Aetna Health of Illinois, Inc. PPO
America's Health Plan PPO
BCE Emergis (See Multiplan) PPO
Blue Cross/Blue Shield of Illinois PPO
Blue Cross/Blue Shield of Illinois-Direct Care (MAC) HMO
ChoiceCare Network/Humana PPO
Cigna Healthcare (IL Employees) PPO
ETHIX (See Multiplan) PPO
First Health Network (under GHP) PPO
GHP/Carelink Select HMO
Health Alliance HMO
Health Payor's Organization PPO
Humana-Medicare Advantage HMO
Medicaid of Illinois
MultiPlan, Inc. PPO
One Health Plan, Inc. PPO
Preferred Plan of Missouri (TASC) PPO
Preferred Plan, Inc. (See Multiplan) PPO
Private Healthcare Systems, Inc. (PHCS) PPO
Pro America (See Multiplan) PPO
The Prudential Insurance Co. of America PPO
Three Rivers Provider Network PPO
UMWA Health & Retirement Funds PPO
United Healthcare PPO
Wal-Mart Stores, Inc. PPO
All patients should familiarize themselves with the terms of their insurance coverage. This will help you understand the hospital's billing procedures and charges. If there is a question about your insurance coverage, it is the responsibility of the patient or their legal representative to contact the insurance carrier to verify coverage and terms of the policy.
If You Are a Member of an HMO or PPO
Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan's requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your health care plan and their services may not be covered.
If You Are Covered by Medicare/Medicaid
We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as some oral surgery procedures, personal comfort items, and others. Deductibles and co-payments are also the responsibility of the patient.
We will need a copy of your Medicaid Card. Medicaid also has payment limitations on a number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary.
If You Have No Insurance
It is the responsibility of the patient, or their legal representative, to contact the Patient Accounts Department to discuss financial arrangements. Marshall Browning Hospital has a variety of programs available to assist patients with their bills based on the patient's household income and ability to pay.
We realize that some patients are financially unable to pay for medical services. Therefore, we have an assistance program available for those who meet the required criteria.
Financial Assistance Application Process