2016 Government Health Insurance Plans

Government plans are a wide range of plans that include a variety of Medicare and/or Medicaid plans. Northwestern Medicine participates in traditional Medicare and Medicaid as well as Family Health Plans (FHP), Integrated Care Plans (ICP) and Medicare-Medicaid Alignment Initiative (MMAI). FHP, ICP and MMAI plans are often available to individuals who were previously eligible for traditional Medicaid but are now accessing Managed Medicaid plans through expansion of the Affordable Care Act or “Obamacare.”

In addition, Northwestern Medicine participates with TriCare Military Services. For active duty military personnel and their families, this is administered by a plan for the Department of Defense.

Plan legend
Northwestern Medicine Government Health Insurance Plan Legend
Y Participating
N Not Participating
^ Referral required
* NMH, NLFH and NMG are effective with United HealthCare for Medicare Advantage Plans effective 1/1/16, please contact United HealthCare for additional information for regarding plan options
** Northwestern Medicine Regional Medical Group (RMG) , Primary Care Physicians (PCP), are no longer accepting new patients for these plans. RMG Specialists are accepting new patients if the patient has a referral from an RMG PCP or the PCP is on the medical staff at NMH, NLFH, CDH or Delnor.
# This includes select NMG Providers, verify at time of scheduling
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 known as Cadence Physician Group.

Northwestern Medicine Government Health Insurance Plans
Governmental Plan Plan Type NMH NLFH NMG NHC CDH Delnor RMG
Medicare Traditional Medicare Y Y Y N Y Y Y
Medicaid Traditional Medicaid Y Y Y N Y Y Y
Tricare - Prime Military Health Plan Y Y Y Y N N N
Tricare - Prime Extra
Military Health Plan
Y Y Y Y N N N
Tricare - Prime Remote
Military Health Plan
Y Y Y Y N N N
Tricare - Prime Select
Military Health Plan
Y Y Y Y N N N
Tricare - Prime Standard
Military Health Plan
Y Y Y Y N N N
Tricare - Reserve Select
Military Health Plan
Y Y Y Y N N N
Medicare Advantage Plans
Aetna - PPO Medicare Advantage N N N N Y Y Y
Aetna - HMO
Medicare Advantage
N N N N Y Y Y
Aetna - POS
Medicare Advantage
N N N N Y Y Y
BCBS - Blue Medicare Advantage HMO Medicare Advantage
Y Y Y N Y Y N
BCBS - Choice Premier PPO Medicare Advantage
Y Y Y N Y Y Y
BCBS - Choice Plus PPO Medicare Advantage
Y Y Y N Y Y Y
BCBS - PPO Medicare Advantage
N N N N Y Y Y
Family Health Network Medicare Advantage
N N N N Y Y Y
Cigna HealthSpring Advantage HMO Medicare Advantage
N N N N Y Y Y
Cigna HealthSpring Premier HMO-POS
Medicare Advantage
N N N N Y Y Y
Cigna HealthSpring Primary Plan IHMO
Medicare Advantage
N N N N Y Y Y
Cigna HealthSpring Total Care HMO SNP
Medicare Advantage
N N N N Y Y Y
Coventry Advantra Medicare Advantage
N N N N Y Y Y
Family Health Network HMO Medicare Advantage
N N N N Y Y Y
Health Alliance Medicare Advantage
Y^
Y^
Y^
N
Y^
Y^
Y^
Humana Choice PPO Medicare Advantage
N N N N Y Y Y
Humana Gold Plus HMO Medicare Advantage
N N N N Y Y N
Humana Gold Choice PFFS Medicare Advantage
N N N N Y Y Y
Humana Choice Medicare Advantage
N N N N Y Y Y
Meridian Medicare Advantage
N N N N Y Y Y
United HealthCare Group Medicare Advantage PPO Medicare Advantage
Y Y Y Y Y Y Y
United HealthCare AARP MedicareComplete Plan 1
Medicare Advantage
Y Y Y Y Y Y Y
United HealthCare AARP MedicareComplete Plan 2
Medicare Advantage
Y Y Y Y Y Y Y
Medicare/Medicaid Alignment Initiative Agreements (MMAI)
Aetna Better Health MMAI N N N N Y Y Y**
Blue Cross Blue Shield MMAI
Y Y Y N Y Y Y**
Cigna HealthSpring MMAI
N N N N Y Y Y
Meridian MMAI
N N N N Y Y Y
Family Health Plan (Formerly Temporary Assistance For Needy Families [TANF] and ACA Medicaid Expansion
Aetna Better Health FHP/ACA Expansion Y Y Y N Y Y Y**

Blue Cross Blue Shield FHP/ACA Expansion
Y Y Y N Y Y Y**
CountyCare FHP/ACA Expansion
Y^
Y^
Y^
N N N N
Family Health Network FHP/ACA Expansion
Y^
Y^
Y^
N Y Y Y**

Harmony Health Plan FHP/ACA Expansion
N N N N N N N
Harmony Behavioral Health FHP/ACA Expansion
N N N N Y N N
Health Alliance FHP/ACA Expansion
Y^
Y^
Y^
N Y^
Y^
Y^
IlliniCare FHP/ACA Expansion
Y Y Y N Y Y Y**
Meridian FHP/ACA Expansion
Y^
Y^
Y^
N Y Y Y**
Cenpatico FHP/ACA Expansion
Y N Y N Y Y Y
Integrated Care Plan
Aetna Better Health ICP Y Y Y N Y Y Y**
Cigna - HealthSpring ICP
N N N N Y Y Y
Blue Cross Blue Shield ICP
Y Y Y N Y Y Y**
Community Care Alliance of IL ICP
N N N N Y Y Y**
CountyCare ICP
Y^
Y^
Y^
N N N N
Family Health Network ICP
Y^
Y^
Y^
N Y Y Y**
Health Alliance ICP
Y^
Y^
Y^
N N N N
IlliniCare ICP
Y Y Y N Y Y Y**
Meridian ICP
Y^
Y^
Y^
N Y Y Y**
Cenpatico ICP
Y N Y N Y N Y