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Policies & Information

Insurance & Payments

Below is a comprehensive list of major insurance companies and payer programs commonly seen in Illinois for Home Health, Durable Medical Equipment (DME), Private Duty Nursing, and related home-based healthcare services. Participation depends on network contracts, plan type, and service line.


Helping You Understand Your Coverage

Navigating insurance coverage for home healthcare, medical equipment, and home-based services can be confusing. Castor is committed to making the process easier by helping patients, families, caregivers, physicians, and referral partners understand available coverage before services begin.

Our experienced team works with Medicare, Illinois Medicaid, many Medicare Advantage plans, commercial insurance companies, Veterans programs, Workers' Compensation, long-term care insurance providers, and other payer sources to verify eligibility, explain benefits, and coordinate required documentation.

Because every health plan is different, we review each patient's individual benefits to determine coverage, authorization requirements, deductibles, copayments, and any out-of-pocket responsibilities before services are initiated whenever possible.


Coverage May Be Available For

Depending on your insurance plan and eligibility, coverage may be available for a variety of Castor services, including:

Home Health Services
Home Care Services
Private Duty Nursing
Home Medical Equipment (DME)
Respiratory Equipment
Medical Supplies
Incontinence Supplies
Diabetic Supplies
Ostomy Supplies
Wound Care Supplies
Veterans Care Programs
Non-Emergency Medical Transportation (when applicable)

Coverage depends on medical necessity, physician orders when required, benefit design, authorization requirements, and the specific service requested.


Insurance Verification

Before services begin, our team can help:

Verify your insurance benefits
Explain covered services and equipment
Review prior authorization requirements
Coordinate required physician documentation
Identify any copayments, deductibles, or coinsurance
Discuss private-pay options when coverage is unavailable
Answer questions about the referral and approval process

Our goal is to simplify the insurance process so you can focus on your health and recovery.


Medicare & Government Programs

  • Medicare
  • Illinois Medicaid
  • Medicare Part B
  • Medicare Advantage Plans
  • Illinois Medicaid Managed Care
  • Veterans Affairs (VA)
  • VA Community Care Network (CCN)
  • TRICARE
  • Railroad Medicare
  • Workers’ Compensation

Illinois Medicaid Managed Care Organizations (MCOs)

  • Aetna Better Health of Illinois
  • Blue Cross Community Health Plans
  • CountyCare Health Plan
  • Molina Healthcare of Illinois
  • Meridian Health Plan of Illinois

Medicare Advantage Plans

  • Aetna Medicare
  • Blue Cross Medicare Advantage (BCBSIL Medicare Advantage)
  • Humana Medicare Advantage
  • UnitedHealthcare Medicare Advantage
  • Wellcare Medicare Advantage
  • Molina Medicare Advantage
  • Zing Health Medicare Advantage
  • Cigna Healthcare Medicare Advantage
  • Devoted Health Medicare Advantage
  • Essence Healthcare Medicare Advantage
  • Alignment Health Medicare Advantage (select markets)

Commercial Insurance Companies

  • Blue Cross Blue Shield of Illinois (BCBSIL)
  • Aetna
  • Cigna Healthcare
  • UnitedHealthcare
  • Humana
  • Health Alliance
  • HealthLink
  • Coventry Health Care
  • First Health Network
  • MultiPlan
  • PHCS (Private Healthcare Systems)
  • UMR
  • Trustmark Health Benefits
  • Allied Benefit Systems
  • Meritain Health
  • Imagine360
  • Sana Benefits
  • Anthem Blue Cross Blue Shield
  • GEHA
  • Golden Rule Insurance
  • Medica
  • Oscar Health (select employer plans)
  • HFN (Health Care Network)
  • Three Rivers Provider Network (TRPN)
  • Prime Health Services
  • Viant
  • Zelis Network
  • Galaxy Health Network
  • USA Managed Care Organization (USAMCO)

Employer & Third-Party Administrator (TPA) Plans

  • Meritain Health
  • UMR
  • Trustmark
  • Allied Benefit Systems
  • HealthLink
  • Imagine360
  • Sana Benefits
  • Consociate Health
  • Auxiant
  • Employee Benefit Management Services (EBMS)
  • CoreSource
  • MedBen
  • Group Resources
  • BAS (Benefit Administrative Systems)
  • Fringe Benefit Group

Long-Term Care Insurance Companies

  • Genworth Financial
  • Mutual of Omaha
  • Bankers Life
  • John Hancock
  • New York Life
  • Northwestern Mutual
  • State Farm Long-Term Care
  • Thrivent
  • CNA Long-Term Care
  • UNUM
  • Transamerica
  • MassMutual
  • Lincoln Financial Group

Insurance Disclaimer

Insurance participation and coverage vary by health plan, policy, service, and patient eligibility. Although Castor accepts many insurance providers, we may not participate with every product or network offered by an insurance company, and some services may require prior authorization or may not be covered. Our team will verify your benefits and eligibility before services begin and help you understand your available options.