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Insurance Information

We Participate in the Following Managed Care Plans

  • Aetna Health of Illinois PPO
  • Beech Street PPO
  • Blue Cross PPO
  • CHOICECARE PPO
  • Cigna (includes Great-West) PPO
  • Corvel Corporation PPO
  • Employers Coalition on Healthcare (ECOH) PPO
  • Health Alliance PPO & HMO
  • Healthlink PPO & HMO
  • HFN, Inc. PPO
  • HFN Platinum EPO
  • Humana Choicecare PPO
  • Humana PPO & HMO
  • Interplan Health Group (Preferred Plan) PPO
  • MultiPlan PPO
  • Partners Health System, Inc.
  • Personal Care PPO (includes First Health)
  • Private Health Care System PPO
  • United Healthcare PPO & POS
  • United Healthcare of the River Valley PPO & POS

We also accept all Medicare Advantage plans. You should always check with your plan regarding your benefits.

If your plan is not listed, please let us know.  You could still be eligible for in-network benefits at Perry Memorial Hospital.  Some managed care organizations can change network arrangements, benefits and/or provider groups without notice and others may not cover all your services with their in-network benefits.  Before seeking non-emergency health services, we recommend patients check with their insurance company, HMO or PPO Network, or employee benefits division to ensure all services will be covered at Perry Memorial Hospital.

We welcome your suggestions regarding our participation in additional plans, as well as requests for presentations on hospital services, managed care options and employee programs.  Please call Perry’s Administration Office at 815-876-4433 for more information.

We ask you to familiarize yourself with the terms of your insurance coverage. If there is a question concerning your insurance, please contact the Business Office at 815-876-3319 for assistance.

IF YOU HAVE HEALTH INSURANCE

We will need a copy of your identification card. Depending on the extent of your coverage and deductible requirements, you may be asked to pay a deposit. We also may need a special insurance form which is supplied by your employer or insurance company. You will be asked to assign the benefits from the insurance company directly to the hospital.

IF YOU ARE A MEMBER OF AN HMO OR PPO

Your plan may have special requirements, such as a second surgical opinion or pre-certification for admission. It is YOUR responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your health care plan and their services may not be covered.

IF YOU ARE COVERED BY MEDICARE

We will need a copy of your Medicare card to verify eligibility and to process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services. Deductibles and co-payments are also your responsibility.

IF YOU ARE COVERED BY MEDICAID

We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items.

IF YOU HAVE NO INSURANCE

A representative of the Business Office will discuss various payment options with you. You may also view or print a copy of our Financial Assistance Application.  Mail your completed application to:

Business Office Director

Perry Memorial Hospital

530 Park Avenue East

Princeton, IL 61356

The Business Office will respond within 10 days of receipt of your application.

INSURANCE BILLING

The hospital will provide limited assistance with your insurance claim forms. We will do everything possible to expedite your claim. However, you should remember that your insurance policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill. We have several payment options available to assist in paying your bill.

You will receive a separate billing from other groups such as the Anesthesiologist, Pathologist, Emergency Physician Groups, Radiologists and others if applicable.

Not all practitioners participate in the same managed care plans at Perry Memorial Hospital, therefore these services may be considered out of network by your insurance company.

It sometimes requires as much as 72 hours for a charge from a department of the hospital to be posted on your bill. Charges for treatments or medicines ordered during the 72 hours preceding your discharge may not appear on your first billing. When this happens, you will receive a copy of the revised bill


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