2018 Midwest Orthopaedic Consultants Participating Health Plans

This listing reflects current MOC contracts. However individual physician’s network participation may vary. In order to receive the highest level of benefits, PLEASE CHECK WITH YOUR HEALTH PLAN TO VERIFY PHYSICIAN PARTICIPATION.THIS IS NOT A GUARANTEE OF PAYMENT

COMMERCIAL PLANS

PPO - Unrestricted Care, Physical Therapy, MRI/Advanced Imaging, Injections, Bracing

HMO - Managed CareNEEDS REFERRAL, limited to in network facilities/hospitals, restrictions on boutique centers/surgery centers

  • Aetna: HMO, EPO, PPO, QPOS, Choice, Elect Choice, Managed Choice, Open Access, Open Choice, Select, Signature, Whole Health, Allied, Advantage, Whole
  • Blue Cross Blue Shield
  • PPO, EPO: Blue edge, Select, Blue Options, Blue Print, Blue Security, Multi-State, Value Choice, BlueCare Direct HMO
  • Blue Choice: Select PPO, Select Value, Options
  • HMO: HMO Illinois Blue Advantage, Blue Precision
  • Federal Employee
  • Labor Fund
  • Cigna: PPO, EPO, HMO, POS, Choice, Open Access, State of Illinois(note: we do not participate in Local Plus)
  • CoreCare/CorVel
  • Coventry Healthcare: PPO, EPO
  • Dart
  • First Health: PPO, EPO
  • Great West Healthcare: PPO, POS, Open Access
  • Healthlink
  • HFN: PPO, EPO
  • Humana: HMO, PPO, POS, EPO, ChoiceCare, Premier, National
  • Meritain
  • MultiPlan
  • Mutual of Omaha
  • Private Healthcare Systems (PHCS)
  • Tricare
  • United Healthcare: Choice/Choice Plus POS, Core POS, Definity Health, Golden Rule, Midwest Security Administrators, Navigate HMO/POS, Options PPO, Oxford Health, Premier HMO, Select/Select Plus HMO/POS

MEDICARE

  • Covers 80%, 20% patient responsibility

MEDICARE ADVANTAGE PLANS

  • Aetna Medicare Advantage: HMO,PPO
  • Blue Cross Blue Shield Medicare Advantage: Basic (HMO), Basic Plus (HMO-POS), Premier Plus(HMO-POS), Choice Plus PPO, Choice Premier PPO
  • Coventry Medicare Advantage: HMO, PPO
  • Humana Medicare Advantage: Gold Plus HMO, Gold Plus HMO/POS, Gold Choice PFFS, Choice PPO, Choice Regional PPO
  • United Healthcare Medicare Advantage: HMO, PPO, AARP Medicare Complete

INSURANCE EXCHANGE PLANS / ADVOCATE

  • Blue Cross Blue Shield: Blue Choice Preferred PPO (Bronze/Silver/Gold), Blue Precision HMO, Blue Care Direct
  • United Healthcare: Compass

WORKERS’ COMPENSTATION

MEDICAID (STATE FUNDED) AND DUAL-ELIGIBLE PLANS (MMAI, ICP)

  • Blue Cross Blue Shield Community OptionsMMAI (Medicare/Medicaid Alignment Initiative)
  • Humana MMAI (Medicare/Medicaid Alignment Initiative)
  • Meridian