Accepted Insurance Plans
To meet the widest range of healthcare needs in the region, Northwestern Medicine hospitals participate in a variety of insurance plans and is considered an "in-network" provider for a large number of insurers. Being in-network means that insurance companies have made special contracting arrangements to provide a higher level of payment coverage for their customers who receive care at a Northwestern Medicine facility. If Northwestern Medicine hospitals are part of your insurance network, it could reduce your out-of-pocket health care expenses.
View these comprehensive reference charts of accepted insurance plans. If you have specific questions about your coverage, please contact your insurance company directly.
Note: Most of the physicians providing care at Northwestern Medicine hospitals are independent and may accept different insurance plans than those accepted at a care location. Please contact your physician’s office directly for information about accepted plans. Patients receiving behavioral health services should contact the office directly for information related to in-network insurance plans.
IMPORTANT UPDATE ABOUT UNITEDHEALTHCARE'S CONTRACT WITH NORTHWESTERN MEDICAL GROUP
FREQUENTLY ASKED QUESTIONS
UnitedHealthcare is negotiating a new contract with Northwestern Medical Group. This contract determines if you are able to access care from providers who are part of Northwestern Medical Group.
Why is this happening?
Contract negotiations are a part of the normal working relationship between UnitedHealthcare and Northwestern Medical Group - and all insurance carriers and healthcare providers. Recently, UnitedHealthcare notified its insureds that its current contract with Northwestern Medical Group will expire on January 1, 2019, if an agreement is not reached. We are working in good faith with United Healthcare to provide competitive and market appropriate rates for the world-class care you receive.
Can I still see my current physician in Northwestern Medical Group?
You may continue to receive care from your current physician at Northwestern Medical Group until January 1, 2019.
Which physicians in Northwestern Medicine are affected by this?
Physicians who are a part of Northwestern Medical Group.
What happens if an agreement isn’t reached?
If an agreement isn’t reached, as of January 1, 2019, your providers in Northwestern Medical Group will no longer be part of UnitedHealthcare’s network. After January 1, 2019, if you choose to continue to receive care from Northwestern Medical Group, you will be considered “out of network” and you will pay higher costs.
When does the contract expire?
The contract expires on January 1, 2019.
What happens until then?
Until the end of this year, you may continue to receive care from Northwestern Medical Group.
I have a procedure planned. Will I still be able to have it as planned?
UnitedHealthcare will continue to cover services by Northwestern Medical Group until January 1, 2019. If your procedure is on or before January 1, it will be covered. If it is after this date, you may incur out of network charges. Please contact UnitedHealthcare for more information.
I’m having a baby. Can I still deliver at Northwestern Memorial Hospital?
UnitedHealthcare will continue to cover services by Northwestern Medical Group through December 31, 2018. If your due date is after December 31, 2018, your physician services will be considered “out of network” as of January 1, 2019.
What if I have a Medicare Advantage plan?
This termination does not affect people who have a Medicare Advantage Group Retiree plan with no in- or out of network differential. If you have further questions, please contact your retiree employer plan or UnitedHealthcare.
Are negotiations underway? When will a decision be reached?
We are currently in negotiations working closely with UnitedHealthcare, and we hope to reach an agreement soon.
What if I want to continue to receive care at Northwestern Medical Group?
In the unfortunate event UnitedHealthcare ends the contract, you can continue to see Northwestern Medical Group physicians. However, you will be considered “out of network” if you wish to continue to receive care from Northwestern Medical Group.
What does this change mean for patients?
This change means patients covered by UnitedHealthcare may no longer receive care from their providers who are part of the Northwestern Medical Group, effective January 1, 2019.
How will I find out if the contract has been terminated?
We will provide updates on our website, nm.org. Your employer may also be able to provide up-to-date information.
How will you keep patients informed?
We will provide updates on our website, nm.org.
Whom shall I call with questions?
Your employer may also be able to provide up-to-date information.
Does this change affect any other insurance carriers?
No, this change only impacts people receiving insurance from UnitedHealthcare.