Northwestern Medicine Regional Medical Group

Find a Doctor

Please note that as of September 1, Palos Medical Group is now part of the Northwestern Medicine Regional Medical Group. You can find the active accepted insurance plans for the group listed below.

Commercial health insurance is a type of private health insurance coverage. It helps you pay for your medical and surgical expenses. This type of health insurance is often offered by employers.

Northwestern Medicine hospitals and physician clinics have contracts for insurance with the organizations listed below. Coverage for Northwestern Medicine facilities and physicians may be in-network or out-of-network. This depends on your plan. You may require authorization for services by your plan before receive care. Please check with your health plan’s customer service to verify coverage details. This information can impact your out-of-pocket costs.

Aetna

Aetna Choice POS
Aetna Choice POS II
Aetna Elect Choice
Aetna EPO
Aetna Health Network Only
Aetna Health Network Option
Aetna HMO
Aetna Illinois Preferred Plan
Aetna Managed Choice POS
Aetna NAP
Aetna Open Access Elect Choice
Aetna Open Access HMO
Aetna Open Access Managed Choice
Aetna Open Choice PPO (including, but not limited to Aetna Signature Administrators® and Open Choice)
Aetna Performance Network
Aetna Premier Care Network (Contact your insurance company)
Aetna Premier Care Network Plus (Contact your insurance company)
Aetna QPOS
Aetna Savings Plus (Services for Delnor Hospital physicians only)
Aetna Select
Aetna Student Health
Aetna Traditional Choice
Aetna Voluntary Group Medical Plan (Indemnity Plan)

Beacon Health Options/Beacon Health Strategies

Beechstreet (PHCS)

Blue Cross Blue Shield

If your Blue Cross Blue Shield HMO plan site number is not listed below, and your primary care provider is not employed by Northwestern Medicine or part of Northwestern Medicine Physician Network, you will need a referral to see a specialist or have other services at Northwestern Medicine.

For questions about referrals, please call Blue Cross Blue Shield’s customer service line. This phone number is on the back of your insurance card.

Blue Cross Blue Shield of Illinois HMO Plans associated with Northwestern Medicine include:

  • Site #475: Northwestern Medicine Physician Network West and Northwest Suburb
    Your BCBS ID card will state: NMPN W, NW Sub
  • Site #489: Northwestern Medicine Physician Network Chicago and North Suburb
    Your BCBS ID card will state: NMPN, CHI, N Sub

Blue Cross Blue Shield

Blue Cross Blue Shield - HMOI

  • Blue Cross Blue Shield of Illinois sites 475 and 489 for Northwestern Medicine Physician Network primary care and specialty care services.
  • If you have a Blue Cross Blue Shield of Illinois HMO site that is not listed on the table above and not affiliated with Northwestern Medicine, you will need an authorized referral for specialty care services. To find out if your physician is with Northwestern Medicine, visit Find a Doctor on nm.org.

Blue Cross Blue Shield - Blue Advantage HMO

  • Blue Cross Blue Shield of Illinois sites 475 and 489 for Northwestern Medicine Physician Network primary care and specialty care services with the exception of Northwestern Medical Group primary care providers.
  • If you have a Blue Cross and Blue Shield of Illinois HMO site that is not listed on the table above and not affiliated with Northwestern Medicine, you will need an authorized referral for specialty care services. To find out if your physician is with Northwestern Medicine, visit Find a Doctor on nm.org.

Blue Cross Blue Shield - Blue Choice PPO
Blue Cross Blue Shield - Blue Choice Options (Tier 1)
Blue Cross Blue Shield – PPO

Cigna

Cigna - Open Access
Cigna - Open Access Plus
Cigna - Choice Fund Open Access Plus
Cigna - ChoiceCare PPO
Cigna - EPO
Cigna - Global Health Benefits
Cigna - GWH POS Open Access Plus
Cigna - HMO (or POS)
Cigna - HMO (or POS) Open Access
Cigna - Local Plus
Cigna - Network Open Access
Cigna - Network POS
Cigna - One Health HMO eff 4/1/19
Cigna Plus with Northwestern Medicine (Effective 1/1/2022) Plan 5800
Cigna Plus with Northwestern Medicine (Effective 1/1/2022) Plan 2000
Cigna - POS
Cigna - PPO
Cigna - Shared Administration PPO and OAP

CorVel - Workers' Compensation Program/Network

Coventry Health Care - First Health HMO, PPO and POS

Global Excel - PPO

Health Alliance PPO and HMO

HFN

HFN - EPO (HFN20)
HFN - PPO (HFN10)
HFN - Workers' Compensation Program/Network

Humana

Humana Behavioral Health
Humana - Choice POS
Humana - ChoiceCare PPO
Humana - EPO
Humana - HMO Premier (Patients must have a referral for services)
Humana - HMO Select (Specialist services only)
Humana - Illinois Platinum HMO
Humana - National Preferred POS - Open Access
Humana - PPO
Humana - Preferred PPO

Imagine Health

MultiPlan/PHCS

The Alliance

United Behavioral Health - Optum

United Healthcare

United Healthcare - All Savers
United Healthcare - Choice
United Healthcare - Choice Plus
United Healthcare - Core
United Healthcare - HMO (Patients must have a referral for services)
United Healthcare - HMO Plus (Patients must have a referral for services)
United Healthcare - Navigate
United Healthcare - Open Access (Patients must have a referral for services)
United Healthcare - Options PPO
United Healthcare - Select Plus
United Healthcare - Select
United Healthcare Affiliates - Participate through UHC PPO

Health exchanges or health insurance marketplaces were established in accordance with the Affordable Care Act (ACA) of 2010. These marketplaces provide a set of government-regulated and standardized healthcare plans where individuals may purchase health insurance policies, some of which include federal subsidies.

2022 Options

The plans below offer current access to Northwestern Medicine on Get Covered Illinois, the official health insurance marketplace for Illinois for the 2022 calendar year.

  • Blue Choice Preferred PPO
  • Blue Cross Blue Shield Precision

    If your Blue Cross Blue Shield HMO plan site number is not listed below, and your primary care provider is not employed by Northwestern Medicine or part of Northwestern Medicine Physician Network, you will need a referral to see a specialist or have other services at Northwestern Medicine.

    For questions about referrals, please call Blue Cross Blue Shield’s customer service line. This phone number is on the back of your insurance card.

    Blue Cross Blue Shield of Illinois HMO Plans associated with Northwestern Medicine include:

    • Site #475: Northwestern Medicine Physician Network West and Northwest Suburb
      Your BCBS ID card will state: NMPN W, NW Sub
    • Blue Cross Blue Shield of Illinois sites 475 for Northwestern Medicine Physician Network primary care and specialty care services with the exception of Northwestern Medical Group primary care providers.
    • If you have a Blue Cross Blue Shield of Illinois HMO site that is not listed on the table above and not affiliated with Northwestern Medicine, you will need an authorized referral for specialty care services. To find out if your physician is with Northwestern Medicine, visit Find a Doctor on nm.org.
  • Cigna Plus With Northwestern Medicine
    An HMO product that requires the selection of a primary care physician at Northwestern Medicine.

For instructions on how to enroll in any of these plans, please call 312.926.7440, TTY 711.

Bronze

Blue Cross Blue Shield of Illinois Blue Precision Bronze HMO
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 201
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 202
Blue Cross Blue Shield of Illinois Blue Choice Preferred Bronze PPO 601
Cigna Plus With Northwestern Medicine 8700
Cigna Plus With Northwestern Medicine 7500
Cigna Plus With Northwestern Medicine 5000
Cigna Plus With Northwestern Medicine 7000
Cigna Plus With Northwestern Medicine Diabetes 6800

Silver

Blue Cross Blue Shield of Illinois Blue Precision Silver HMO 
Blue Cross Blue Shield of Illinois Blue Choice Preferred Silver PPO 203
Blue Cross Blue Shield of Illinois Blue Choice Preferred Silver PPO 206
Cigna Plus With Northwestern Medicine 6000
Cigna Plus With Northwestern Medicine 3000
Cigna Plus With Northwestern Medicine 3500 Diabetes Care
Cigna Plus With Northwestern Medicine Plan 0
Cigna Plus With Northwestern Medicine Asthma/COPD 4200

Gold

Blue Cross Blue Shield of Illinois Blue Precision Gold HMO
Blue Cross Blue Shield of Illinois Blue Choice Preferred Gold PPO 204
Blue Cross Blue Shield of Illinois Blue Choice Preferred Gold PPO 207
Cigna Plus With Northwestern Medicine 1000
Cigna Plus With Northwestern Medicine 750
Cigna Plus With Northwestern Medicine 1250 - Northwestern Medicine Only

All Levels

Health Alliance Marketplace Plans HMO (requires referral from primary care physician/referring Specialist)

*Northwestern Medical Group is in network by referral only for specialty care physicians, such as cardiologists and orthopaedic surgeons.

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) plans. 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.

Governmental Advantage Plans

Medicare
Medicaid
Veteran Affairs Community Care Network administered by Optum
TriCare East Administered by Humana Military

Medicare Advantage Plans

Aetna - HMO 
Aetna - PPO 
Aetna - Open Access HMO
Aetna Prime HMO-POS
Blue Cross Blue Shield - PPO  
Blue Cross Blue Shield - HMO 
Health Alliance
Humana HMO Gold Plus
Humana PFFS
Humana PPO
Humana Honor PPO (Veterans Plan)
United HealthCare Chronic Complete Assure (PPO C-SNP)
United HealthCare Medicare Complete Access (Referrals required for specialty care, NO primary care is covered)
United HealthCare Medicare Advantage PPO 
United HealthCare Medicare Advantage 
United HealthCare AARP® Medicare Advantage Plan 1 (HMO) 
United HealthCare AARP® Medicare Advantage Plan 2 (HMO) 
United HealthCare Medicare Advantage Assure 
United HealthCare AARP® Medicare Advantage Choice (PPO) 
United Healthcare AARP Medicare Advantage Walgreens (PPO) 
United HealthCare AARP® Medicare Advantage Patriot (PPO)

Medicare/Medicaid Alignment Initiative Agreements (MMAI)

Aetna Better Health Premier Plan
Blue Cross Blue Shield
Humana
Meridian Complete

Medicaid Managed Care Programs/HealthChoice Illinois

Blue Cross Blue Shield
CountyCare 
Meridian 

Medical Group/IPA Site Medicare Advantage HMO
Site 757 (Northwestern Medicine) X