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
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Blue Choice Select PPO
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BlueEdge Select HSA
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Student Health Plan
Blue Options/Blue Choice Options (BCO)
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Blue Options Silver
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Blue Options Gold
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Blue Choice Options
Blue Choice Preferred PPO (BCE)
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Blue Choice Preferred Bronze PPO
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Blue Choice Preferred Silver PPO
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Blue Choice Preferred Gold PPO
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Blue Choice Preferred Security PPO
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Blue Cross Blue Shield Basic, a Multi-State Plan
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Blue Cross Blue Shield Solution, a Multi-State Plan
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Blue Cross Blue Shield Premier, a Multi-State Plan
Participating Provider Organization (PPO)
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Traditional Blue
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BasicBlue PPO
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Blue PPO Bronze
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Blue PPO Silver
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Blue PPO Gold
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Blue PPO Platinum
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BluePrint
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PPO
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BlueEdge HSA
United Healthcare Network & Plans Accepted
All Savers Health Plans
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Choice / Choice Plus
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Navigate
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Core Essentials EPO
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CORE POS
Choice
Choice HMO
Choice Plus
Choice Plus with Harvard Pilgrim
Core
Core Essential
Core HMO / Core Essential HMO
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
Medica Choice with United Healthcare Choice Plus
Navigate / Navigate Balanced
Navigate HMO / Navigate Balanced HMO
Navigate Plus HMO / Navigate Plus
Nexus ACO Plans
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Nexus ACO R
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Nexus ACO RB
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Nexus ACO RP
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Nexus ACO OA
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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
SignatureValue Plan
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Behavioral Health Directory
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Mental Health
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Dr. Galloway, DNP, APRN-FPA, FNP-BC (ONLY)
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W500 Emergent Wrap
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
Veterans Affairs Community Care Network (VACCN)
Accepted with a Referral directly from the Veterans Administration (VA) Only.
TriCare East & TriCare4Life
We are In-Network and we are a Network Certified TriCare Provider
Medicaid & Managed Care Organization (MCO) Information
Updated 01/17/2020
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
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HealthChoice-Illinois
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Ambetter
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Allwell from Illinicare Health
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Behavioral Health IL Medicaid
Accepting - Meridian Health Plan of Illinois
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HealthChoice-Illinois
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Meridian Complete
Accepting - Molina Healthcare
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HealthChoice-Illinois
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Molina Dual Options (Medicare-Medicaid Initiative)
Accepting - Indiana Medicaid (Out-of-State)
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*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.