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Insurance Affiliations


PPO/HMO Affiliations


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
HealthLink HMO
HealthLink PPO
HFN PPO
Humana-Medicare Advantage HMO
Medicaid of Illinois
Medicare
Medview PPO
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
Wexford 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.

Financial Assistance
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

Click below for an Application for Financial Assistance

All physicians and mid-level providers furnishing services are independent contractors and are not employees of Marshall Browning Hospital with the exception of Dr. Gladstone Tucker, Dr. Malcolm Schulz, Dr. E. Clay Travis, Danielle Klump, FNP, Michael Staff, PA-C, and Cathy Lyons, PA-C. Emergency Room physician services are provided by Integritas Emergency Physician Services. Hospitalist services are provided by Morthland College Health Services (MCHS). Radiology services are provided under the auspices of SEMC Pathology. Specialty Clinics physicians holding clinics at Marshall Browning Hospital are independent contractors and are not employees of Marshall Browning Hospital. Anesthesia services are provided under the auspices of Brigham Anesthesia.
INDEPENDENT PHYSICIAN FEES ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE:
Independent physicians providing services at Marshall Browning Hospital bill for their services separately and the Hospital Financial Assistance application does not cover nor apply to fees charged. Independent physicians include but are not limited to emergency room physicians (Integritas Emergency Physician Services), radiologists (Cape Radiology), anesthesia (Brigham Anesthesia),and pathologists (SEMC). All specialty clinic physicians also bill for their services separately and the Hospital Financial Assistance application does not cover nor apply to fees charged with the exception of the following physicians: Gastroenterology Clinic: Christine Hachem, M.D., Alex Befeler, M.D.,Bruce Bacon, M.D., Jason Taylor, M.D.; Pain Management: Paul Juergens, M.D.; Pulmonology: Walid Halees, M.D., Suhail Istanbouly, M.D.; Rheumatology: Frederick Pfalzgraf, M.D.; Surgery & Wound Clinic: Malcolm A. Schulz, M.D.
MARSHALL BROWNING MEDICAL CLINIC:
Marshall Browning Medical Clinic is a hospital-based rural health clinic operated under Marshall Browning Hospital. Eligibility for financial need assistance as determined through the Patient Financial Assistance application will apply to services billed through the Marshall Browning Medical Clinic.