No Surprises Act protections
Effective January 1, 2022, you will be protected from being balanced billed by out of network providers in emergency situations. For non-emergency situations, you must agree and consent to being balanced billed by the out of network provider. Please visit our No Surprises Act page for additional information.
Memorial Health affiliates proudly accept a wide variety of health insurance plans to serve our community. The list provided below includes plans that each affiliate is currently participating. We encourage all patients to verify coverage and benefits with their plan administrator or insurance carrier.
Can't find your health plan?
If you do not see your health plan listed, please contact the Memorial Health Managed Care Department at 217-788-4448 or via email at ManagedCareDepartment@mhsil.com.
Below are links to common insurance plans accepted at Memorial Health. While we cannot quote benefits or coverage, we hope these links can help direct you to your insurance payor for the information you require.
Hospital Facilities
Decatur Memorial Hospital
Note: Independent health care providers who practice at Decatur Memorial Hospital may not be participating in the same insurance plans and networks as Decatur Memorial Hospital. Independent providers’ services will be billed separately.
Commercial Insurance Plans
- Aetna/Coventry
- Amish-Mennonite
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO(Blue Distinction Center)
Blue Distinction® Center and Blue Distinction® Center + Designations: Hip and Knee Replacement + and Maternity Care +
What is a Blue Distinction Center?According to BlueCross BlueShield of Illinois, there are two levels of recognition. Blue Distinction Centers offer quality care, treatment expertise and better overall patient results. Blue Distinction Centers + offer more affordable care in addition to quality care, treatment expertise and better overall patient results.
- Caterpillar, Inc
- Cigna PPO (Center of Excellence)
Center of Excellence Designations: Cardiac Catheterization and Angioplasty, and Colon Surgery
What is a Center of Excellence?According to Cigna, a center of excellence is a designation is obtained after review. This review is based on two key things: patient outcomes, or how successful a hospital is at caring for patients undergoing a certain surgery or being treated for an illness, and cost-efficiency—the hospital's ability to deliver consistently excellent patient care while still keeping costs lower than average.
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- Humana
- MultiPlan/PHCS (Physician-only plans not accepted)
- Plain Church Medical Group
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
- BlueCross BlueShield Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
- Molina Healthcare
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
LincolnMemorialHospital
Note: Independent health care providers who practice at Lincoln Memorial Hospital may not be participating in the same insurance plans and networks as Lincoln Memorial Hospital. Independent providers’ services will be billed separately.
Commercial Insurance Plans
- Aetna/Coventry
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- Caterpillar, Inc
- Cigna PPO
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- HFN
- Humana
- Multiplan/PHCS (Physician-only plans not accepted)
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
- BlueCross BlueShield Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Jacksonville MemorialHospital
Note: Independent health care providers who practice at Jacksonville Memorial Hospital may not be participating in the same insurance plans and networks as Jacksonville Memorial Hospital. Independent providers’ services will be billed separately.
Commercial Insurance Plans
- Aetna/Coventry
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO (Blue Distinction Center)
Blue Distinction® Center and Blue Distinction® Center + Designations: Hip and Knee Replacementand Maternity Care
What is a Blue Distinction Center?According to BlueCross BlueShield of Illinois, there are two levels of recognition. Blue Distinction Centers offer quality care, treatment expertise and better overall patient results. Blue Distinction Centers + offer more affordable care in addition to quality care, treatment expertise and better overall patient results.
- Cigna PPO (Center of Excellence)
Center of Excellence Designations: Delivery (C-Section, vagin*l Delivery) and Respiratory Conditions
What is a Center of Excellence?According to Cigna, a center of excellence is a designation is obtained after review. This review is based on two key things: patient outcomes, or how successful a hospital is at caring for patients undergoing a certain surgery or being treated for an illness, and cost-efficiency—the hospital's ability to deliver consistently excellent patient care while still keeping costs lower than average.
- CorVel
- Current Health Network
- Health Alliance
- HealthLink
- HFN
- Humana Health Plan
- MultiPlan/PHCS (Physician-only plans not accepted)
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
- BlueCross BlueShield Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Springfield MemorialHospital
Note: Independent health care providers who practice at Springfield Memorial Hospital may not be participating in the same insurance plans and networks as Springfield Memorial Hospital. Independent providers’ services will be billed separately.
Commercial Insurance Plans
- Aetna/Coventry
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO(Blue Distinction Center)
Blue Distinction® Center and Blue Distinction® Center + Designations: Cardiac Care +, Spine Surgery +, Bariatric Surgery +, Hip and Knee Replacement
What is a Blue Distinction Center?According to BlueCross BlueShield of Illinois, there are two levels of recognition. Blue Distinction Centers offer quality care, treatment expertise and better overall patient results. Blue Distinction Centers + offer more affordable care in addition to quality care, treatment expertise and better overall patient results.
- Cigna PPO (Center of Excellence)
Center of Excellence Designations: Bariatric Surgery, Cardiac Catheterization and Angioplasty, and Gallbladder Removal, Laparoscopic
What is a Center of Excellence?According to Cigna, a center of excellence is a designation is obtained after review. This review is based on two key things: patient outcomes, or how successful a hospital is at caring for patients undergoing a certain surgery or being treated for an illness, and cost-efficiency—the hospital's ability to deliver consistently excellent patient care while still keeping costs lower than average.
- Consociate Group
- CorVel
- Current Health Network
- Health Alliance
- HealthLink
- HFN
- Humana
- MultiPlan/PHCS (Physician-only plans not accepted)
- Preferred Plan, Inc.
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
- BlueCross BlueShield of Illinois Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- Humana Choice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (Health Choice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Taylorville MemorialHospital
Note: Independent health care providers who practice at Taylorville Memorial Hospital may not be participating in the same insurance plans and networks as Taylorville Memorial Hospital. Independent providers’ services will be billed separately.
Commercial Insurance Plans
- Aetna/Coventry
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- Blue Cross Blue Shield of Illinois PPO
- Caterpillar, Inc
- Cigna PPO
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- HFN
- Humana Health Plan
- MultiPlan/PHCS (Physician-only plans not accepted)
- United Healthcare (Physician-only plans not accepted)
- United Mine Workers of America (UMWA)
ACA/Exchange Plans
- BlueCross BlueShield Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
AmbulatoryProviders
MemorialCare
Note: Memorial MedicalGroup sites of care are recognized by the National Committee for Quality Assurance (NCQA) as patient-centered medical homes. This model of care puts you and your loved ones at the center of care by enhancing communication, better coordinating your needed care and a continuous commitment to quality improvement.For those seeking Urgent Care services through Memorial Care, please note that Memorial Care bills these services with an office, not urgent care, place of service. Please consult with your benefits to learn more as to the impact of this designation.
Commercial Insurance Plans
- Aetna/Coventry
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- Cigna PPO
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- HFN
- Humana Health Plan
- Multiplan/PHCS
- United Healthcare
ACA/Exchange Plans
- BlueCross BlueShield Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross Blue Shield of Illinois
- Health Alliance
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicaid Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
Service Member Plans
- VA Community Care Network (VA CCN)
DMHMedicalGroup
Note: DMH Medical Groupsites of care are recognized by the National Committee for Quality Assurance (NCQA) as patient-centered medical homes. This model of care puts you and your loved ones at the center of care by enhancing communication, better coordinating your needed care and a continuous commitment to quality improvement.
Commercial Insurance Plans
- Aetna/Coventry
- Amish-Mennonite
- BlueCross BlueShield of Illinois HMO
- BlueCross BlueShield of Illinois PPO
- Caterpillar, Inc
- Cigna PPO
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- Humana
- MultiPlan/PHCS (Physician-only plans not accepted)
- Plain Church Medical Group
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
- BlueCross BlueShield Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicaid Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
- Molina Healthcare
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
MemorialWellness Center
We will work with you to verify insurance coverage, discuss payment options and answer general questions after completion of yourprescreening interest form.Each provider and plan is different, so we are here to provide individual consultation about your specific coverage.
If you have questions, please do not hesitate to contact us. This includes your initial quote, the addition of other diagnoses to your quote, what is covered and not covered, as well as discounted rates.
We are here to help you navigate this process and achieve a healthier lifestyle.
Medicaid Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
MemorialBehavioral Health
Commercial Insurance Plans
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- CorVel
- Health Alliance
- HealthLink
- Magellan
- MultiPlan/PHCS
ACA/Exchange Plans
- BlueCross BlueShield Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Traditional Illinois Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicaid Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
MemorialHome Care
Commercial Insurance Plans
- Aetna/Coventry
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- Cigna PPO
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- Humana Health Plan
- Multiplan/PHCS
- Preferred Plan, Inc
ACA/Exchange Plans
- BlueCross BlueShield Blue Choice Preferred PPO
- Health Alliance
- Learn more about the Affordable Care Act Healthcare Marketplace.
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross Blue Shield of Illinois
- Health Alliance
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
Service Member Plans
- VA Community Care Network (VA CCN)
Affordable Care Act (ACA)
- As a provision of the Affordable Care Act (ACA), uninsured Americans can enroll in insurance plans through the Health Insurance Marketplace. In Illinois, the health insurance marketplace is named “Get Covered Illinois”.
- The Insurance marketplace is designed to help uninsured persons find a health insurance plan in their area that fits their needs and budget. The marketplace also helps determine if applicant qualify for Medicaid coverage.
- Memorial Health participates in many options offered through the marketplace.
- Visit GetCoveredIllinois.gov or Healthcare.gov or call 800-318-2596 to get more information on enrolling.
- In-person counselors, or navigators, are available to assist with enrollment at no cost at a number of social service agencies in Central Illinois, including:
Visit GetCoveredIllinois.gov for more information and resources.
Springfield Area
Illinois Stewardship Alliance
230 Broadway St. I 217-720-0453
Springfield Urban League
100 N. 11th St. | 217-522-0407, ext. 1451
Family Guidance Centers
120 N. 11th St. | 855-328-6392
Central Counties Health Centers
2239 E. Cook St. | 217-788-2300
SIU Center for Family Medicine
520 N. Fourth St. | 217-545-8000
Sangamon County Department of Public Health
2833 South Grand Ave. E. | 217-535-3100
Decatur Area
Macon County Department of Public Health
1221 E. Condit St I 217-423-6988
Crossing HealthCare
320 Central Ave I 217-877-9117
SIU Center for Family Medicine
102 W. Kenwood Ave I 217-872-3800
Jacksonville Area
Jacksonville Area Center for Independent Living
15 Permac Road | 217-245-8371
Morgan County Health Department
345 W. State St. | 217-245-5111
Taylorville Area
Christian County Department of Public Health
902 W. Springfield Road | 217-824-4113
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Due to visitor restrictions in place due to COVID-19, we are asking that patients who want to pay their bill use alternative means and not come to the facility for an in-person payment. Alternative means include telephonic or electronic means as identified on your physical statement. Access to the facility to pay your bill in person will be denied until such time as the COVID-19 resolves within our service area. We apologize for this inconvenience. Please know Memorial Health is committed to ensuring safety for both you and our providers.
