Insurance and Payments:

Payments

Like most private practices, payment is required at the time of service. Fees may vary depending on the level of service provided to our patients and insurance coverage. In most cases, fees and co-pays are significantly lower here at Elemental Care compared to similar private practices, health and wellness centers.

Direct Primary Care

If you do not see your health insurance listed below or you have a high deductible plan, be sure to check out our affordable and convenient Direct Primary Care option. 

Networks Accepted

We are credentialed with several commercial PPO insurance carriers, as well as Medicare and Medicaid. If you do not see your insurance company listed below, please contact us at 815-714-5430 and speak with our billing department, to see if we are credentialed to receive payment from your insurance company.

Blue Cross Blue Shield Network & Plans Accepted

Blue Choice PPO

  • Blue Choice Select PPO

  • BlueEdge Select HSA

  • Student Health Plan

Blue Options/Blue Choice Options (BCO)

  • Blue Options Silver

  • Blue Options Gold

  • Blue Choice Options

Blue Choice Preferred PPO (BCE)

  • Blue Choice Preferred Bronze PPO

  • Blue Choice Preferred Silver PPO

  • Blue Choice Preferred Gold PPO

  • Blue Choice Preferred Security PPO

  • Blue Cross Blue Shield Basic, a Multi-State Plan

  • Blue Cross Blue Shield Solution, a Multi-State Plan

  • Blue Cross Blue Shield Premier, a Multi-State Plan

Participating Provider Organization (PPO)

  • Traditional Blue

  • BasicBlue PPO

  • Blue PPO Bronze

  • Blue PPO Silver

  • Blue PPO Gold

  • Blue PPO Platinum

  • BluePrint

  • PPO

  • BlueEdge HSA

United Healthcare Network & Plans Accepted

Choice

Choice HMO

Choice Plus

Choice Plus with Harvard Pilgrim

Doctors Plan

Doctors Plan HMO / Doctors Plan Plus HMO

Doctors Plan Plus

Heritage Plus

Heritage Select POS/HMO

Heritage Select EPO

Heritage Select Advantage - IA

Heritage Select Advantage - AR, GA, NC, SC, TN

W500 Emergent Wrap

Medicare Choice with United Healthcare Choice Plus

Nexus ACO R

Nexus ACO RB

Nexus ACO RP

Nexus ACO OA

Nexus ACO OAP

Options PPO

Options PPO with Harvard Pilgrim

Passport Connect Choice

Passport Connect Choice Plus

Passport Connect Options PPO

Select

Select HMO

Select Plus

Anthem Blue Cross Blue Shield Network & Plans Accepted

National PPO (BlueCard PPO Basic)

National PPO (BlueCard PPO)

Blue Access Choice (St. Louis, Network Advantage)

Blue Preferred POS (Advantage Network)

BlueChoice Options (Advantage Network)

National PPO (BlueCard PPO Basic)

National PPO (BlueCard PPO)

Traditional

Traditional PPO

HFN/Zelis Network & Plans Accepted

HFN-10 

HFN-20

HFN Platinum

HFN-ID

HFN/CHC - Community Health Connect​

HFN/CHC - Community Health Connect Elite

HFN/CHC - Community Health Connect Premiere

Humana Network & Plans Accepted

US Bank PPO

St Joseph Hospital NPOS

P&G POS

National POS - OpenAccess Plus

National POS - OpenAccess

HumanaPPO

Medicare PPO

Medicare PPO/Employer PPO Plus

Humana/ChoiceCare+ Network PPO

Humana/ChoiceCare Network PPO

GE Health Care Preferred

EPO PPO Open Acess

COT National POS - OpenAccess

ChoicePOS

Humana Gold Choice Network PFFS

MultiPlan Network

MultiPlan

MultiPlan Workers Compensation

MultiPlan Auto Medical

PHCS

ValuePoint Program Participant

TriCare East & TriCare4Life

We are In-Network and we are a Network Certified TriCare Provider

Medicaid  & Managed Care Organization (MCO) Information

Updated 09/20/2019

Beginning February 20th 2019, our office will be accepting new patients who are currently insured using the State of Illinois Medicaid Recipients Program. 

Medicaid HFS Recipient Card

Managed Care Organization (MCO)

Below is a list of the Manage Care-Medicaid Plans that we are able to accept and bill for medical services. Even though we are credentialed with Medicaid. Many Medicaid recipients are under a managed care plan such as Meridian, IlliniCare, BCBS Family Health Plan etc. We are working with all managed care plans in Illinois to begin accepting those members. This process can be very lengthy and it does take time to fully credential and sign a contract. The list will be updated as we continue to obtain a network status with them.

Accepting - Blue Cross Blue Shield Family Health Plan

Accepting - Blue Cross Blue Shield  Community MMAI

Accepting - IlliniCare Health

  • HealthChoice-Illinois

Accepting - Meridian Health Plan of Illinois

  • HealthChoice-Illinois

  • Meridian Complete

​Accepting - Molina Healthcare

  • HealthChoice-Illinois

  • Molina Dual Options (Medicare-Medicaid Initiative)

Accepting - Indiana Medicaid (Out-of-State)

  • *Prior Authorization Required

*We are able to provide care to our Indiana Medicaid Direct patients. You will need a referral from your PCP sent to our office in order for us to bill your Indiana Medicaid plan.

Please call our office to verify that we will be able to accept assignment with your medicaid insurance provider. We also have the one of lowest self-pay options available. 

Non Network

Cigna

Aetna

If you do not see your insurance company listed above, we offer our patients the option to bill your insurance for out of network services. We can “courtesy bill” all plans, which means we will submit the claim on the patient’s behalf, and the insurance company may or may not reimburse the patient depending on his or her plan. You are responsible for paying all required fees at time of service and submitting your receipt to your insurance company. Often times, it would be easier and more cost effective to avoid insurance claims and pay cash when services are rendered. To learn more about our low cost self pay options, please feel free to contact us at: 815-714-5430.