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Services

Accepted Health Plans

Before receiving services, all patients are encouraged to verify their benefits with their plan administrator by calling the contact information phone number listed on their health insurance card. Patients are responsible for any out-of-network expenses for services rendered at Gibson Area Hospital. Gibson Area Hospital is not responsible for notifying patients when network affiliations are changed.

Gibson Area Hospital is a preferred provider of the health plans of many different insurance companies and health networks throughout our service area. A sample listing of the insurance companies and health networks that are accepted by Gibson Area Hospital is listed below. Gibson Area Hospital does not participate in every product a health plan offers. Many insurance companies may be included in the plans listed below. Gibson Area Hospital also contracts directly with some employers. Please contact your employer or insurance carrier if you have questions about your coverage.

 

Following are the health insurance companies we now accept as of January 01, 2024.


Aetna Coventry

Aetna Coventry Medicare Advantage
Aetna Better Health (formerly Illinicare)
Avesis
Beech Street
Blue Cross Blue Shield
 – PPO + Blue Choice Preferred+Blue Options
Blue Cross Blue Shield – Medicare Advantage Flex PPO (only in-network plan for MA with BCBS)

Blue Cross Blue Shield of Illinois Blue Distinction Center Designation for Quality in Knee and Hip Replacement Surgeries.  Details and information here:  Blue Distinction Center Designation Information

Blue Cross Community Health Plans – MEDICAID ONLY

Centene – Meridian Mediciad
Centene – Meridian Complete (MMAI)

Centene – WELLCARE Medicare Advantage (ALL PLANS)
Centene – Youthcare

Community Partners Health Plans (CPHP network covers Humana PPO, Choice Care Network PPO & POS, National POS)
Consociate Health – Advanced Medical Transport, Illinois Farm Business Management, United Prairie, and Ruff Brothers Grain ONLY
DentaQuest
Envolve Dental – (Meridian and Youthcare patients)
First Health (Aetna Coventry Rental Network)
Health Alliance
Health Alliance Medicare Advantage
HFN, Inc. – all products including HMO, self-funded & workers comp
Integrated Health Plan
Interplan Health Group
Medicaid

Medicare – In addition to regular Medicare, all Medicare Supplement Plans F & G are accepted. Molina Healthcare – Medicare, Medicaid, MMP

Meritain Health-An Aetna Company
MultiPlan/PHCS – excludes HMOs, Medicare Plans & Consumer Savings Cards
Mutual Medical – City of Clinton employees only
NPPN (National Preferred Provider Network)
Prime Health Services Inc.
Provider Network of America (PNOA)
SIHO Network, LLC
Quanex Employees
Three Rivers
UMR (UHC Rental Network) 

UnitedHealthcare – excludes Behavioral Health, VACCN, Medicare Advantage


*GAH is only in network for BCBSIL PPO plans. We are not in the network for out-of-state plans or national plans such as Anthem. Some plans allow us to submit claims to local BCBS. However, please note you could pay out-of-network costs.


*Regarding Medicare Advantage (MA) products not listed above: most MA plans do offer out-of-network benefits for many services—benefits must be confirmed/authorized before service.


*Behavioral Health benefits may be handled by a third-party administrator, or even excluded, from some of the plans listed above—benefits must be confirmed/authorized before service.


*We are out of network with the following companies and/or listed products:
Blue Cross Blue Shield HMO, Blue Cross Blue Shield MA and MMAI, Centene – Ambetter, Cigna, CountyCare Health Plan, *Health Net Federal Services - Tricare West, Healthlink, Humana HMO, Humana Medicare,*Humana Military-Tricare East, Liberty HealthShare, NextLevel Health, United Healthcare Behavioral Health, United Healthcare – Optum VACCN. United Healthcare – Medicare Advantage Disclaimer: This exclusion list is not comprehensive.

 

*TRICARE East _ Humana Military –We are not in-network.  However, we can accept patients as certified members of this insurance.  We just accept lower reimbursements.  MUST HAVE A PRIOR AUTH BEFORE ANY SERVICE. 


 

 

***Disclaimer: This exclusion list is not comprehensive.

 

 

How to Contact Us

To contact Gibson Area Hospital directly call (217) 784-4251. For Security Concerns please call the Security Officer at (217) 784-2370. For general questions or comments about the GAHHS website, fill out the form on the contact page or email .

 Contact Us
 (217) 784-4251