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PPO Networks

About 60% of Blue Cross and Blue Shield of Illinois individual and family plans are PPO plans and 40% are HMO plans. There are several different networks BCBSIL individual plans use:

    • The Blue Choice Preferred PPO Network and the Blue Precision HMO Network are the most popular.
    • Plans with the Blue Choice Preferred name utilize the Blue Choice Preferred PPO Network.
    • Blue Precision plans are HMO plans and use the Blue Precision HMO Network.

    BlueChoice Preferred PPO Network

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    2027 Plans

    In 2016, BCBSIL discontinued all metallic ACA level health plans in the large PPO Network and smaller Choice Network and created the Blue Choice Preferred PPO Network. The Blue Choice Preferred PPO Network will be similar to the Choice network but has been expanded statewide and includes additional hospitals and doctors.

    Key Hospitals not accepting the Blue Choice Preferred PPO Plans in 2027:
    • Advocate Health Care hospitals, accepted by BlueCare Direct plans only
    • University of Chicago, accepted by MyBlue Plus POS plans, and by Blue Precision HMO plans for specialty care with a referral

    To see if your doctors will be participating in this plan, you can look them up using the BCBSIL Provider Finder.

    Because of network limitations, the BlueChoice Preferred PPO plans are not appropriate for all Illinois residents. These products are basically for residents of Illinois metropolitan areas, including Chicago, Rockford and Springfield. To find out if your physician or hospital is in the BlueChoice Preferred network, use the Provider Finder and call your provider’s office.

    The list of Illinois hospitals participating in the BlueChoice Preferred PPO network is included in the pdf below but subject to change:

    2027 Hospital Network Guide

    Health system Blue Choice Preferred PPO Blue Precision HMO BlueCare Direct with Advocate MyBlue Plus POS
    Northwestern Medicine ✓ ✓ No No
    Loyola Medicine ✓ ✓ No No
    Rush University System for Health ✓ No No No
    Advocate Health Care No No ✓ No
    Northshore / Endeavor Health ✓ ✓ No ✓
    Edward-Elmhurst ✓ ✓ No ✓
    Ascension / Presence Hospitals ✓ ✓ No ✓
    University of Illinois Hospital (UI Health) ✓ ✓ No No
    University of Chicago Medicine No ✓* No ✓

    * Specialty care only with a referral; no primary care.

    Hospital participation can change. Always confirm your hospital and doctors in the Provider Finder before you enroll.

    BCBSIL PPO Network

    Most BlueCross BlueShield of Illinois individual plans use this large BCBSIL PPO network. The BCBSIL PPO network includes 96% of metro-area doctors and 98% of Illinois hospitals and is the largest PPO network in Illinois. The plans that utilize this network are:

    2 Comments

    1. Gary Pergamit

      I am choosing a plan at a new job
      Are the drs. at Northwest Healthcare Associates in the Blue Choice Select plan?

      Reply

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