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.

Want to schedule an appointment?

Call us at (224) 407-4400 or fill in the appointment form.

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