Health Insurance Plans Accepted by Northwestern Hospital

Northwestern health plans

Health Insurance Plans Accepted at Northwestern Memorial Hospital

Northwestern Memorial Hospital is one of the major medical centers in the Chicagoland area. With patients visiting from all over the country. Northwestern medical group contracts with highly trained medical professionals to offer services to their patients. Not all health insurance plans in Illinois are accepted at Northwestern Memorial Hospital however. We have put a list of the accepted health insurance plans below. If you cant find your health plan or have a question about coverage you contact us or reach out to your doctor’s office directly.

Exchange Health Plans 👆

Employer Health Plans👆

Medicare Health Plans 👆

Exchange Plans:

These plans are offered by private health insurance companies and are eligible for subsidies via APTC and CSR. These plans are supported by Healthcare.gov. You browse and enroll in an Illinois Exchange health plan here.

Bronze
Blue Cross Blue Shield of Illinois Blue Precision Bronze HMO*
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 201
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 202
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 601
Cigna Plus With Northwestern Medicine 8700
Cigna Plus With Northwestern Medicine 7500
Cigna Plus With Northwestern Medicine 5000
Cigna Plus With Northwestern Medicine 7000
Cigna Plus With Northwestern Medicine Diabetes 6800
Silver
Blue Cross Blue Shield of Illinois Blue Precision Silver HMO*
Blue Cross Blue Shield of Illinois Blue Choice Preferred Silver PPO 206
Cigna Plus With Northwestern Medicine 6000
Cigna Plus With Northwestern Medicine 3000
Cigna Plus With Northwestern Medicine 3500 Diabetes Care
Cigna Plus With Northwestern Medicine Plan 0
Cigna Plus With Northwestern Medicine Asthma/COPD 4200
Cigna Plus With Northwestern Medicine 8500
Gold
Blue Cross Blue Shield of Illinois Blue Precision Gold HMO
Blue Cross Blue Shield of Illinois Blue Choice Preferred Gold PPO 204
Blue Cross Blue Shield of Illinois Blue Choice Preferred Gold PPO 207
Cigna Plus With Northwestern Medicine 1000
Cigna Plus With Northwestern Medicine 750
Cigna Plus With Northwestern Medicine 1250 - Northwestern Medicine Only

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. Physicians: Regional Medical Group

Cigna Plus With Northwestern Medicine
An HMO product that requires the selection of a primary care physician at Northwestern Medicine.

Employer Health Plans:

These plans are also known as commercial health plans. These plans are usually offered by your employer. Employer or commercial plans have a larger network than Exchange health insurance plans that are offered on the marketplace. See a list of employer plans that are accepted at Northwestern Memorial Hospital. Note that your plan may still be accepted at Northwestern even if your employer is based out of the state of Illinois.

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
Aetna Premier Care Network
Aetna Premier Care Network Plus
Aetna QPOS
Aetna Savings Plus
Aetna Select
Aetna Student Health
Aetna Traditional Choice
Aetna Voluntary Group Medical Plan (Indemnity Plan)
Blue Cross Blue Shield
Blue Cross Blue Shield - Blue Advantage HMO (only from contracted IPAs, referrals required for specialty services)
Blue Cross Blue Shield - Blue Choice PPO
Blue Cross Blue Shield - Blue Choice Options (Tier 1)
Blue Cross Blue Shield - HMOI (Medical Group/IPA Information in Legend below) (Patients must have a referral for services)
Blue Cross Blue Shield - PPO
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 1/1/2022) Plan 5800
Cigna Plus with Northwestern Medicine (Effective 1/1/2022) Plan 2000
Cigna - POS
Cigna - PPO
Cigna - Shared Administration PPO and OAP
CIGNA Behavioral Health, Inc.
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
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
Humana
Humana - Choice POS
Humana - ChoiceCare PPO
Humana - EPO
Humana - HMO Premier
Humana - HMO Select
Humana - Illinois Platinum HMO
Humana - National Preferred POS - Open Access
Humana - PPO
Humana - Preferred PPO
Other Health Plans
ComPsych — Behavioral Health/Substance Abuse Network
Coventry Health Care - First Health HMO, PPO and POS
Global Excel - PPO
Health Alliance PPO and HMO
Beechstreet (PHCS)
Imagine Health
MultiPlan/PHCS
The Alliance
United Behavioral Health - Optum

Are you a Small Business Owner?

If you are a small business owner and have at least one other non family member full time employee, you can enroll in a commercial or group health plan with one of the carriers above. Group Health Insurance plans are known to have a large network of hospitals and doctors.

Government Health Plans:

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.

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 (Referrals required for specialty care, NO primary care is covered)
Humana HMO Gold Plus
Humana PFFS
Humana PPO
Humana Honor PPO (Veterans Plan)
United HealthCare Chronic Complete Assure (PPO C-SNP)
United HealthCare Medicare Complete Access (Referrals required for specialty care, NO primary care is covered)
United HealthCare Medicare Advantage PPO
United HealthCare Medicare Advantage
United HealthCare AARP® Medicare Advantage Plan 1 (HMO)
United HealthCare AARP® Medicare Advantage Plan 2 (HMO)
United HealthCare Medicare Advantage Assure
United HealthCare AARP® Medicare Advantage Choice (PPO)
United Healthcare AARP Medicare Advantage Walgreens (PPO)
United HealthCare AARP® Medicare Advantage Patriot (PPO)

Medicare/Medicaid Alignment Initiative Agreements (MMAI)

Blue Cross Blue Shield
Humana

Medicaid Managed Care Programs/HealthChoice Illinois

Blue Cross Blue Shield
CountyCare 
Meridian 

Based on 18 reviews.
arron draper
arron draper
January 8, 2022.
Verified
I worked with Tarek to find a suitable Medicare plan for my husband. We got it handled in one phone call. I was so impressed! Now I am becoming eligible for Medicare and worked with Tarek again. He was amazing! We found an affordable plan that meets all of my needs. I highly recommend him and will use his services again in the future.
Erika Vevang
Erika Vevang
January 5, 2022.
Verified
I was previously working with someone through my franchise company to set up insurance for my employees. Low and behold after weeks of working with her she was not able to complete my process and was not very responsive when I asked her questions. She referred me to Tarek to finish up and he immediately contacted me and got my plan completed within the day! He was super nice and made sure my account was set up and ready to go before we missed our deadline. Highly recommended!
Kyle Lanza
Kyle Lanza
January 4, 2022.
Verified
Healthcare.gov can be a little confusing so I called them up for help figuring everything out when I turned 26. Tarek is excellent at what he does. He had everything figured out for me in less than 15 minutes on the phone with him. I was so impressed that he will continue to be my go to guy for anything heath insurance related. I can not recommend him enough.
Jeffrey Walker
Jeffrey Walker
December 30, 2021.
Verified
This is our 2nd time working with Tarek to find the right health insurance policy for my small business. In both cases the knowledge of the changing insurance landscape in Illinois has helped us greatly.
Craig Baglien
Craig Baglien
December 19, 2021.
Verified
Smart Insurance Agents especially Tarek were extremely helpful in selecting and also answering follow questions on the offering I selected.
Peter Ward
Peter Ward
December 15, 2021.
Verified
Tarek has help me multiple times with finding appropriate insurance options. He listens to specific needs and helps find fitting plans. The process is smooth and quick but also informative. He is very professional and responsive.
JeongHun Paik
JeongHun Paik
December 14, 2021.
Verified
Very professional and trustworthy! As all the other reviewers posted, Tarek did an awesome job! Thank you!
Paulina Pietras
Paulina Pietras
December 11, 2021.
Verified
Jessica Wheeler
Jessica Wheeler
December 11, 2021.
Verified
Tarek El Ali was amazing! He is so helpful and I finally have an insurance plan that I truly believe is right for me! Thank you!! Highly recommended!
Nikki
Nikki
December 11, 2021.
Verified
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