Planned Parenthood of Illinois accepts the following insurance plans:
Blue Cross Blue Shield PPO (Most plans)
Health Alliance PPO/POS (Region restrictions may apply)
MultiPlan Network plans (includes PCHS and numerous smaller carriers)
United Healthcare PPO/POS (Student Resource, UMR, Golden Rule, UHC Rivervalley, United Health Shared Services, Oxford)
PPIL also accepts numerous smaller carriers within our contracted networks. Please contact your carrier directly to get information on network eligibility, benefits, and exclusions.
Illinois Marketplace Plans
Aetna Whole Health HMO (Referral Required)
Blue Cross Blue Shield of Illinois Choice Preferred PPO
Health Alliance HMO Public Exchange (Location restrictions apply)
Humana (HMOs - Referral and/or Authorization may be required)
United Healthcare (Referral and/or Authorization may be required)
For HMO or Out of Network plans, PPIL accepts patients on a case by case basis. To avoid long wait times or to prevent rescheduling issues please contact your Primary Care Provider (PCP) and your insurance prior to scheduling an appointment. It is the patient’s responsibility to obtain any referrals or prior authorizations from your PCP prior to your appointment.
PPIL cannot, under any circumstances, accept a Medicare or a Medicare-Medicaid Dual Eligible plan. Please inform staff when you make your appointment if you are enrolled in Medicare. You may be eligible for financial assistance.
PPIL will submit claims on your behalf to your insurance company. You are responsible for your co-payment if applicable, at the time service is provided. You are also responsible for all uncovered services, applicable co-insurance, and for any unmet deductible.
Any patient balances that remain will be communicated to you via a billing statement by mail after we have received a response from the insurance carrier. For questions about specific charges covered by your insurance, you should contact your insurance carrier directly. This contact number can be found on the back of your insurance card.
Please understand that we cannot guarantee confidentiality when you use your insurance. The policy holder will always receive an “Explanation of Benefits” (EOB) from the carrier. Therefore, if you are a dependent or a spouse under someone else’s policy, your confidentiality is not guaranteed.
If your insurance is not listed, PPIL may be out of your plan’s network. We encourage you to call the member service phone number listed on your insurance ID card prior to your appointment. Your member service department can give you detailed information pertaining to eligibility, benefits, and exclusions.
PPIL reserves the right to reject insurance plans that do not have contracts with us. We will still verify the coverage and determine the best benefit for you. We may ask for payment in full at the time of your visit.