This payer list does not guarantee payment or verify eligibility. Payment of benefits is subject to all terms, conditions, limitations, and exclusions of your insurance contract at the time of service. For all participation-related questions, please contact the payer or credentialing team at credentialing@gipartnersofil.com.
When submitting an inquiry to our credentialing team, please include the following information: copy of the insurance card (front and back), carrier phone number called when attempting to confirm participation, name of member service representative from carrier and the call reference number and date/time of call with carrier.
GI Partners of Illinois TAX ID: 47-4755178
GI Partners of Illinois Group NPI: 1548613995
Please utilize the Rush and APP websites to see various product/plan details.
If you are presented with an insurance carrier not on this list, please review the front and back of your insurance card in detail. These are likely (TPAs) Third Party Administrator plans. TPAs process claims on behalf of certain insurance carriers, self-funded company plans, labor groups, hospital networks, and more. The card should reflect the network that reprices claims: Multiplan, PHCS, Beechstreet, Aetna, BCBS, Cigna, and UHC. Contact the TPA to confirm the network reflected on the card as that will assist in determining if we are in-network.
Absolutely. When speaking to your insurance, first determine if your specific plan is in or out of network. If out of network, you will need a referral from a physician; however, you may still incur large out-of-pocket expenses. To avoid large out-of-pocket expenses, it is recommended that you seek providers that are in network unless a specialty service is only performed at that location.
It is also important to find out what specific services, procedures and tests will be covered before your arrival. Insurance companies may have coverage limits depending on the service or room charges. Lastly, it is helpful to know and understand what your co-payments, deductibles and/or co-insurance amounts are, depending on your type of service.
We accept a variety of insurance plans. Please visit our Insurance Information page for a comprehensive list or contact our office to verify your coverage.
A commercial insurance plan is a type of health insurance that covers medical expenses for the insured. Commercial health insurance policies can be sold individually or as part of a group plan, often through an employer.
Tiered provider networks are essentially a variation of a long-standing practice of providing one level of benefits to those who use in-network providers and another level of benefits for use of out-of-network providers. Tiered provider networks allow employers and insurers to specific hospitals and providers in their plan. Different tiers may have varied out-of-pocket expenses for the health plan. Participants will have more of an incentive to become engaged in the process of provider and treatment selection.
Narrow networks are health insurance plans that place limits on the doctors and hospitals available to their subscribers.
A benefit plan is an employer-sponsered retirement plan where an employee benefits are computed using a formula that considers several factors, such as length of employment and salary history.
