Paul Sanchez
In 2018, Blue Cross and Blue Shield of Illinois (BCBSIL) dropped three hospitals from the OSF Healthcare system: St. Francis Medical Center in Peoria, St. Anthony Medical Center in Rockford, and St. Mary Medical Center in Galesburg. However, it is important to note that OSF Saint Anthony's Health Center in Alton, Illinois, remains in the BCBSIL PPO network and accepts BCBS insurance. Furthermore, in 2023, the OSF HealthCare Saint Anthony Medical Center received a Blue Distinction® Center for Cardiac Care designation by Blue Cross and Blue Shield of Illinois, recognizing its commitment to quality and performance in delivering cardiac care.
| Characteristics | Values |
|---|---|
| Is OSF St. Anthony Medical Center accepting BC BS insurance? | Yes, as of April 2023, OSF HealthCare Saint Anthony Medical Center has been designated as a Blue Distinction Center for Cardiac Care by Blue Cross and Blue Shield of Illinois. |
| Which other OSF hospitals are not accepting BC BS insurance? | St. Francis Medical Center in Peoria, St. Mary Medical Center in Galesburg, and St. Anthony Medical Center in Rockford are no longer part of the BC BS PPO network as of 2018. |
| What other insurance plans does OSF St. Anthony Medical Center accept? | OSF Saint Anthony's Health Center in Alton, Illinois, accepts behavioral health plans. |
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What You'll Learn
- BCBSIL drops St. Francis, St. Anthony, and St. Mary's Medical Centers
- OSF Saint Anthony's Health Center in Alton remains in BCBS PPO network
- OSF Saint Anthony Medical Center earns Blue Distinction Center designation
- OSF Healthcare: transforming healthcare with innovation and research
- BCBSIL holders forced to find new insurance options
BCBSIL drops St. Francis, St. Anthony, and St. Mary's Medical Centers
Blue Cross and Blue Shield of Illinois (BCBSIL) announced plans to drop three OSF Healthcare hospitals from its PPO network. These hospitals include Saint Francis Medical Center in Peoria, Saint Anthony Medical Center in Rockford, and St. Mary Medical Center in Galesburg. The decision was effective from January 1, 2018, and was due to a failure to reach an agreement between BCBSIL and the OSF Healthcare System.
BCBSIL stated that the contracts with these hospitals no longer served their aim to "broaden our members' access to network providers and further enhance our network and product offerings". As a result, Illinoisans with BCBSIL PPO plans could only access care at OSF Healthcare hospitals using out-of-network benefits. This change impacted thousands of Illinois residents, including BCBS insurance holder Lucinda Hensley, who expressed concern about finding new health insurance.
The exception to this change was Saint Anthony's Health Center in Alton, which remained in the BCBSIL PPO network. Additionally, BCBSIL added a UnityPoint Health option, including Galesburg's Cottage Hospital, to their PPO network. They recommended the Blue Precision HMO as the best alternative for those affected by the change.
While the decision impacted the three hospitals mentioned, it is important to note that BCBSIL had PPO and BlueChoice® arrangements with seven additional OSF facilities in Illinois that remained unaffected. Furthermore, other facilities in the affected areas could choose to participate in the BCBSIL PPO and BlueChoice® networks in the future.
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OSF Saint Anthony's Health Center in Alton remains in BCBS PPO network
OSF Saint Anthony's Health Center in Alton, Illinois, remains in the Blue Cross and Blue Shield of Illinois (BCBSIL) PPO network, unlike other OSF hospitals. This means that patients with BCBS PPO plans can continue to access care at OSF Saint Anthony's Health Center as an in-network provider.
In 2018, Blue Cross and Blue Shield of Illinois dropped three OSF Healthcare hospitals from its PPO network: Saint Francis Medical Center in Peoria, Saint Anthony Medical Center in Rockford, and St. Mary Medical Center in Galesburg. These hospitals are part of the Order of St. Francis Healthcare System (OSF) and no longer serve BCBSIL's goal of broadening members' access to network providers and enhancing their network offerings.
However, OSF Saint Anthony's Health Center in Alton was not among the hospitals dropped by BCBSIL. This means that patients with BCBS PPO plans can continue to receive covered services at this location without having to worry about out-of-network costs.
It is always recommended to contact your insurance provider directly to confirm coverage and understand your specific plan benefits, as insurance plan acceptance can change over time. Additionally, OSF Saint Anthony's Health Center in Alton also accepts various behavioral health plans, demonstrating their commitment to providing comprehensive care to their patients.
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OSF Saint Anthony Medical Center earns Blue Distinction Center designation
OSF Saint Anthony Medical Center has received a Blue Distinction® Center designation for cardiac care by Blue Cross and Blue Shield of Illinois. This is part of the Blue Distinction Specialty Care program, which recognizes nationally designated providers that meet quality standards and deliver quality care with safe practices that lead to better health outcomes for patients.
The Blue Distinction Center designation is a recognition of OSF Saint Anthony Medical Center's commitment to providing the latest technology and advancements in healthcare. According to Paula Carynski, president of OSF HealthCare Saint Anthony Medical Center, "This recognition further demonstrates our dedication to providing the safest and best quality care."
Dr. Darrel Gumm, vice president of OSF HealthCare Cardiovascular Service Line, also expressed pride in the designation, stating that it acknowledges the outstanding care provided by the OSF Cardiovascular Institute. He emphasized their mission to treat every patient with the greatest care and love.
Despite this recent recognition, it is important to note that in 2018, Blue Cross and Blue Shield of Illinois dropped OSF Saint Anthony Medical Center in Rockford from its PPO network. This change meant that patients with Blue Cross and Blue Shield PPO plans could no longer access care at this specific hospital within the OSF Healthcare system using their insurance benefits.
However, it appears that OSF Saint Anthony's Health Center in Alton, Illinois, remains in the Blue Cross and Blue Shield of Illinois PPO network. It is always advisable to contact your insurance provider directly to confirm coverage, as networks and contracts can change over time.
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OSF Healthcare: transforming healthcare with innovation and research
OSF Healthcare is a trusted partner in healthcare, providing compassionate support and advanced treatments to help people live their healthiest, happiest lives. With locations across Illinois and Michigan, OSF Healthcare is dedicated to transforming healthcare through innovation and research.
OSF Healthcare strives to provide world-class care and groundbreaking research to its patients. This includes innovative digital health solutions through OSF OnCall, which offers convenient access to healthcare services from the comfort of one's home. Additionally, OSF Healthcare is committed to developing transformative cancer treatments, such as proton therapy and brachytherapy, through its Breakthrough Treatment Center.
One of the key drivers of OSF Healthcare's success is its commitment to innovation. OSF Innovation, established within the Jump Trading Simulation & Education Center, serves as a central hub for multidisciplinary teams to collaborate, generate ideas, and create strategic solutions to complex healthcare challenges. By partnering with start-ups, corporations, universities, and other hospitals, OSF Innovation maximizes the potential of existing assets and brings fresh perspectives to healthcare problems.
OSF Innovation focuses its efforts on five critical areas to meet the diverse needs of the communities it serves. They invest in emerging technologies, such as artificial intelligence (AI), to develop smart solutions that reduce costs, improve outcomes, and enhance patient experiences. Additionally, OSF Innovation works to expand access to healthcare for marginalized populations, ensuring that everyone has the opportunity to receive quality care.
In recognition of its innovative approach, OSF Healthcare has been named one of America's Most Innovative Companies by Fortune for 2025. This accolade underscores OSF Healthcare's commitment to transforming healthcare and improving the lives of those it serves.
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BCBSIL holders forced to find new insurance options
BCBSIL holders in Illinois are facing a challenging situation as Blue Cross and Blue Shield of Illinois (BCBSIL) has dropped three OSF Healthcare hospitals from its PPO network. This means that those insured with BCBSIL will no longer be able to access care at these hospitals as part of their network. The hospitals in question are Saint Francis Medical Center in Peoria, St. Anthony Medical Center in Rockford, and St. Mary Medical Center in Galesburg.
This change has left thousands of Illinois residents with BCBSIL insurance in need of alternative healthcare coverage. One resident, Lucinda Hensley from Galesburg, expressed her concern, stating that this change will "make it hard for a lot of people". The change is particularly impactful as BCBSIL aims to broaden its members' access to network providers and enhance its network and product offerings.
While this change is causing disruption for BCBSIL holders, it is important to note that OSF Healthcare has added a new option for BCBSIL holders. OSF Saint Anthony's Health Center in Alton, Illinois, remains in the BCBSIL PPO network and accepts behavioral health plans. This site has also been designated a Blue Distinction Center for Cardiac Care, demonstrating its commitment to quality and performance.
As a result of these changes, BCBSIL holders are encouraged to review their insurance options and consider alternatives if necessary. While this situation is less than ideal, it is positive that OSF Healthcare has maintained its relationship with BCBSIL through the Alton, Illinois site, and this site can now offer enhanced cardiac care to BCBSIL patients.
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Frequently asked questions
No, OSF St. Anthony Medical Center in Rockford is not in-network with BCBSIL.
Yes, OSF St. Anthony Medical Center accepts insurance plans. However, it is always recommended to contact your insurance provider directly to confirm coverage.
BCBSIL dropped OSF St. Anthony Medical Center from its network because it no longer served their aim to broaden members' access to network providers and enhance their network and product offerings.
Yes, Saint Anthony's Health Center in Alton remains in-network with BCBSIL. Additionally, BCBSIL has PPO and BlueChoice® arrangements with seven additional OSF facilities in Illinois that are unaffected.
