Northwestern Hospital Insurance Coverage: BCBSIL Insurance Plan Guide
Beginning January 1, 2021, BCBSIL members participating in the Blue Choice Preferred PPOSM and BCBSIL Medicare Advantage HMO plans were able to receive in-network services from Northwestern Medicine.
Northwestern Hospital continues to accept BluePrecision HMO and BlueChoice Preferred PPO plans for 2023.
Are there any exchange options to access Northwestern Medicine?
Yes, BlueChoice Preferred PPO and Cigna are the only individual Exchange options product for Northwestern Medicine access.
2023 PPO Alternative Option
On October 12, 2017 President Trump signed this Executive Order designed to restore consumer choice in the Short Term health insurance marketplace. Short Term health insurance is the only kind of non-ACA (Obamacare) qualified health insurance available in the individual marketplace.
Short Term health insurance is considered major medical health insurance but it is not ACA-qualified. As such, Short Term health insurance does not cover preexisting conditions and you do have to answer health questions to qualify. National General Consecutive Short Term health insurance policies use the Aetna Open Choice PPO network.
This network includes access to Northwestern Memorial hospital, University of Chicago Medical Center, Rush University Medical Center and the Ann & Robert H. Lurie Children’s hospital as well as many other hospitals and medical providers nationwide.
However, Illinois only allows short-term plan to last up to 6 months. You are able to purchase a second short-term consecutive plan for another 6 months with no gap in coverage but it has to be with a different insurance company.
For quotes and to apply online for Consecutive Short Term health insurance, get a quote below.and select a start date on or after January 1st:
2023- Aetna PPO Plan Application (up to 6 months)
National General’s Short Term Medical insurance gives you a plan to face those unpredictable moments in life with confidence. It provides the financial protection you need from unexpected medical bills and other health care expenses, including
- Doctor visits and some preventive care
- Emergency room and ambulance coverage
- Urgent care benefits, and more
National General Health Insurance Feature Highlights
- Coverage Period Maximum of $250,000 and $1 million per year
- Deductible options of $1,000, $2,500, or $5,000
- Coinsurance Percentage of In-Network plan 100/0, 80/20, 70/30, and 50/50
- Doctor Office Visit and Urgent Care Co-pay of $50
Choose Your Provider
National General’s Short Term Medical insurance gives you access to the Aetna Open Choice PPO network, one of the largest networks in the country with no referral required. Aetna PPO Provider Finder
Short Term Health Insurance and Network Size
While more than half of ACA plans lack out-of-network coverage, all short term insurance plans have broad network coverage ensuring that an enrollee has access to quality health care providers. If an enrollee goes out of network and finds that the provider does not accept their short term insurance, in many cases, the enrollee can get reimbursed by submitting their claim to the insurance company. To be sure, enrollees should check with their insurance company first.
Do you know when we will know for sure? I am an employee of Northwestern and spent the last year advocating for them to expand mental health coverage with their employee health benefits or to start accepting more Blue Cross Blue Shield insurance plans. I had to buy my own insurance plan through the healthcare marketplace, but I wasn't able to find one that covered my providers outside of Northwestern as well as the physicians I was already seeing at Northwestern. It was very discouraging.
That is very discouraging to hear. We know NW and BCBSIL are in ongoing negotiations but it seems they continue to be hard headed instead of coming to an agreement that benefits both sides. We hope for an update in 2019 but since they have not released any news it is not looking good.
Please sign in to leave a comment.