Carle Foundation Hospital, Carle Physician Group, Carle Hoopeston Regional Health Center, Carle West Physician Group, Carle BroMenn Medical Center, Carle Eureka Hospital and Carle Richland Memorial Hospital may have separate contract arrangements in place and may or may not participate in all of the same insurance plans.
All patients are urged to verify their benefits and coverage with their insurance plan to determine whether services will be covered as in-network or out-of-network benefits.
Select a location to view accepted health plans in your area.
| Name | Notes | Carle Physician Group (CPG) | Carle Foundation Hospital (CFH) | Carle Hoopeston Regional Health Center (CHRHC) | Carle BroMenn Medical Center (CBMC) | Carle Eureka Hospital (CEH) | Carle West Physician Group (CWPG) | Carle Richland Memorial Hospital (CRMH) | Carle Health Methodist Hospital (CHMH) | Carle Health Pekin Hospital (CHPK) | Carle Health Proctor Hospital (CHPR) | Pekin Pro Health (PPH) | Proctor Medical Group (PMG) | Methodist Medical Group (MMG) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna | PPO, EPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, Work Comp, Medicare Advantage PPO | PPO, EPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, Work Comp, Medicare Advantage PPO | PPO, EPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, Work Comp, Medicare Advantage PPO | HMO, PPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, NAP product, Medicare Advantage plans | HMO, PPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, NAP product, Medicare Advantage plans | HMO, PPO, POS Products, Aetna Signature Administrators, Meritain/Meritain Shared Administrative Services, NAP product, Medicare Advantage plans | HMO, POS, PPO, Work Comp, Liability, Medicare Advantage PPO | HMO, PPO, EPO, POS, QPOS, Elect Choice, Open Choice, Managed Choice POS , POS II, Aetna Select, Medicare Advantage | HMO, PPO, EPO, POS, QPOS, Elect Choice, Open Choice, Managed Choice POS , POS II, Aetna Select, Medicare Advantage | HMO, PPO, EPO, POS, QPOS, Elect Choice, Open Choice, Managed Choice POS , POS II, Aetna Select, Medicare Advantage | HMO, PPO, EPO, POS, QPOS, Elect Choice, Open Choice, Managed Choice POS , POS II, Aetna Select, Medicare Advantage | HMO, PPO, EPO, POS, QPOS, Elect Choice, Open Choice, Managed Choice POS , POS II, Aetna Select, Medicare Advantage | HMO, PPO, EPO, POS, QPOS, Elect Choice, Open Choice, Managed Choice POS , POS II, Aetna Select, Medicare Advantage | |
| Aetna Better Health | Medicaid Products Only | Medicaid Products Only | Medicaid Products Only | Medicaid Products Only | Medicaid Products Only | Medicaid Products Only | Medicaid Products Only | Medicaid Products ONLY | Medicaid Products ONLY | Medicaid Products ONLY | Medicaid Products ONLY | Medicaid Products ONLY | Medicaid Products ONLY | |
| Beech Street | Medicare Advantage PFFS and PPO only | |||||||||||||
| Benefit Support, Inc. | TPA - Limited multiple employer groups | |||||||||||||
| Blue Cross/Blue Shield of IL | Traditional PPO and Blue Choice Preferred PPO only; Provider Participation Varies | Traditional PPO and Blue Choice Preferred PPO only | Traditional PPO and Blue Choice Preferred PPO only | PPO/Blue Choice, EPO, Medicaid and Medicaid Duals products, HMO | PPO/Blue Choice, EPO, Medicaid and Medicaid Duals products, HMO | PPO/Blue Choice, Medicaid and Medicaid Duals products | HMO, PPO, Indemnity | HMO, PPO, Blue Choice, Medicaid, Medicare Duals, Medicare Advantage | PPO, Blue Choice, Medicaid, Medicare Duals, Medicare Advantage | HMO, PPO, Blue Choice, Medicaid, Medicare Duals, Medicare Advantage | PPO, Blue Choice, Medicaid, Medicare Duals, Medicare Advantage | PPO, Medicaid, Medicare Duals, Medicare Advantage | PPO, Medicaid, Medicare Duals, Medicare Advantage | |
| Caterpillar | Direct contract | |||||||||||||
| Central States Health & Welfare Fund | Direct contract | |||||||||||||
| ChoiceCare Network | HMO and PPO | |||||||||||||
| CIGNA | PPO | PPO | PPO | PPO | PPO | PPO | HMO and PPO | Commercial | Commercial | Commercial | Commercial | Commercial | Commercial | |
| Claim Doc | Direct Agreement with Rural King employees, headquartered in Mattoon, IL. | |||||||||||||
| Community Care Network (CCN) | HMO, PPO | |||||||||||||
| Community Partners Health Plan, Inc. | Provider Participation Varies through a separate agreement with HAMP | PPO network | ||||||||||||
| CorVel | PPO and Work Comp only | PPO, Work Comp and Auto Liability | Work Comp | |||||||||||
| Evolutions Healthcare Systems | Work Comp, Self-Funded, Employee Welfare Benefit Plans | |||||||||||||
| First Health | PPO Network | PPO Network | PPO Network | PPO Network | PPO Network | PPO Network | PPO Network | |||||||
| Health Alliance Medical Plans | Fully insured products, Self Funded, HMO, POS, PPO | Fully insured products, Self Funded, HMO, POS, PPO | Fully insured products, Self Funded, HMO, POS, PPO | Fully insured products, Self Funded, HMO, POS, PPO | Fully insured products, Self Funded, HMO, POS, PPO | Fully insured products, Self Funded, HMO, POS, PPO | Fully insured products, Self Funded, HMO, POS, PPO O, PPO | Commercial | Commercial | Commercial | Commercial | Commercial | Commercial | |
| Health Alliance Medicare Advantage | All Medicare Advantage plans | All Medicare Advantage plans | All Medicare Advantage plans | All Medicare Advantage plans | All Medicare Advantage plans | All Medicare Advantage plans | All Medicare Advantage plans | Medicare Advantage | Medicare Advantage | Medicare Advantage | Medicare Advantage | Medicare Advantage | Medicare Advantage | |
| Health Plus | call to confirm eligib | Direct to employer | Direct to employer | Direct to employer | Direct to employer | Direct to employer | Direct to employer | |||||||
| HealthLink PPO | HealthLink | PPO | PPO | PPO, CompManagement, Open Access II | HMO, PPO | HMO, PPO | HMO, PPO | HMO, PPO | HMO & PPO Commercial | HMO & PPO Commercial | HMO & PPO Commercial | HMO & PPO Commercial | HMO & PPO Commercial | HMO & PPO Commercial |
| HealthPartners Inc | call to confirm eligib | Select Commercial Plan, Select Self-Funded Plans, Medicare Advantage | Select Commercial Plan, Select Self-Funded Plans, Medicare Advantage | Select Commercial Plan, Select Self-Funded Plans, Medicare Advantage | Select Commercial Plan, Select Self-Funded Plans, Medicare Advantage | Select Commercial Plan, Select Self-Funded Plans, Medicare Advantage | Select Commercial Plan, Select Self-Funded Plans, Medicare Advantage | |||||||
| HealthSCOPE Benefits, Inc. |
Direct contract for employer groups:
|
|||||||||||||
| HealthSmart Benefit Solutions | HMO, PPO, Work Comp, Indemnity | |||||||||||||
| HFN/Zelis | Commercial & Work Comp Plans | Commercial & Work Comp Plans | Commercial & Work Comp Plans | Commercial & Work Comp Plans | Commercial & Work Comp Plans | Commercial & Work Comp Plans | HMO, PPO, Work Comp | |||||||
| Hope Trust | Direct Agreement. | |||||||||||||
| Humana / Choice Care | (Par via CPHP) | Hospital & Roberts Clinic only on physician contract | Commercial and Medicare Advantage plans | Commercial and Medicare Advantage plans | Commercial and Medicare Advantage plans | HMO, PPO | Commercial & Medicare Advantage | Commercial & Medicare Advantage | Commercial & Medicare Advantage | Commercial & Medicare Advantage | Commercial & Medicare Advantage | Commercial & Medicare Advantage | ||
| Humana Military/TriCare (CHAMPUS) | Due to recent change from HealthNet to Humana Military – must call to confirm all facility & physician participation. | |||||||||||||
| Insurance Administrators of America, Inc. [IAAI] | PPO Network | |||||||||||||
| McLane Company, Inc. | Direct contract | (Par via BC/BS) | ||||||||||||
| Meridian Health Plan | Meridian Health Plan - Illinois Medicaid & Medicare | Medicaid Products & Medicare Duals Product | Medicaid Products & Medicare Duals Product | Medicaid Products & Medicare Duals Product | Medicaid Products & Medicare Duals Product | Medicaid Products & Medicare Duals Product | Medicaid Products & Medicare Duals Product | Medicaid Products & Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product |
| Methodist First Choice | PHO network | |||||||||||||
| Molina Healthcare of Illinois | Medicaid Products and Medicare Duals Products | Medicaid Products and Medicare Duals Products | Medicaid Products and Medicare Duals Products | Medicaid Products and Medicare Duals Products | Medicaid Products and Medicare Duals Products | Medicaid Products and Medicare Duals Products | Medicaid Products and Medicare Duals Products | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | Medicaid Products and Medicare Duals Product | |
| MultiPlan / Private HealthCare Systems [PHCS] (combined agreement) | Multiplan, Inc | PPO & Savility | PPO & Savility | PPO & Savility | PPO & Savility | PPO & Savility | PPO & Savility | HMO, PPO | Commercial PPO | Commercial PPO | Commercial PPO | Commercial PPO | Commercial PPO | Commercial PPO |
| Schlarman Health Fund | Direct Employer Agreement | Par via Blue Cross Blue Shield; Participation Varies | ||||||||||||
| Three Rivers Provider Network | HMO, PPO, Work Comp | |||||||||||||
| UFCW National Health and Welfare | Direct Contract | (Par via BC/BS) | ||||||||||||
| Union Pacific Railroad Employes™ Health Systems | Direct Agreement | |||||||||||||
| United Behavioral Health | United Behavioral Health (Methodist) | Commercial & Medicare Advantage | Commercial & Medicare Advantage | Commercial & Medicare Advantage | ||||||||||
| United Healthcare | PPO | PPO | PPO | Commercial and Medicare Advantage products | Commercial and Medicare Advantage products | Commercial and Medicare Advantage products | HMO, PPO, Medicare Advantage | Commercial HMO & PPO, Medicare Advantage, VA CCN | Commercial HMO & PPO, Medicare Advantage, VA CCN | Commercial HMO & PPO, Medicare Advantage, VA CCN | Commercial HMO & PPO, Medicare Advantage, VA CCN | Commercial HMO & PPO, Medicare Advantage, VA CCN | Commercial HMO & PPO, Medicare Advantage, VA CCN | |
| USA MCO, Inc. | PPO, Work Comp | |||||||||||||
| Wabash Memorial Hospital Association | Direct Agreement | |||||||||||||
| Zelis Healthcare | includes HFN | Commercial | Commercial | Commercial | Commercial | Commercial | Commercial |
| Name | Notes | Carle Physician Group (CPG) | Carle Foundation Hospital (CFH) | Carle Hoopeston Regional Health Center (CHRHC) | Carle BroMenn Medical Center (CBMC) | Carle Eureka Hospital (CEH) | Carle West Physician Group (CWPG) | Carle Richland Memorial Hospital (CRMH) | Carle Health Methodist Hospital (CHMH) | Carle Health Pekin Hospital (CHPK) | Carle Health Proctor Hospital (CHPR) | Pekin Pro Health (PPH) | Proctor Medical Group (PMG) | Methodist Medical Group (MMG) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Amish (now Plain Church Medical Group and Amish Hospital Aid) | Letter of Agreement for the following counties only: Coles, Douglas, Moultrie, Crawford, Cumberland, Jasper, Clark, and Richland only. Must have Plain Church Medical Group card or Amish Hospital Aid card for contractual discount to be applied. All others are Self Pay. | |||||||||||||
| Christian Healthcare Ministries | Direct Agreement. | |||||||||||||
| Med Cost Solutions | Direct Agreement for Liberty HealthShare members only | Direct Agreement for Liberty HealthShare members only | Direct Agreement for Liberty HealthShare members only | |||||||||||
| Mennonite | Agreement for the counties of: Coles, Douglas, Moultrie and Crawford ONLY | |||||||||||||
| Samaritans Ministries International | Letter of Agreement | Direct Agreement | Direct Agreement | Direct Agreement | Direct Agreement |