How Blue Cross and Blue Shield of Illinois (BCBSIL) Chooses Providers for Its Networks
How BCBSIL Chooses Doctors
We check the locations of all health providers in all of our networks to help ensure our members have access to in-network providers. BCBSIL wants to help ensure in-network providers are available and accessible to members. We do not use member experience, quality or cost-related measures to choose providers for our networks.
Medical Providers
In-network providers provide the following services*:
Allergy /Immunology |
Internal Medicine |
Orthopedic Surgery |
Cardiology |
Infectious Disease |
ENT/Otolaryngology |
Cardiothoracic Surgery |
Nephrology |
Pediatrics |
Chiropractor |
Neurology |
Physiatry /Rehabilitative |
Dermatology |
Neurosurgery |
Plastic Surgery |
Endocrinology |
Obstetrics & Gynecology |
Podiatry |
Family Practice |
Oncology |
Pulmonary |
Gastroenterology |
Oncology/Radiation |
Rheumatology |
General Practice |
Ophthalmology |
Urology |
General Surgery |
Orthopedics |
Vascular surgery |
*This is not a complete list of in-network provider specialties.
Behavioral Health Providers
In-network behavioral health providers provide the following services:
- Psychiatry
- Clinical Psychology
- Licensed Clinical Social Work
- Licensed Counseling, including Clinical Counseling and Marriage and Family Therapy
Your BCBSIL plan may use a tiered network. Based on cost, providers are placed into two tiers:
- Tier 1: Members get the highest level of benefits and pay the lowest out-of-pocket costs
- Tier 2: Members get a reduced level of benefits and pay higher out-of-pocket costs
How BCBSIL Chooses Hospitals
We check the locations of all hospitals in all of our networks to help ensure our members have access to in-network hospitals. BCBSIL wants to help ensure hospitals are available and accessible to members. We do not use quality, member experience or cost-related measures to choose hospitals for our networks.
Your BCBSIL plan may use a tiered network. Based on cost, hospitals are placed into two tiers:
- Tier 1: Members get the highest level of benefits and pay the lowest out-of-pocket costs
- Tier 2: Members get a reduced level of benefits and pay higher out-of-pocket costs