Medicare Select Hospital Network
| Illinois Hospitals | ||
|---|---|---|
| ALEDO | GENESIS MEDICAL CENTER ALEDO | |
| ARLINGTON HEIGHTS | NORTHWEST COMMUNITY HOSPITAL | |
| AURORA | COPLEY MEDICAL CENTER PRESENCE MERCY MEDICAL CENTER | |
| BARRINGTON | ADVOCATE – GOOD SHEPHERD HOSPITAL | |
| BERWYN | MACNEAL HOSPITAL | |
| BLUE ISLAND | METROSOUTH MEDICAL CENTER | |
| BOLINGBROOK | ADVENTIST BOLINGBROOK | |
| CANTON | GRAHAM HOSPITAL | |
| CHICAGO | ADVOCATE 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 HEIGHTS | ST JAMES HOSPITAL – CHICAGO HEIGHTS CAMPUS | |
| CLINTON | DR JOHN WARNER HOSPITAL | |
| DANVILLE | OSF SACRED HEART MEDICAL CENTER | |
| DECATUR | DECATUR MEMORIAL HOSPITAL ST MARYS HOSPITAL | |
| DES PLAINES | PRESENCE HOLY FAMILY MEDICAL CENTER CHICAGO BEHAVIORAL HOSPITAL | |
| DOWNERS GROVE | ADVOCATE GOOD SAMARITAN HOSPITAL | |
| EAST ST LOUIS | TOUCHETTE REGIONAL HOSPITAL | |
| ELGIN | ADVOCATE SHERMAN HOSPITAL PRESENCE ST JOSEPH HOSPITAL ELGIN | |
| ELK GROVE VILLAGE | ALEXIAN BROTHERS MEDICAL CENTER | |
| ELMHURST | ELMHURST MEMORIAL HOSPITAL | |
| EVANSTON | NORTHSHORE UNIVERSITY – EVANSTON PRESENCE ST FRANCIS HOSPITAL | |
| EVERGREEN PARK | LITTLE COMPANY OF MARY HOSPITAL | |
| FOREST PARK | RIVEREDGE HOSPITAL | |
| GALESBURG | OSF ST MARY MEDICAL CENTER | |
| GLENDALE HEIGHTS | ADVENTIST GLENOAKS HOSPITAL | |
| GLENVIEW | NORTHSHORE UNIVERSITY HOSPITAL – GLENBROOK | |
| HARVEY | INGALLS MEMORIAL HOSPITAL | |
| HAZEL CREST | ADVOCATE SOUTH SUBURBAN HOSPITAL | |
| HIGHLAND PARK | NORTHSHORE UNIVERSITY HOSPITAL – HIGHLAND PARK | |
| HINSDALE | ADVENTIST HINSDALE HOSPITAL RML SPECIALTY HOSPITAL | |
| HOFFMAN ESTATES | ST ALEXIUS MEDICAL CENTER ALEXIAN BROTHERS BEHAVIORIAL HEALTH | |
| JOLIET | PRESENCE SAINT JOSEPH MEDICAL CENTER | |
| KANKAKEE | PRESENCE ST MARYS HOSPITAL RIVERSIDE MEDICAL CENTER | |
| LAGRANGE | ADVENTIST LAGRANGE MEMORIAL HOSPITAL | |
| LAKE FOREST | NORTHWESTERN LAKE FOREST HOSPITAL | |
| MAYWOOD | LOYOLA UNIVERSITY MEDICAL CENTER | |
| MELROSE PARK | WESTLAKE HOSPITAL GOTTLIEB MEMORIAL HOSPITAL | |
| MOLINE | TRINITY MEDICAL CENTER | |
| NAPERVILLE | EDWARD HOSPITAL | |
| NEW LENOX | SILVER CROSS HOSPITAL | |
| OAK FOREST | OAK FOREST HOSPITAL OF COOK COUNTY | |
| OAK LAWN | ADVOCATE – CHRIST HOSPITAL MEDICAL CENTER | |
| OAK PARK | RUSH OAK PARK HOSPITAL WEST SUBURBAN HOSPITAL | |
| OLYMPIA FIELDS | ST JAMES HOSPITAL AND HEALTH CENTER – OLYMPIA FIELDS CAMPUS | |
| PALOS HEIGHTS | PALOS COMMUNITY HOSPITAL | |
| PANA | PANA COMMUNITY HOSPITAL | |
| PARK RIDGE | ADVOCATE LUTHERAN GENERAL HOSPITAL | |
| PEKIN | PEKIN HOSPITAL | |
| PEORIA | PROCTOR HOSPITAL ST FRANCIS MEDICAL CENTER | |
| PONTIAC | ST JAMES HOSPITAL | |
| ROCKFORD | ST ANTHONY MEDICAL CENTER VAN MATRE HEALTH SOUTH REHABILITATION CENTER | |
| ROCK ISLAND | TRINITY MEDICAL CENTER | |
| SILVIS | GENESIS MEDICAL CENTER SILVIS | |
| SKOKIE | NORTHSHORE UNIVERSITY – SKOKIE HOSPITAL | |
| SPRINGFIELD | MEMORIAL MEDICAL CENTER ST. JOHNS HOSPITAL | |
| TAYLORVILLE | TAYLORVILLE MEMORIAL HOSPITAL | |
| URBANA | OSF HEART OF MARY MEDICAL CENTER | |
| WATSEKA | IROQUOIS MEMORIAL HOSPITAL | |
| WHEATON | MARIANJOY 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 Options | Premier Plan Options | Budget-Conscious Plan Options | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Plan A | Plan B | Plan C | Plan F | Plan G | High Deductible Plan F | Plan K* | Plan L* | Plan N* | |
| Reduced Premium Medicare Select Option Available (eligibility based on ZIP code) |  | | | | | | | ||
| Basic Benefits | 100% | 100% | 100% | 100% | 100% | 100% | 100%/50% | 100%/75% | copay applies |
| Skilled Nursing Coinsurance | 100% | 100% | 100% | 100% | 50% | 75% | 100% | ||
| Part A Deductible | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | |
| Part B Deductible | 100% | 100% | 100% | ||||||
| Part B Excess | 100% | 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