| Blue Cross and Blue Shield of Illinois - The HMO Advantage |
The HMOs of Blue Cross and Blue Shield of Illinois: A Powerful Choice
Members trust our HMOs:
We provide health care benefits to more people than any other HMO in the state. |
We are "owned" by our members and policy holders, not by stock holders:
As a non-investor owned company, we can focus on increasing the value of the benefits we offer to our clients and members rather than focusing on shareholders.
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Members are satisfied with our HMOs:
Nine out of ten members are satisfied with their Blue Cross HMO. |
With the Blue Ribbon Report, the Blue Star Medical Group/IPA Report and the Blue Star Hospital Report, you can make more informed decisions when choosing a network doctor or hospital.
In our online Provider Finder directory, we place a Blue Ribbon icon by the name of contracting Medical Groups/Independent Practice Associations (MG/IPA) that have earned the highest member satisfaction rates.
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Blue Ribbon and Blue Star are made possible by our Quality Improvement Fund:
We also place a Blue Star symbol by the name of contracting MGs/IPAs that have either met or exceeded national guidelines for providing preventive care and treating chronic conditions. |
We are one of the only insurers in Illinois to meet with contracting MGs/IPAs. You get more with our HMO:
Your Blue Cross HMO staff actually meets with contracting medical groups to help strengthen our services to the groups and members.
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Employers trust us:
Year after year, 95 percent of employers continue to renew with BCBSIL. |
BCBSIL is the only HMO insurer to implement a QI Fund:
Our Quality Improvement (QI) Fund rewards MGs/IPAs that meet specified clinical and non-clinical targets, which are updated annually. MGs/IPAs achieving high member satisfaction scores earn a Blue Ribbon; they earn Blue Star(s) for achieving high levels of clinical performance. Blue Ribbon or Blue Star MGs/IPAs are also rewarded with public recognition when we publish these designations on our Web site and the member newsletter. Publishing these designations has proven to motivate MGs/IPAs while providing members with a helpful decision tool in choosing medical groups.
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More health care options at no additional cost:
Members have the option of utilizing the BlueExtras discount program. This program offers discounts on alternative and complementary health care services for chiropractic care, acupuncture, and massage therapy as well as thousands of health and wellness products and vision care. |
You and your contracting MGs/IPAs make decisions about your health care:
We believe medical decisions should be made between the member and the member's contracting MGs/IPAs - not by us.
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We only get involved if members ask us to. This sets us apart from most other HMOs:
If members are not satisfied with decisions made by their MGs/IPAs, they can file an appeal with us. |
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We meet or exceed national accreditation standards
Our HMOs have been awarded an Excellent Accreditation from the National Committee for Quality Assurance (NCQA). Achieving Excellent status, NCQA's highest accreditation level, is a significant achievement that is only awarded to plans that meet or exceed NCQA's requirements for consumer protection and quality improvement. The NCQA standards are publicly reported in five categories:
- Access and Service
- Qualified Providers
- Staying Healthy
- Getting Better
- Living with Illness
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Visit NCQA to learn more:
BCBSIL HMOs voluntarily participate in the NCQA accreditation process. Not all HMO insurers participate in the NCQA accreditation process. |
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