Health Insurance Plans Accepted by Northwestern Hospital

by | Dec 21, 2021 | Individual and Family Health Plans

Health Insurance Plans Accepted by Northwestern Hospital

Northwestern Hospital, a renowned healthcare institution committed to providing exceptional medical services to their patients. We understand the importance of having appropriate health insurance coverage to ensure access to quality healthcare. In this article, we will provide an overview of the health insurance plans accepted by Northwestern Hospital, enabling you to make informed decisions about your healthcare coverage.

Northwestern Hospital’s Acceptance of Health Insurance Plans:

At Northwestern Hospital, strive to accommodate a wide range of health insurance plans, enabling patients to receive the care they need. Northwestern Hospital accepts a variety of insurance providers, including but not limited to:

  • Blue Cross Blue Shield (BCBS)
  • Aetna
  • Cigna
  • UnitedHealthcare
  • Medicare
  • Medicaid
  • Humana
  • Anthem

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.

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.

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/Medicaid Alignment Initiative Agreements (MMAI)

Blue Cross Blue Shield
Humana

Medicaid Managed Care Programs/HealthChoice Illinois

Blue Cross Blue Shield
CountyCare 
Meridian 

Frequently Asked Questions

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Does Northwestern Hospital accept Medicaid?

Yes. Northwestern Hospital accepts Medicaid managed care plans from the following carriers:

  • Blur Cross Community Health Plans
  • CountyCare (Cook County Residents Only)
  • Meridian Health Plan

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Does Northwestern Accept Exchange health insurance?

Yes. Northwestern currently accepts plans from the Health Insurance Marketplace. Scroll up to view the exchange plans accepted by Northwestern Hospital.

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Does Northwestern Accept my Insurance plan?

First determine what type of health insurance plan you have. Call your medical provider office to confirm insurance is accepted.

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I need help changing my health insurance plan to be accepted at Northwestern

We can certainly help you find a health insurance plans accepted by Northwestern hospital. Contact us.

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Does Northwestern Hospital accept Medicare Supplement?

Northwestern accepted Medicare supplement plans from all major carriers, including Mutual of Omaha, Blue Cross Blue Shield of IL, Aetna, Cigna, Humana, and UHC.

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Can I enroll in a different health insurance plan than NU-SHIP?

While Northwestern University Health Insurance Plan offers great coverage to students, yet you can find and enroll in a health insurance plan outside NU-SHIP. These plans must be compliant with Northwestern University Health insurance requirements.

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Are short term health insurance plans accepted by Northwestern Hospital?

Generally, yes. Yet it is important to note that Short Term Health insurance plans do NOT follow the Affordable Care Act rules which means short term health insurance plans do not cover pre-existing conditions, pregnancy, pre-natal services, or some mental health treatments. Make sure to review your short term health policy terms and exclusions.

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Can International students enroll in a Northwestern University accepted health insurance plan?

yes. International students can enroll in a heath insurance plan accepted by Northwestern Hospital for as long as they need. Make sure to contact us before your courses start.

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I have a surgery scheduled at Northwestern next month, can I enroll in a health insurance plan now?

You can enroll in an ACA health insurance plan that begins coverage the first day of the following month. ACA health insurance plans cover pre-existing conditions. Contact us to help you find coverage.

Health Insurance Plans Accepted by Northwestern Hospital

Are you wondering if Northwestern Medicine accepts your insurance? Here’s some advice. Make sure you check your insurance’s terms and conditions before you make a booking. Once you have determined which type of insurance you have, contact your provider. Ask if they accept your insurance before you make your first visit. You may also want to check if your provider accepts your insurance plan’s network. Some providers accept different types of insurance, so you’ll want to call ahead to find out if your insurance will cover your treatment.

Commercial health insurance helps pay for your medical and surgical bills. These plans are usually offered through employers and include network providers, including Northwestern Medicine physician clinics. In some cases, you must choose a primary care physician from your plan’s network before visiting a Northwestern Medicine doctor. Depending on your specific insurance plan, you may be able to visit any of Northwestern Medicine’s facilities as long as you have authorization. The cost of care will depend on your plan’s deductibles and co-payments.

In terms of accepting insurance, Northwestern Medicine is partnered with Blue Cross and Blue Shield of Illinois. This partnership provides low-cost, high-quality care at 200+ sites in the Chicagoland area. Northwestern Medicine accepts Blue Cross and Blue Shield of Illinois, Anthem, and Blue Choice Preferred PPOSM plans. You can also bring your Medicare Advantage HMO plan with you to Northwestern. In addition to Blue Cross and Blue Shield, Northwestern Medicine also accepts BlueCross Community Options Health Plan.

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