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Insurance Plans

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If your insurance company is not listed or if you are unsure of your plan or have any other insurance inquiries, please call 630-588-3710.

If you are covered by an HMO, please contact your primary care physician so that you may obtain a valid insurance referral. Referrals are expected at the time of service. Patients who receive care without a referral may be responsible for payment at the time of service. The below list of insurance companies is not a guarantee of specific coverage. To verify eligibility or coverage of services, please contact your insurance carrier. Please have your updated insurance information available at the time of the appointment.

Below are the following provider plans that are accepted by Wheaton Eye Clinic:

  • Aetna Better Health MMAI * (Medical Only)
  • Coventry Personal Care *
  • Coventry PPO
  • Elect Choice
  • EPO *
  • HMO *
  • Managed Choice POS
  • Medicare Advantage HMO *
  • Medicare Advantage PPO
  • NAP (National)
  • Open Access
  • Open Choice PPO
  • PPO
  • State of Illinois Employee

*Plan requires a referral/authorization, please contact your primary care physician.

  • Advocate Physician Partner HMO *
  • Amita Health HMO *
  • BCBS Medicare Advantage PPO (Check with insurer for O.O.P expense level)
  • BCBS HMO IL *
  • BCBS Medicare Advantage HMO *
  • BCBS Medicare Advantage HMO-POS *
  • BCBS PPO IL
  • BCBSIL Community Health MMAI * (Medical Only)
  • BCBSIL Community Health Plan MMCP * (Medical Only)
  • Blue Advantage HMO *
  • Blue Choice Options
  • Blue Choice PPO (Bronze/Silver/Gold)
  • Blue Precision HMO *
  • Dreyer Medical Clinic HMO *
  • Federal Employee
  • Labor Fund
  • Northwestern Medicine Physician Network HMO
  • Unified Physicians Network HMO *

*Plan requires a referral/authorization, please contact your primary care physician.

  • C-5
  • Choice Fund Open Access Plus
  • Cigna One HMO *
  • EPO *
  • GWH
  • HMO *
  • Local Plus
  • Network HMO *
  • Network Open Access
  • Open Access HMO *
  • Open Access Plus
  • Open Access POS
  • PPO
  • Cigna Healthspring * (Medical only – Check with insurer for in-network providers)

*Plan requires a referral/authorization, please contact your primary care physician.

PPO

PPO

PPO (Check with the insurer for in-network providers)

PPO

  • Advocate Physician Partner HMO *
  • Amita Health HMO *
  • Choice Care Network
  • Choice POS
  • EPO *
  • Gold Plus Integrated MMAI *
  • HMO Premier/Open Access *
  • HMO Select *
  • Medicare Advantage Choice PPO
  • Medicare Advantage Gold Choice PFFS
  • Medicare Advantage Gold Plus HMO *
  • Medicare Advantage Gold Plus HMO/POS *
  • National POS Open Access/Plus
  • PPO
  • Preferred POS
  • Preferred PPO

*Plan requires a referral/authorization, please contact your primary care physician.

PPO

Medicare A & B Only

Railroad Medicare

  • Medicaid of Illinois * (including All Kids) (Please call us to determine eligibility)

*Plan requires a referral/authorization, please contact your primary care physician.

  • Meridian Health * (Medical Only)
  • Meridian MLTSS * (Medical Only)
  • Youth Care Health Choice Illinois Program * (Medical only – Check with insurer for in-network providers)
  • Meridian Complete MMP * (Medical Only)

*Plan requires a referral/authorization, please contact your primary care physician.

  • WellCare Absolute PPO (Check with insurer for in-network providers)
  • WellCare Essential HMO-POS * (Check with insurer for in-network providers)
  • WellCare Explore HMO-POS * (Check with insurer for in-network providers)
  • WellCare Premier PPO (Check with insurer for in-network providers)

*Plan requires a referral/authorization, please contact your primary care physician.

PPO

PPO

PPO

  • Advocate Physician Partner HMO *
  • Choice Plus POS
  • Choice POS
  • Core POS
  • Golden Rule/UHC One
  • Med Solutions PPO
  • Medicare Advantage AARP Medicare Complete Focus HMO *
  • Medicare Advantage AARP Medicare Complete Focus PPO
  • Medicare Advantage HMO *
  • Medicare Advantage HMO-POS *
  • Medicare Advantage PPO
  • Navigate *
  • Options PPO

*Plan requires a referral/authorization, please contact your primary care physician.

  • Tricare Prime *
  • Tricare Select
  • Tricare Standard

*Plan requires a referral/authorization, please contact your primary care physician.

  • Davis
  • EyeMed
  • March Vision
  • Spectera
  • Superior Vision
  • Vision One
  • Vision Service Plan (VSP)

*The above vision providers/plans are not accepted by Wheaton Eye Clinic.

This is a partial list of unaccepted providers maintained as a courtesy to our visitors. Please contact us if you do have a plan that is not listed here.

Locations

Wheaton Eye Clinic’s unparalleled commitment to excellence is evident in our continued growth. Today we provide world-class medical and surgical care to patients in six suburban locations—Wheaton, Naperville, Hinsdale, Plainfield, St. Charles, and Bartlett.

(630) 668-8250 (800) 637-1054

Wheaton

2015 N Main Street
Wheaton, IL 60187

Naperville

604 Raymond Drive
Naperville, IL 60563

Hinsdale

908 North Elm Street
Suite 115
Hinsdale, IL 60521

Plainfield

12426 South Van Dyke Road
Plainfield, IL 60585

St. Charles

610 Randall Rd
St. Charles, IL 60174

Bartlett

980 Route 59
Bartlett, IL 60103

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