Medicare Select Hospitals

Medicare Select Hospital Network

Illinois Hospitals
ALEDOGENESIS MEDICAL CENTER ALEDO
ARLINGTON HEIGHTSNORTHWEST COMMUNITY HOSPITAL
AURORACOPLEY MEDICAL CENTER

PRESENCE MERCY MEDICAL CENTER

BARRINGTONADVOCATE – GOOD SHEPHERD HOSPITAL
BERWYNMACNEAL HOSPITAL
BLUE ISLANDMETROSOUTH MEDICAL CENTER
BOLINGBROOKADVENTIST BOLINGBROOK
CANTONGRAHAM HOSPITAL
CHICAGOADVOCATE ILLINOIS MASONIC MEDICAL CENTER

ADVOCATE TRINITY HOSPITAL

CHICAGO LAKESHORE HOSPITAL

COMMUNITY FIRST MEDICAL CENTER

HOLY CROSS HOSPITAL

JACKSON PARK HOSPITAL

JOHN H. STROGER HOSPITAL (COOK COUNTY HOSPITAL)

LOUIS A WEISS MEMORIAL HOSPITAL

MERCY HOSPITAL AND MEDICAL CENTER

MOUNT SINAI HOSPITAL

NORTHWESTERN MEMORIAL HOSPITAL

NORWEGIAN AMERICAN HOSPITAL

PRESENCE RESURRECTION HOSPITAL

PRESENCE ST ELIZABETH HOSPITAL CHICAGO

PRESENCE ST JOSEPH HOSPITAL

PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER

PRESENCE ST MARY OF NAZARETH HOSPITAL

PROVIDENT HOSPITAL OF COOK COUNTY REHABILITATION

REHABILITATION INST OF CHICAGO

RML SPECIALTY HOSPITAL

ROSELAND COMMUNITY HOSPITAL

SCHWAB REHABILITATION HOSPITAL

ST ANTHONY HOSPITAL

SWEDISH COVENANT HOSPITAL

THOREK MEMORIAL HOSPITAL

UNIVERSITY OF CHICAGO MEDICAL CENTER

UNIVERSITY OF ILLINOIS MEDICAL CENTER

CHICAGO HEIGHTSST JAMES HOSPITAL – CHICAGO HEIGHTS CAMPUS
CLINTONDR JOHN WARNER HOSPITAL
DANVILLEOSF SACRED HEART MEDICAL CENTER
DECATURDECATUR MEMORIAL HOSPITAL

ST MARYS HOSPITAL

DES PLAINESPRESENCE HOLY FAMILY MEDICAL CENTER

CHICAGO BEHAVIORAL HOSPITAL

DOWNERS GROVEADVOCATE GOOD SAMARITAN HOSPITAL
EAST ST LOUISTOUCHETTE REGIONAL HOSPITAL
ELGINADVOCATE SHERMAN HOSPITAL

PRESENCE ST JOSEPH HOSPITAL ELGIN

ELK GROVE VILLAGEALEXIAN BROTHERS MEDICAL CENTER
ELMHURSTELMHURST MEMORIAL HOSPITAL
EVANSTONNORTHSHORE UNIVERSITY – EVANSTON

PRESENCE ST FRANCIS HOSPITAL

EVERGREEN PARKLITTLE COMPANY OF MARY HOSPITAL
FOREST PARKRIVEREDGE HOSPITAL
GALESBURGOSF ST MARY MEDICAL CENTER
GLENDALE HEIGHTSADVENTIST GLENOAKS HOSPITAL
GLENVIEWNORTHSHORE UNIVERSITY HOSPITAL – GLENBROOK
HARVEYINGALLS MEMORIAL HOSPITAL
HAZEL CRESTADVOCATE SOUTH SUBURBAN HOSPITAL
HIGHLAND PARKNORTHSHORE UNIVERSITY HOSPITAL – HIGHLAND PARK
HINSDALEADVENTIST HINSDALE HOSPITAL

RML SPECIALTY HOSPITAL

HOFFMAN ESTATESST ALEXIUS MEDICAL CENTER

ALEXIAN BROTHERS BEHAVIORIAL HEALTH

JOLIETPRESENCE SAINT JOSEPH MEDICAL CENTER
KANKAKEEPRESENCE ST MARYS HOSPITAL

RIVERSIDE MEDICAL CENTER

LAGRANGEADVENTIST LAGRANGE MEMORIAL HOSPITAL
LAKE FORESTNORTHWESTERN LAKE FOREST HOSPITAL
MAYWOODLOYOLA UNIVERSITY MEDICAL CENTER
MELROSE PARKWESTLAKE HOSPITAL

GOTTLIEB MEMORIAL HOSPITAL

MOLINETRINITY MEDICAL CENTER
NAPERVILLEEDWARD HOSPITAL
NEW LENOXSILVER CROSS HOSPITAL
OAK FORESTOAK FOREST HOSPITAL OF COOK COUNTY
OAK LAWNADVOCATE – CHRIST HOSPITAL MEDICAL CENTER
OAK PARKRUSH OAK PARK HOSPITAL

WEST SUBURBAN HOSPITAL

OLYMPIA FIELDSST JAMES HOSPITAL AND HEALTH CENTER – OLYMPIA FIELDS CAMPUS
PALOS HEIGHTSPALOS COMMUNITY HOSPITAL
PANAPANA COMMUNITY HOSPITAL
PARK RIDGEADVOCATE LUTHERAN GENERAL HOSPITAL
PEKINPEKIN HOSPITAL
PEORIAPROCTOR HOSPITAL

ST FRANCIS MEDICAL CENTER

PONTIACST JAMES HOSPITAL
ROCKFORDST ANTHONY MEDICAL CENTER

VAN MATRE HEALTH SOUTH REHABILITATION CENTER

ROCK ISLANDTRINITY MEDICAL CENTER
SILVISGENESIS MEDICAL CENTER SILVIS
SKOKIENORTHSHORE UNIVERSITY – SKOKIE HOSPITAL
SPRINGFIELDMEMORIAL MEDICAL CENTER

ST. JOHNS HOSPITAL

TAYLORVILLETAYLORVILLE MEMORIAL HOSPITAL
URBANAOSF HEART OF MARY MEDICAL CENTER
WATSEKAIROQUOIS MEMORIAL HOSPITAL
WHEATONMARIANJOY REHABILITATION HOSPITAL

**Med-Select hospital list is subject to change. Always verify the network status with Blue Cross and Blue Shield of Illinois or the hospital before receiving treatment.

 

Basic Benefit OptionsPremier Plan OptionsBudget-Conscious Plan Options
Plan APlan BPlan CPlan FPlan GHigh Deductible
Plan F
Plan K*Plan L*Plan N*
Reduced Premium Medicare Select Option Available (eligibility based on ZIP code)
Basic Benefits100%100%100%100%100%100%100%/50%100%/75%
copay
applies
Skilled Nursing Coinsurance100%100%100%100%50%75%100%
Part A Deductible100%100%100%100%100%50%75%100%
Part B Deductible100%100%100%
Part B Excess100%100%100%
Foreign Travel Emergency Care
Annual Out of Pocket Limit**$5,240$2,620

 

*Plans K-N provide for different cost-sharing than plans A-G.
Plans K and L pay 100% of hospitalization and preventive care Basic Benefits. All other Basic Benefits are paid at 50% (Plan K) and 75% (Plan L). Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “excess charges.” You are responsible for paying excess charges.
Plan N covers Basic Benefits after a $20 copay for office visits and a $50 copay for emergency room visits.
**The out-of-pocket annual limit may increase each year for inflation. (2018 limits shown)
† Network restrictions apply

*Not connected with or endorsed by the U.S. Government or Federal Medicare Program

 

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