Insurance

INSURANCE

Below is a list of insurance plans and products that Dr. Buyer participates with and the products that are non-contracted.

Dr. Buyer is in-network for the participating products and benefits are at the in-network level.

Dr. Buyer is out-of-network for non-contracted products, however, we are still happy to accept your insurance and provide you with services. If your policy has out-of-network benefits, your services can be processed against these benefits. This means that you may have a higher out-of-pocket responsibility than if you receive services from an in-network provider. Your insurance company’s customer service representative can help verify your benefits and out-of-pocket costs.

AETNA

Participating products: Aetna Affordable Health Choices PPO, Aetna Choice POS, Aetna Choice POS II, Aetna Elect Choice EPO, Aetna Health Fund (AHF), Aetna Health Network Only, Aetna Health Network Option, Aetna HMO, Aetna – Illinois Preferred, Aetna Managed Choice POS, Aetna National Advantage Program (NAP), Aetna Open Access Aetna Select, Aetna Open Access Elect Choice, Aetna Open Access HMO, Aetna Open Access Managed Choice, Aetna Open Choice PPO, Aetna Passport to Health & Travel for Treatment (International), Aetna QPOS, Aetna Select, Aetna Signature Administrators PPO, Aetna State of Illinois PPO / HMO / OAP, Aetna USAccess

Non-contracted products: Aetna – Walmart Employees – Smartcare, Aetna Affordable Health Choices Indemnity, Aetna Choose and Save, Aetna Managed Choice Open Access – Savings Plus, Aetna Premier Care Network (APCN), Aetna Traditional Choice, Aetna Worker’s Comp Access

AETNA MEDICARE ADVANTAGE

Participating products: Aetna Medicare Standard Plan PPO, Aetna Medicare Value Plan HMO, Aetna Medicare Value Plan PPO

AETNA MEDICARE ADVANTAGE CONTRACT

Participating products: Aetna Medicare Value, Aetna Medicare Premier Plus, Aetna Medicare Value HMO, Aetna Medicare Prime HMO, Aetna Medicare Advantra

BEECH STREET

Participating products: Beech Street PPO, ppoNEXT National Access PPO

Non-contracted products: Beech Street Workers Compensation PPO, ppoNEXT Limited Benefit Plan, ppoNEXT National Access Plus, ppoNEXT Worker’s Compensation

BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADVANTAGE

Participating products: Blue Cross Blue Shield Medicare Advantage Choice Plus PPO, Blue Cross Blue Shield Medicare Advantage, Choice Premier PPO

Non-contracted products: Blue Cross Medicare Advantage Basic HMO, Blue Cross Medicare Advantage Basic Plus HMO-POS, Blue Cross Medicare Advantage Premier Plus HMO-POS

BLUE CROSS BLUE SHIELD OF ILLINOIS PPO

Participating products: Blue Cross Blue Shield of Illinois Blue Advantage Entrepreneur PPO, Blue Cross Blue Shield of Illinois Blue Advantage Health Plan PPO, Blue Cross Blue Shield of Illinois Blue Edge, Blue Cross Blue Shield of Illinois CMM, Blue Cross Blue Shield of Illinois EPO, Blue Cross Blue Shield of Illinois PPO, Blue Cross Blue Shield of Illinois PPO Hospital Network, Blue Options / Blue Choice Options (BCO)

Non-contracted products: Blue Choice Preferred Bronze PPO 105, Blue Choice Preferred Bronze PPO 106, Blue Choice Preferred Bronze PPO 107– One $0 PCP visit, Blue Choice Preferred Bronze PPO 108, Blue Choice Preferred Gold PPO 101, Blue Choice Preferred Security PPO 100, Blue Choice Preferred Silver PPO 102, Blue Choice Preferred Silver PPO 103 – Three $0 PCP Visits, Blue Choice Preferred Silver PPO 104, Blue Choice Preferred Silver PPO 109 – Standardized, Blue Cross Blue Shield Basic 103, a Multi-State Plan, Blue Cross Blue Shield Medicare Select, Blue Cross Blue Shield of Illinois Blue Choice Select, Blue Cross Blue Shield of Illinois Community Participating Option (CPO), Blue Cross Blue Shield Premier 101, a Multi-State Plan, Blue Cross Blue Shield Solution 102, a Multi-State Plan, Blue FocusCare Bronze 104, Blue FocusCare Gold 101, Blue FocusCare Silver 102, Blue FocusCare Silver 103, Blue Precision Bronze HMO 103, Blue Precision Gold HMO 101, Blue Precision Silver HMO 102, Blue Precision Silver HMO 106, BlueCare Direct Bronze 103 with Advocate, BlueCare Direct Gold 101 with Advocate, BlueCare Direct Silver 102 with Advocate, BlueCare Direct Silver 104 with Advocate

CIGNA

Participating products: Cigna Choice Fund Open Access Plus, Cigna Choice Fund PPO, Cigna EPO, Cigna HMO, Cigna HMO Open Access, Cigna Network, Cigna Network Open Access, Cigna Network POS, Cigna Network POS Open Access, Cigna Open Access Plus, Cigna Open Access Plus In-Network, Cigna POS, Cigna POS Open Access, Cigna PPO

Non-contracted products: Cigna – LocalPlus, Cigna Connect 1200, Cigna Connect 2500, Cigna Connect 2750, Cigna Connect 6250, Cigna Connect HSA 5500, Cigna Fundamental Care, Cigna Indemnity, Cigna Medicare Access PFFS, Cigna Starbridge, Cigna US-IL Connect 3500, Cigna US-IL Connect 6650

CIGNA / ALLEGIANCE — RUSH EMPLOYEES

Participating products: Cigna – Allegiance Rush Employee Basic & Premier PPO, Cigna – Allegiance Rush Employee Select EPO

CORVEL

Participating products: Corvel Workers Compensation

COVENTRY

Participating products: Coventry Health Care National Network, Coventry National Network Mail Handlers Benefit Plan, Coventry Worker’s Comp Services, First Health Network

Non-contracted products: Coventry Health Care of Illinois (PersonalCare), Medicare Advantra, Medicare Advantra Freedom PFFS

GREAT-WEST HEALTHCARE

Participating products: Great West Open Access Plus, Great West PPO, GWH-CIGNA Open Access Plus, GWH-CIGNA PPO

HEALTHCARE’S FINEST NETWORK

Participating products: HFN 10 PPO, HFN 20 EPO, HFN Platinum, HFN Workers Compensation

Non-contracted products: Healthcare’s Finest Medicare Select, HFN ID

HUMANA

Participating products: Humana HMO Select – Rush Health Specialist Only, Humana Illinois Platinum HMO – Rush Health Specialists Only, ChoiceCare Network PPO, Humana Choice POS, Humana HMO Premier, Humana HMO Premier Open Access, Humana National POS – Open Access, Humana PPO, Humana Preferred POS-Open Access, Humana Preferred PPO

Non-contracted products: Coordinated Care Network (CCN), Humana Gold Choice PFFS, Humana Gold Plus HMO, Humana Group Medicare HMO, Humana Group Medicare PFFS, Humana Group Medicare PPO, Humana Indemnity, Humana Medicare ChoicePPO, Humana Tri-Care

HUMAN MEDICARE ADVANTAGE

Participating products: Humana Gold Choice PFFS, Humana Gold Plus HMO, Humana Choice, Humana Community Select HMO (Medicare Advantage)

MEDICARE

MULTIPLAN

Participating products: MultiPlan PPO, Private Healthcare Systems (PHCS) PPO

Non-contracted products: PHCS Savility, Private Health Care Systems – Healthy Directions

PREFERRED PLAN

Participating products: Preferred Plan PPO

UNITED HEALTHCARE

Participating products: United Healthcare Affiliates Direct Billing, United Healthcare Choice, United Healthcare Choice Plus, United Healthcare Core, United Healthcare Golden Rule, United Healthcare Navigate, United Healthcare Options PPO, United Healthcare Oxford, United Healthcare Select, United Healthcare Select Plus, United Healthcare UMR

Non-contracted products: United Healthcare Charter Plan, United Healthcare Indemnity, United Healthcare Medicare Advantage / Medicare Complete, United Healthcare Medicare Select, United Healthcare Nexus ACO

USA MANAGED CARE ORGANIZATION

Participating products: USA EPO, USA PPO, USA Workers’ Compensation

Non-contracted products: USA Managed Care Organization Medicare Select

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