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账单和保险

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健康保险

Alivio 医疗中心接受伊利诺伊州医疗补助计划(Illinois Medicaid)、政府医疗补助管理式护理计划 (Medicaid Managed Care Plans)、政府医疗保险 (Medicare)、私人商业保险和市场(平价医疗法案)保险计划。如果您没有保险,我们的福利登记顾问可以指导您完成在 Casa Maravilla 的 Pilsen Satellite 老年中心的申请/续订援助流程。

不符合这些计划条件的患者可根据收入和家庭人口数量,使用我们的按比例收费资格以低于 20 美元就诊。

对于使用 HMO 的患者,Alivio 医疗服务医生必须是您指定的全科医生才能在诊所就诊。

保险计划

我们接受多种保险计划。如果您对我们接受的保险计划有任何疑问,请致电我们的账单部,电话:773-254-1400选择语言后按提示 #2。

Insurance plans accepted

* Contracted Plans through IPA’s

  • Commercial plans
    • Aetna
    • Blue Cross Blue Shield HMO, Blue Advantage *
    • Cigna*
    • Humana Health Care*
    • United Health Care
  • Medicare Medicaid Alignment Initiative (MMAI)  Medicare Duals
    • Aetna Better Health
    • Blue Cross Blue Shield of Illinois
    • Meridian Health Plan
    • Molina Healthcare of Illinois
  • Illinois Health Insurance Marketplace
    • Ambetter Health
  • Medicaid Plans
    • Aetna Better Health
    • Meridian Health Plan
    • Molina Healthcare of Illinois
    • YouthCare
  • Medicare HMO & PPO Plans
    • Clear Spring Medicare Advantage*
    • Community Care Alliance
    • Humana Medicare Advantage*
    • Molina Healthcare of Illinois Medicare Advantage (MAPD)
    • More Care Health Plan
    • Wellcare
    • ZingHealth
  • Independent Physician Associations (IPA)
    • Loyola Physician Partners (LPP)
    • Village Physicians Network (VPN)
Income LevelABCDE
Family SizeIncome Threshold
115,06018,82522,59026,35530,120
220,44025,55030,66035,77040,880
325,82032,27538,73045,18551,640
431,20039,00046,80054,60062,400
536,58045,72554,87064,01573,160
641,96052,45062,94073,43083,920
747,34059,17571,01082,84594,680
852,72065,90079,08092,260105,440
958,10072,62587,150101,675116,200
1063,48079,35095,220111,090126,960
For each household
with 8 or more family members, add
5,3806,7258,0709,41510,760
Medical3038455360
BH568910
Oral Health Visits3544536170
Sliding fee scale based on 2024 federal poverty guidelines.

付款方式

许多人每天都面临着具有挑战性的决定,但在基本需求和医疗保健之间做出选择不应该是其中之一。研究表明,预防性健康检查和健康咨询护理可延长预期寿命。作为联邦合格医疗中心,AMC 的按比例收费标准计划可确保那些由于距离或经济原因、没有保险或保险有限,而无法正常获得医疗保健的患者能够以经济有效的方式获得预防性检查,从而过上更健康的生活。

希望申请按比例收费标准资格申请的患者需要出示年收入和家庭规模的证明。

虽然我们致力于为所有患者提供负担得起的护理,但仍需要在服务时以现金、支票或 Visa/Mastercard/Amex 付款。在服务时未付款可能会导致您的预约被重新安排。

已完成按比例收费标准申请、提交收入证明文件并被认定有资格享受折扣的患者将根据按比例收费标准折扣和象征性费用(如适用)收取费用。

符合按比例收费标准折扣条件的患者在提供服务时需要支付可负担的象征性费用。此付款将涵盖单次就诊产生的所有费用,包括辅助服务,例如实验室或放射科的服务。此付款涵盖药品或牙科服务的费用。

限制包括以下内容:

  • 付款不包括实验室检查或由护士进行的就诊,患者将会收到提供这些服务的账单。
  • 此按比例收费表适用于未投保或保险不足的患者。
  • 已投保的患者需要提供收入信息,以确定是否符合按比例费用表资格,并需要支付保险共付额,您的保险将为服务开具账单。如果有任何保险未涵盖的费用,您符合条件的按比例费用表折扣将计入您的余额。
  • 按比例收费表和象征性费用将适用于没有医疗保险且不符合 Medicaid 和 Marketplace 保险计划资格的患者。

了解更多您获得慈善估价的权利。

Good Faith Estimate (GFE)

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. The above price schedule for our main services is our Good Faith Estimate of your expected costs for an appointment with us.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. Pricing is subject to change.

You may request a print-out of the above fee schedule as your Good Faith Estimate. (GFE List of common service added as hyperlink)  If so desired, please reach out at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate, and in our case, a reference to the fee schedule above. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

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