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Nexus Health PCHome Visits & Telehealth

INSURANCE & PLAN VERIFICATION

Insurance information, without guesswork.

Nexus Health PC works with Medicare, Medicaid and commercial insurance. A carrier name or plan family below does not by itself confirm that Nexus is in-network for your exact product. We verify the specific plan, network, service, authorization requirements and benefits before care.

Important: This page is a verification guide—not a guarantee of coverage, payment, benefits, or network participation. Bring or securely provide the exact plan name and member information through the approved intake process.

CARRIERS & PLAN FAMILIES

Select an insurer to view plan families

Plan offerings change by year, county, employer and product. Only plans individually verified for the patient should be treated as accepted/in-network.

Medicare: Nexus Health PC accepts Medicare. This includes Original Medicare. Medicare Advantage and other Medicare-administered products are listed by plan family below; the exact member product, network, service coverage, authorization requirements, and patient cost-sharing are still verified before care.
AetnaView plan families +

Common Aetna plan families to verify

  • Commercial / employer plans — HMO, PPO and EPO products where applicable
  • Aetna Medicare Advantage — HMO, HMO-POS and PPO
  • Aetna Medicare Special Needs Plans — D-SNP, C-SNP or I-SNP where offered and applicable
  • Aetna Better Health of Illinois — Medicaid managed care

Exact Aetna network participation must be checked for the member's product.

UnitedHealthcareView plan families +

Common UnitedHealthcare plan families to verify

  • Employer / commercial products, including HMO/PPO-style and other network products as applicable
  • UnitedHealthcare Medicare Advantage products
  • UnitedHealthcare Community Plan products where offered/applicable
  • Dual-eligible or Special Needs products where offered/applicable

Product and network names vary. Nexus will verify the exact member plan.

Blue Cross and Blue Shield of Illinois (BCBSIL)View plan families +

Common BCBSIL plan families to verify

  • Individual / family and employer plans — PPO, POS and HMO products
  • Blue Cross Medicare Advantage — HMO, HMO-POS and PPO products
  • Blue Cross Community Health Plans — Illinois Medicaid managed care
  • Other BCBSIL group/network products as applicable

BCBSIL has multiple provider networks; the member's exact network must be verified.

Cigna HealthcareView plan families +

Cigna plan families to verify

  • Employer/commercial network products
  • PPO-style and Open Access/network products where applicable
  • Other Cigna-administered employer products

Do not assume participation from the Cigna name alone; the specific network/product must be confirmed.

HumanaView plan families +

Humana plan families to verify

  • Medicare Advantage HMO products where offered
  • Medicare Advantage PPO products where offered
  • Special Needs / dual-eligible products where offered and applicable
  • Other Humana products only when specifically contracted and verified
Medicare — Original Medicare (Parts A & B)View coverage type +

Original Medicare

  • Medicare Part A — Hospital Insurance
  • Medicare Part B — Medical Insurance

Coverage of a particular Nexus service and patient cost-sharing still depend on Medicare rules and the service provided.

Illinois Medicaid / HealthChoice IllinoisView plan families +

Illinois Medicaid products to verify

  • Illinois Medicaid fee-for-service when applicable
  • HealthChoice Illinois managed care
  • Aetna Better Health of Illinois
  • Blue Cross Community Health Plans
  • CountyCare (Cook County)
  • Molina Healthcare of Illinois
  • Meridian products for applicable populations

Illinois Medicaid managed-care participation requires plan-specific contracting; verify the exact plan before care.

Other commercial / employer plansHow verification works +

If your insurer or employer plan is not shown, contact Nexus Health PC. We can review the exact carrier, plan name, network and member benefits before scheduling. A plan not appearing here does not automatically mean it is out-of-network.

BEFORE YOUR VISIT

We verify the exact plan.

Insurance cards often share a carrier logo while using different provider networks. Verification helps identify network status, referral or prior-authorization requirements, benefits and expected patient responsibility.

Need plan verification?

Call (224) 666-0120. Do not send insurance cards, member IDs, diagnoses or other PHI through ordinary email.

Request Appointment