultrasound
  • Pregnancy test
  • Quantitative serum HCG
  • Routine mammogram over the age of 50 years
  • Urinalysis
  • Urine culture
  • Vulvar biopsy

Please contact your insurance company for more information regarding its policy on open access to obstetricians and gynecologists.