2016 Exchange Plans

Plan legend
Northwestern Medicine Exchange Insurance Plan Legend
Y Participating
N Not Participating
Y^ Effective 1/2016
Y* Referral Required and No Primary Care Services only Specialty Services
Y** Tier 2 Provider
# Patients with BCBS Precison (groups 475 and 477) affiliated with CDH, Delnor or RMG can schedule appointments at NMH by contacting the referral team at 312.926.4624 / 855.926.3770
NMH Northwestern Memorial Hospital
NLFH Northwestern Lake Forest Hospital
NMG Northwestern Medical Group
NHC Northwestern HealthCare (independent physicians at NLFH and NMH – please confirm the provider participation in your plan at the time of scheduling)
CDH Northwestern Medical Central DuPage Hospital
Delnor Northwestern Medicine Delnor Hospital
RMG Northwestern Medicine Regional Medical Group (Formerly Cadence Physician Group)
Harken Health Harken Health is an affiliate of United HealthCare

Northwestern Medicine Exchange Insurance Plans
2016 Exchange Plans Plan Type NMH NLFH NMG NHC CDH Delnor RMG
Blue Cross Blue Shield of Illinois
Precision Gold HMO 101 HMO N N N N Y# Y# Y#
Precision Silver HMO 102 HMO N N N N Y# Y# Y#
Precision Bronze HMO 103 HMO N N N N Y# Y# Y#
Precision Platinum HMO 104 HMO N N N N Y# Y# Y#
Precision Gold HMO 105 HMO N N N N Y# Y# Y#
Coventry Health Care
Coventry Bronze $20 Copay PPO Y Y^ Y N Y Y Y
Coventry Bronze Deductible Only HSA Eligible PPO Y Y^ Y N Y Y Y
Coventry Silver $15 Copay PPO Y Y^ Y N Y Y Y
Coventry Gold $15 Copay PPO Y Y^ Y N Y Y Y
Harken Health
Harken Health - Care Bronze PPO Y Y** Y Y Y** Y** Y**
Harken Health · Care Silver I PPO Y Y** Y Y Y** Y** Y**
Harken Health · Care Silver II PPO Y Y** Y Y Y** Y** Y**
Harken Health · Care Gold I PPO Y Y** Y Y Y** Y** Y**
Harken Health · Care Gold II PPO Y Y** Y Y Y** Y** Y**
Health Alliance Medical Plans
Health Alliance · PPO 4500 Elite Network Bronze PPO Y Y Y N Y Y Y
Health Alliance · PPO 4500b Elite Network Silver PPO Y Y Y N Y Y Y
Health Alliance · PPO 3250a Elite Network Gold PPO Y Y Y N Y Y Y
Health Alliance · HMO 4000d Elite Network Bronze HMO Y* Y* Y* N Y Y Y
Health Alliance · POS 5000a Elite Network Bronze POS Y* Y* Y* N Y Y Y
Health Alliance · HMO 3500 Elite Network Bronze HMO Y* Y* Y* N Y Y Y
Health Alliance · POS 3750c Elite Network Bronze POS Y* Y* Y* N Y Y Y
Health Alliance · POS 5000a Methodist Network Bronze POS Y* Y* Y* N Y Y Y
Health Alliance · HMO 6000 Riverside Network Silver HMO Y* Y* Y* N Y Y Y
Health Alliance · POS 6000 Riverside Network Silver POS Y* Y* Y* N Y Y Y
Health Alliance · HMO 5000c Elite Network Silver HMO Y* Y* Y* N Y Y Y
Health Alliance · HMO 3000b Elite Network Silver HMO Y* Y* Y* N Y Y Y
Health Alliance · HMO 4500 Elite Network Silver HMO Y* Y* Y* N Y Y Y
Health Alliance · POS 6000b Elite Network Silver POS Y* Y* Y* N Y Y Y
Health Alliance · HMO 4000b Elite Network Silver HMO Y* Y* Y* N Y Y Y
Health Alliance · POS HSA 2100a Methodist Network Gold POS Y* Y* Y* N Y Y Y
Health Alliance · HMO 1500b Elite Network Gold HMO Y* Y* Y* N Y Y Y
Health Alliance · HMO 1500a Elite Network Gold HMO Y* Y* Y* N Y Y Y
Health Alliance · POS 2000 Elite Network Gold POS Y* Y* Y* N Y Y Y
Health Alliance · POS HSA 2100a Elite Network Gold POS Y* Y* Y* N Y Y Y
Land of Lincoln Mutual Health Insurance Company
Adventist LLH 3-Tier PPO - Gold PPO N N N N Y** Y** Y**
Adventist LLH 3-Tier PPO - Silver PPO N N N N Y** Y** Y**
Adventist LLH 3-Tier PPO - Bronze PPO N N N N Y** Y** Y**
Centegra LLH 3-Tier PPO - Gold PPO N N N N Y** Y** Y**
Centegra LLH 3-Tier PPO - Silver PPO N N N N Y** Y** Y**
Champion LLH 3-Tier PPO - Gold PPO N N N N Y** Y** Y**
Champion LLH 3-Tier PPO - Silver PPO N N N N Y** Y** Y**
Chicago Health System LLH 3-Tier PPO - Gold PPO N N N N Y** Y** Y**
Chicago Health System LLH 3-Tier PPO - Silver PPO N N N N Y** Y** Y**
Family Health Network LLH 3-Tier PPO - Silver PPO Y** Y** Y** Y** Y** Y** Y**
Family Health Network LLH 3-Tier PPO - Bronze PPO Y** Y** Y** Y** Y** Y** Y**
Land of Lincoln Health Traditional PPO - Silver PPO Y Y Y Y Y Y Y
Land of Lincoln Health Traditional PPO - Bronze PPO Y Y Y Y Y Y Y
Land of Lincoln Health Traditional PPO - Gold PPO Y Y Y Y Y Y Y
Illinois Health Partners LLH 3-Tier PPO - Silver PPO N N N Y** Y** Y** Y**
Illinois Health Partners LLH 3-Tier PPO - Gold PPO N N N Y** Y** Y** Y**
Presence Health LLH 3-Tier PPO - Gold PPO N N N Y** Y** Y** Y**
Presence Health LLH 3-Tier PPO - Silver PPO N N N Y** Y** Y** Y**
Riverside LLH 3-Tier PPO - Silver PPO N N N Y** Y** Y** Y**
Swedish Covenant LLH 3-Tier PPO - Gold PPO N N N Y** Y** Y** Y**
Swedish Covenant LLH 3-Tier PPO - Silver PPO N N N Y** Y** Y** Y**