التأمين والمدفوعات

Insurance Accepted at Genesis Orthopedics & Sports Medicine

At Genesis Orthopedics & Sports Medicine, we believe every patient deserves access to high-quality orthopedic care — regardless of their insurance plan or financial situation. We accept Medicaid, Medicare, and a comprehensive range of commercial insurance plans at all 16 locations across Chicago and the suburbs. Affordable cash-pay rates are also available for uninsured patients.

Questions about your coverage? Call our billing team at (877) 377-1188 before your visit and we’ll verify your benefits.

 

✅  We Accept Medicaid & Medicare

Genesis Orthopedics proudly accepts Medicaid and Medicare — including all Illinois Medicaid managed care plans and Medicare Advantage plans — at every clinic location. Patients with Medicaid or Medicare receive the same high-quality care from our board-certified orthopedic surgeons as all other patients.

 

Insurance Plans We Accept

Below is our complete list of accepted insurance plans by category. If you do not see your plan listed, please call our office at (877) 377-1188 — we accept most plans and can verify your specific coverage.

 

Medicare & Medicare Advantage

• Standard Medicare

• BCBS Medicare Advantage

• AARP Medicare Advantage

• Allwell by Illinicare Medicare Advantage

• Cigna Health Spring Medicare Advantage

• Clear Spring Health Medicare Advantage

• Community Care Alliance of Illinois MA

• Humana Medicare Advantage

• Meridian Medicare Advantage

• Wellcare Medicare Advantage

• MoreCare (CountyCare) Medicare Advantage

 

Medicare/Medicaid (MMAI)

• Aetna Better Health MMAI

• Blue Cross Blue Shield Community MMAI

• Humana MMAI

• Meridian MMAI

• Illinicare MMAI

 

Illinois Medicaid & Medicaid Managed Care

• Standard IL Medicaid

• BCBS Community

• CountyCare

• Harmony

• Aetna Better Health (Illinicare)

• Meridian

• Molina

• Next Level Health

 

Indiana Medicaid

• Standard Indiana Medicaid

 

Commercial Insurance

• Blue Cross Blue Shield (PPO, Blue Choice, HMO)

• Beach Street

• United Healthcare

• Bright Health

• PCHS/Multiplan PPO

• SEIU

• Union Medical

• First Health

• Cofinity

• Coventry

• HealthLink/Unicare PPO

• HFN (PPO, CHC, ECOH, Work Comp)

• Humana

• Aetna (HMO, PPO)

• Cigna (HMO, POS, PPO, Local Plus, Connect IFP HMO)

• Smart Health PPO

 

Non-Traditional Health Plans

• Christian Health Share Plans

• School Athletic Insurance

 

Workers’ Compensation

• All workers’ compensation carriers accepted — pre-approval required before visit and before 4:30pm

• Call (877) 377-1188 to confirm pre-approval before coming in

 

Network Affiliations

Genesis Orthopedics holds affiliations with the following networks — including all contracts each entity holds, including all Narrow Network HMOs:

• Advocate Physician Partners (APP)

• Northwestern Medicine Physician Partners (NMPP)

• Amita Health Care Network (AHCN)

• Access Health Network

• Lawndale Christian Health Center

• West Suburban Health Partners PHO

 

💵  No Insurance? Affordable Cash-Pay Rates Available

For patients without insurance or those who prefer to pay out of pocket, Genesis Orthopedics offers affordable cash-pay rates for all services. Our billing team will provide a clear cost estimate before your visit. Call (877) 377-1188 to discuss your options.

 

Understanding Your Benefits

Copays & Deductibles

Your out-of-pocket cost at Genesis Orthopedics depends on your specific insurance plan — including your copay amount, deductible, and whether you have met your deductible for the year. Genesis is billed as a physician specialist clinic, which typically means a specialist copay rather than an ER or urgent care copay.

Referrals

Most patients do not need a referral to see a Genesis orthopedic specialist. However, some HMO plans require a referral from your primary care physician before seeing a specialist. Check with your insurance plan or primary care provider if you are unsure.

Workers’ Compensation

Genesis Orthopedics treats work-related orthopedic injuries and handles workers’ compensation billing at all locations. Work injuries must be pre-approved by your employer or workers’ compensation insurance carrier before your visit and before 4:30pm. See our Workers’ Compensation page for full details.

 

Frequently Asked Questions — Insurance at Genesis

 

Q: Does Genesis Orthopedics accept Medicaid?

A: Yes. Genesis Orthopedics accepts Medicaid at all 16 locations, including all Illinois Medicaid managed care plans: BCBS Community, CountyCare, Harmony, Aetna Better Health (Illinicare), Meridian, Molina, and Next Level Health. We are proud to serve patients with Medicaid with the same board-certified orthopedic care as all other patients.

 

Q: Do you accept Medicare Advantage plans?

A: Yes. We accept a comprehensive range of Medicare Advantage plans including BCBS, AARP, Allwell by Illinicare, Cigna Health Spring, Clear Spring Health, Community Care Alliance of Illinois, Humana, Meridian, Wellcare, and MoreCare (CountyCare). Call (877) 377-1188 to verify your specific plan.

 

Q: Do I need a referral to see an orthopedic specialist?

A: Most patients do not need a referral. If you have a PPO plan, you can typically come to us directly. If you have an HMO, your primary care physician may need to provide a referral. Call us at (877) 377-1188 and we can help you navigate your specific plan requirements.

 

Q: How do I verify my insurance coverage before my visit?

A: Call our billing team at (877) 377-1188 before your visit. Have your insurance card ready and we will verify your benefits, explain your expected copay, and answer any questions about coverage before you arrive.

 

Q: What if my insurance plan is not listed?

A: If you do not see your plan listed, please call us at (877) 377-1188. We accept most plans and hold all contracts through our network affiliations with Advocate Physician Partners, Northwestern Medicine Physician Partners, and Amita Health Care Network — including all Narrow Network HMOs.

arالعربية

معلومات الاتصال


    نعملا


    Genesis Orthopedics & Sports Medicine - Website