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Commercial Insurance is a type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance is often included in benefit packages through employers. Northwestern Medicine participates with a wide variety of commercial insurance plans to meet the needs of the patient community.

Aetna

Aetna Choice POS
Aetna Choice POS II
Aetna Elect Choice
Aetna EPO
Aetna Health Network Only
Aetna Health Network Option
Aetna HMO
Aetna Illinois Preferred Plan
Aetna Managed Choice POS
Aetna NAP
Aetna Open Access Elect Choice
Aetna Open Access HMO
Aetna Open Access Managed Choice
Aetna Open Choice PPO (including, but not limited to Aetna Signature Administrators® and Open Choice)
Aetna Performance Network (Tier 2)
Aetna Premier Care Network (Contact your insurance company)
Aetna Premier Care Network Plus (Contact your insurance company)
Aetna QPOS
Aetna Savings Plus (Tier 2)
Aetna Select
Aetna Student Health
Aetna Traditional Choice
Aetna Voluntary Group Medical Plan (Indemnity Plan)

Blue Cross Blue Shield

2024 Blue Cross Blue Shield - Blue Advantage HMO (Patient must have a referral for services)
2024 Blue Cross Blue Shield - Blue Choice PPO
2024 Blue Cross Blue Shield - Blue Choice Options (Tier 1) (Patient must have a referral for services)
2024 Blue Cross Blue Shield - HMOI (Medical Group/IPA Information in Legend below) (Patients must have a referral for services)
2024 Blue Cross Blue Shield - PPO
2024 Blue Choice Preferred Gold PPOSM 204 - Rx Copays
2024 Blue Choice Preferred Gold PPOSM 707
2024 Blue Precision Gold HMOSM 207
2024 Blue Precision Gold HMOSM 703 - Rx Copays
2024 Blue Precision Gold HMOSM 707
2024 Blue Choice Preferred Silver PPOSM 203
2024 Blue Choice Preferred Silver PPOSM 303
2024 Blue Choice Preferred Silver PPOSM 706
2024 Blue Choice Preferred Silver PPOSM 801 - Rx Copays
2024 Blue Precision Silver HMOSM 206
2024 Blue Precision Silver HMOSM 306
2024 Blue Precision Silver HMOSM 704 - Rx Copays
2024 Blue Precision Silver HMOSM 706
2024 Blue Choice Preferred Bronze PPOSM 201
2024 Blue Choice Preferred Bronze PPOSM 202
2024 Blue Choice Preferred Bronze PPOSM 601 - Rx Copays
2024 Blue Choice Preferred Bronze PPOSM 701 - Rx Copays
2024 Blue Choice Preferred Bronze PPOSM 708
2024 Blue Precision Bronze HMOSM 205
2024 Blue Precision Bronze HMOSM 701 - Rx Copays
2024 Blue Precision Bronze HMOSM 708

Cigna

Cigna - Open Access
Cigna - Open Access Plus
Cigna - Choice Fund Open Access Plus
Cigna - ChoiceCare PPO
Cigna - EPO
Cigna - Global Health Benefits
Cigna - GWH POS Open Access Plus
Cigna - HMO (or POS)
Cigna - HMO (or POS) Open Access
Cigna - Local Plus
Cigna - Network Open Access
Cigna - Network POS
Cigna - One Health HMO eff 4/1/19
Cigna Plus with Northwestern Medicine (Effective 1/1/2021)
Cigna - POS
Cigna - PPO
Cigna - Shared Administration PPO and OAP

CorVel - Workers' Compensation Program/Network

Curaechoice

Global Excel - PPO

Health Alliance PPO and HMO

HFN

HFN - EPO (HFN20)
HFN - PPO (HFN10)
HFN - Workers' Compensation Program/Network

Imagine Health

MultiPlan/PHCS

The Alliance

United Healthcare

United Healthcare - All Savers
United Healthcare - Choice
United Healthcare - Choice Plus
United Healthcare - Core
United Healthcare - HMO (Patients must have a referral for services)
United Healthcare - HMO Plus (Patients must have a referral for services)
United Healthcare - Navigate
United Healthcare - Open Access (Patients must have a referral for services)
United Healthcare - Options PPO
United Healthcare - Select Plus
United Healthcare - Select
United Healthcare Affiliates - Participate through UHC PPO

Health exchanges or health insurance marketplaces were established in accordance with the Affordable Care Act (ACA) of 2010. These marketplaces provide a set of government-regulated and standardized healthcare plans where individuals may purchase health insurance policies, some of which include federal subsidies.

2024 Options

The plans below offer current access to Northwestern Medicine on Get Covered Illinois, the official health insurance marketplace for Illinois for the 2024 calendar year.

• Blue Choice Preferred PPO
• Blue Precision HMO
  Please be aware that under Blue Precision HMO at Northwestern Medicine, you are required to have an assigned primary care physician (PCP) affiliated with one of the following Northwestern Medicine sites:
  • 475 (Hospitals: Kishwaukee, Valley West, Delnor, Central DuPage, McHenry, Huntley, Woodstock, Palos. Physicians: Regional Medical Group)

For instructions on how to enroll in any of these plans, please call 312.926.7440, TTY 711.

All Levels

Health Alliance Marketplace Plans HMO (requires referral from primary care physician/referring Specialist)

Bronze

2024 Blue Choice Preferred Bronze PPOSM 201
2024 Blue Choice Preferred Bronze PPOSM 202
2024 Blue Choice Preferred Bronze PPOSM 601 - Rx Copays
2024 Blue Choice Preferred Bronze PPOSM 701 - Rx Copays
2024 Blue Choice Preferred Bronze PPOSM 708
2024 Blue Precision Bronze HMOSM 205
2024 Blue Precision Bronze HMOSM 701 - Rx Copays
2024 Blue Precision Bronze HMOSM 708

Silver

2024 Blue Choice Preferred Silver PPOSM 203
2024 Blue Choice Preferred Silver PPOSM 706
2024 Blue Choice Preferred Silver PPOSM 801 - Rx Copays
2024 Blue Precision Silver HMOSM 206
2024 Blue Precision Silver HMOSM 704 - Rx Copays
2024 Blue Precision Silver HMOSM 706

Gold

2024 Blue Choice Preferred Gold PPOSM 204 - Rx Copays
2024 Blue Choice Preferred Gold PPOSM 707
2024 Blue Precision Gold HMOSM 207
2024 Blue Precision Gold HMOSM 703 - Rx Copays
2024 Blue Precision Gold HMOSM 707

Government plans are a wide range of plans that include a variety of Medicare and/or Medicaid plans. Northwestern Medicine participates in traditional Medicare and Medicaid as well as Family Health Plans (FHP), Integrated Care Plans (ICP) and Medicare-Medicaid Alignment Initiative (MMAI) plans. FHP, ICP and MMAI plans are often available to individuals who were previously eligible for traditional Medicaid but are now accessing managed Medicaid plans through expansion of the Affordable Care Act or “Obamacare.”

In addition, Northwestern Medicine participates with TriCare Military Services. For active duty military personnel and their families, this is administered by a plan for the Department of Defense.

Government & Military Plans

CHAMPUS
Medicare
Medicaid
Veteran Affairs Community Care Network administered by Optum
TriCare East Administered by Humana Military (Effective January 1, 2025, Tricare East Illinois has transitioned to TriWest Healthcare Alliance.)

Medicare Advantage Plans

Aetna - HMO 
Aetna - PPO 
Aetna - Open Access HMO
Aetna Prime HMO-POS
Blue Cross Blue Shield - PPO
Blue Cross Blue Shield - HMO 
Health Alliance 
Humana HMO Gold Plus
Humana PFFS
Humana PPO
Humana Honor PPO (Veterans Plan)
United HealthCare AARP® Medicare Advantage from UHC IL-0001
United HealthCare AARP® Medicare Advantage from UHC IL-0002
United HealthCare AARP® Medicare Advantage from UHC IL-0004
United HealthCare AARP® Medicare Advantage Walgreens from UHC IL-0005
United HealthCare AARP® Medicare Advantage from UHC IL-0003
United HealthCare AARP® Medicare Advantage Walgreens from UHC IL-0006
United HealthCare UHC Complete Care IL-001A
United HealthCare AARP® Medicare Advantage Patriot No Rx IL-MA01
Zing Choice (HMO)
Zing Choice Diabetes & Heart Complete (PPO C-SNP)
Zing Complete Select (HMO D-SNP)
Zing Complete Open Choice (PPO D-SNP)
Zing Complete Plus (HMO D-SNP)
Zing Elite Diabetes & Heart (HMO C-SNP)
Zing Elite Select (HMO)
Zing ESRD Select (HMO C-SNP)
Zing Essential Wellness Diabetes & Heart (HMO C-SNP)
Zing Open Choice (PPO)
Zing Open Choice Diabetes & Heart (PPO C-SNP)
Zing Select Care (HMO)
Zing Select Diabetes & Heart (HMO C-SNP)
Zing Select Diabetes & Heart Complete (HMO C-SNP)

Medicare/Medicaid Alignment Initiative Agreements (MMAI)

Blue Cross Blue Shield
Humana
Zing Health

Medicaid Managed Care Programs/HealthChoice Illinois

CountyCare 
Meridian (Out-of-network at Northwestern Medicine as of January 1, 2025)