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Accepted Insurance Plans

THE LIST BELOW CONTAINS THE INSURANCE PLANS WITH WHOM WE HAVE PARTNERED.

If you have any questions about insurance coverage, please feel free to contact our Billing Department at 847-590-1500 or jackie@cprmedicalbilling.com.

NOTE: Services provided by our dietitians MAY BE COVERED BY YOUR INSURANCE. Every insurance plan is different. If you need assistance in helping to determine the coverage you have, please contact us and we would be happy to help with the process. In addition, flexible spending and health saving accounts may also be utilized to lessen your financial responsibility. We would be happy to provide documentation for you to submit to those programs for reimbursement.

NOTE: Services provided by our clinical psychologist and behavioral counselor will be considered OUT OF NETWORK BY YOUR INSURANCE. Our staff will be available to answer questions regarding how to submit claims for reimbursement to your insurance provider.

Please see the link to the fee schedule for nutritional counseling and behavioral counseling/coaching services.

Aetna

  • Aetna Choice POS
  • Aetna Choice POS II
  • Aetna Elect Choice EPO
  • Aetna Health Network Only
  • Aetna HMO
  • Aetna Managed Choice
  • Aetna Network Options
  • Aetna Open Access Aetna Select
  • Aetna Open Access Elect Choice EPO
  • Aetna Open Access Managed Choice
  • Aetna Open Choice PPO
  • Aetna QPOS (Quality Point of Service)
  • Aetna Savings Plus
  • Aetna Select
  • Aetna Signature Administrators PPO
  • Aetna Sub- Cofinity
  • Aetna Sub- First Health
  • Aetna Traditional Choice-Indemnity Plan
  • Aetna Value Performance Network
  • Aetna Whole Health Chicago (All Metal Tiers)

Allied Benefit Systems

Blue Cross and Blue Shield 

  • Blue Cross Blue Shield Blue Advantage HMO
  • Blue Cross Blue Shield Blue Distinction Total Care Benefit Differential
  • Blue Cross Blue Shield Blue PPO (All Metal Tiers)
  • Blue Cross Blue Shield BlueEdge HSA and BlueEdge HCA
  • Blue Cross Blue Shield BluePrint
  • Blue Cross Blue Shield HMOI
  • Blue Cross Blue Shield PPO
  • Blue Cross Blue Shield PPO Value Choice

Cigna

  • Cigna Exclusive Provider Organization EPO
  • Cigna Great West Healthcare (GWH) Cigna Network
  • Cigna HMO
  • Cigna HMO Open Access
  • Cigna HMO Open Access POS
  • Cigna HMO POS
  • Cigna Medical PPO

Coresource

Galaxy Health Network

Golden Rule Insurance

Health Alliance HMO, PPO, POS, POS-C

HealthLink HMO, PPO, POS, POS-C

  • Health Link HMO (if Unicare Affiliate logo present on card)
  • Health Link PPO (if Unicare Affiliate logo present on card)
  • Health Link-Open Access I, II, III (if Unicare Affiliate logo present on card)

Humana

  • Humana Advocate Centered EPO
  • Humana Advocate Centered HMO
  • Humana Choice POS
  • Humana ChoiceCare Network PPO
  • Humana Classic Plan (Traditional Indemnity Plan)
  • Humana Coinsurance: NPOS
  • Humana Coinsurance: PPO
  • Humana Coinsurance HMO

Multiplan

  • Multiplan/ PHCS- Health EOS Network
  • Multiplan/ PHCS- MultiPlan Complementary
  • Multiplan/ PHCS- MultiPlan Limited Benefit Plan
  • Multiplan/ PHCS- MultiPlan Practitioner Only
  • Multiplan/ PHCS- MultiPlan Shared Savings
  • Multiplan/ PHCS- PHCS Healthy Directions
  • Multiplan/ PHCS- PHCS Practitioner Only
  • Multiplan/ PHCS- PHCS Savility
  • Multiplan/ PHCS- ValuePoint by MultiPlan

NorthShore Employee Network

Preferred Network Access

  • Preferred Plan- HealthSmart Get Better
  • Preferred Plan PPO

Stratose – National Preferred Provider Network

Three Rivers Provider PPO Network (TRPN)

Tricare

United Healthcare

  • United Healthcare Charter
  • United Healthcare Choice
  • United Healthcare Choice Plus
  • United Healthcare Multi-Choice
  • United Healthcare Options PPO
  • UMR

FREQUENTLY ASKED BILLING QUESTIONS

Comprehensive Gastrointestinal Health’s endoscopic procedural fees include the services of the gastroenterologist and the use of the facility and equipment. Anesthesia and pathology fees will be billed separately. Since we are different organizations, sometimes our fees are processed differently. We have attempted to provide information regarding the most common questions that arise. Please click here to learn more frequently asked billing questions.

Medicare

Unfortunately, we do not accept Medicare at this time. Please click here to learn more information about this decision and your options for care.

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