Insurance and Billing Information
 

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Hospital Charges

HSHS St. Joseph's Hospital - Breese is committed to providing our patients with useful information that will assist them in making informed health care decisions. Please refer to the following website to obtain pricing for our services:

http://www.healthcarereportcard.illinois.gov/

Prices listed are full charge and reflect what is billed to insurance companies, Medicare and Medicaid. Uninsured patients receive a 35% discount off billed charges and can apply for financial assistance through the Illinois Single Billing Office. Learn more about our financial assistance program.

Affordable Care Act (ACA) Price TransparencyClick HERE to learn more about the potential cost of your care.
 

Participating Providers


Below is the list of plans accepted by HSHS St Joseph's Hospital - Breese. If your insurance provider is not listed, please call to verify, as insurance plans change on a regular basis. For questions on specific charges, discounts offered, and financial assistance available, please contact the Illinois Single Billing Office at 1-877-636-2261.
 

Insurance Plans and Provide Networks Accepted

Aetna
Blue Cross Blue Shield of Illinois PPO
Blue Cross Choice Preferred PPO Network (BCE)
Cigna HealthCare - OAP and PPO *
Corvel Worker's Compensation
Coventry Health Care
 -CMR
 - Coventry National Network
 - First Health Network
Coventry Carelink
Health Alliance Medical Plan
Healthlink
HFN, Inc.
Hope Trust
Humana Network
Multiplan
 -Beechstreet
 -PHCS
Provider Network of America (PNOA)
Tricare/Champus
TriWest VA PACCC
United HealthCare Midwest (UHC)
UHC VA CCN
WellFirst Health

Medicare - Traditional
Accepted Medicare Replacement Plans

Aetna/Coventry Health Care
Clear Spring Health of Illinois
Humana Medicare Advantage Plans
United HealthCare Midwest (UHC)
WellCare


Medicaid - Traditional
Accepted Medicaid Replacement Plans

Meridian Health Plan


GetCoveredIllinois.Gov (Exchange Plans)
Blue Cross Choice Preferred PPO Network (BCE)
Health Alliance Medical Plan

Last Updated
12/19

 

* Hospital Sisters Health System (HSHS) constantly works to enhance the quality of care we provide to our patients while also working to reduce costs and deliver efficient care.

If you are a participant in a Cigna commercial health plan, you may have recently been contacted by Cigna or your medical provider about ongoing contract negotiations between your health care provider and Cigna.  

Since spring of 2019, Hospital Sisters Health System (HSHS) has been working with Cigna in good faith to negotiate an agreement that would ensure continued care of those in our community and provide reimbursement that fairly covers the health care provider’s cost of delivering high quality care. Unfortunately, an agreement has not yet been reached.

If a contract is not reached by March 31, 2020, this means that HSHS St. Joseph's Breese, along with any affiliated HSHS Medical Group providers, will be considered out-of-network for health services* you receive on or after this date.  

We encourage you to contact your employer’s benefits department to discuss plan options that will allow you to have in-network access to your local hospital.  You are also encouraged to contact Cigna directly using the phone number listed on the back of your insurance card to identify medical providers and facilities in your area who accept Cigna.

We remain hopeful that an agreement will be reached in the near future.



Exclusions:

Emergency Care:  If you present to the Emergency Department for treatment of a medical condition that is deemed as an emergent medical condition by the health care provider, your treatment while in the emergency department will be covered according to the benefits provided by your plan.

There may be additional exclusions based on your insurance benefit plan and/or your course of medical treatment.  We encourage you to contact Cigna or our customer service center at 1-888-477-4221 for more information.