Note: Independent health care providers who practice at Springfield Memorial Hospital may not be participating in
the same insurance plans and networks as Springfield Memorial Hospital. Independent providers’ services will be
billed separately.
Commercial Insurance Plans
- Aetna/Coventry
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO (Blue Distinction Center)
Blue Distinction® Center and Blue Distinction® Center
+ Designations: Cardiac Care +, Spine Surgery +, Bariatric Surgery +, Hip and Knee Replacement
What is a Blue Distinction Center? According to BlueCross BlueShield of Illinois, there are
two levels of recognition. Blue Distinction Centers offer quality care, treatment expertise and better overall
patient results. Blue Distinction Centers + offer more affordable care in addition to quality care, treatment
expertise and better overall patient results.
Center of Excellence Designations: Bariatric Surgery, Cardiac Catheterization and Angioplasty,
and Gallbladder Removal, Laparoscopic
What is a Center of Excellence? According to Cigna, a center of excellence is a designation
is obtained after review. This review is based on two key things: patient outcomes, or how successful a hospital
is at caring for patients undergoing a certain surgery or being treated for an illness, and cost-efficiency—the
hospital's ability to deliver consistently excellent patient care while still keeping costs lower than average.
- Consociate Group
- CorVel
- Current Health Network
- Health Alliance
- HealthLink
- HFN
- Humana
- MultiPlan/PHCS (Physician-only plans not accepted)
- Preferred Plan, Inc.
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- Humana Choice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (Health Choice Illinois)
- Aetna Better Health of Illinois (previously IlliniCare)
- Blue Cross Community Health Plans
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (Medicare-Medicaid Alignment)
- Blue Cross Community Health
- MeridianComplete
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)