{"id":432180,"date":"2026-05-08T18:58:23","date_gmt":"2026-05-08T18:58:23","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/432180\/"},"modified":"2026-05-08T18:58:23","modified_gmt":"2026-05-08T18:58:23","slug":"illinois-blue-cross-prime-healthcare-reach-agreement-to-continue-patient-coverage-shaw-local","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/432180\/","title":{"rendered":"Illinois Blue Cross, Prime Healthcare reach agreement to continue patient coverage \u2013 Shaw Local"},"content":{"rendered":"<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Prime Healthcare officials say they have reached an agreement to stay in-network with Blue Cross Blue Shield of Illinois beyond June 1. <\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Blue Cross Blue Shield, the largest insurance provider in <a href=\"https:\/\/www.shawlocal.com\/tags\/illinois\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.shawlocal.com\/tags\/illinois\/\">Illinois<\/a>, notified Illinois customers earlier this year they may no longer be in-network after June 1 if they are a patient of Prime Healthcare.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">In 2025, Prime Healthcare, a for-profit medical group, purchased eight Illinois hospitals from Ascension, including St. Joseph Medical Center in <a href=\"https:\/\/www.shawlocal.com\/tags\/joliet\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.shawlocal.com\/tags\/joliet\/\">Joliet<\/a>, Mercy Hospital in <a href=\"https:\/\/www.shawlocal.com\/tags\/aurora\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.shawlocal.com\/tags\/aurora\/\">Aurora<\/a> and St. Mary Medical Center in <a href=\"https:\/\/www.shawlocal.com\/tags\/kankakee\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.shawlocal.com\/tags\/kankakee\/\">Kankakee<\/a>.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">On Thursday, Prime Healthcare told Shaw Local that Blue Cross and Blue Shield of Illinois had reached an agreement for all eight of their hospitals in Illinois.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Prime Healthcare has been in network with Blue Cross and Blue Shield of Illinois, and they will remain in network after June 1.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Patients will not experience any \u201cinterruption to access or increase in their cost of care,\u201d according to Prime Healthcare officials.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Tori Dameron, president of the Illinois Nurses Association, called the news a \u201crelief for Blue Cross patients in Illinois.\u201d<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">\u201cEspecially in light of the lawsuit Anthem [Blue Cross Blue Shield] has brought against Prime alleging the company intentionally cancelled insurance contracts, raised prices and then aggressively pursued out-of-network claims at its California hospitals,\u201d Dameron said.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Dameron said there must continue to be demands for \u201ctransparency and accountability until Prime safely staffs its hospitals, stops cutting services and ensures patients come before profits.\u201d<\/p>\n<p><img decoding=\"async\" alt=\"St. Mary's Hospital in Kankakee.\" src=\"https:\/\/www.newsbeep.com\/il\/wp-content\/uploads\/2026\/05\/TBIQDDX47FDL3OFW2V3TG3NH2A.jpg\" width=\"1440\" height=\"0\" loading=\"lazy\"\/><\/p>\n<p class=\"ImageMetadata__MetadataParagraph-sc-1gn0vty-0 ijEZZk image-metadata\">Prime Healthcare purchased St. Mary\u2019s Hospital in Kankakee in 2025. <\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">The Illinois Nurses Association <a href=\"https:\/\/www.shawlocal.com\/the-herald-news\/2026\/05\/06\/blue-cross-patients-could-lose-coverage-at-illinois-prime-hospitals-healthcare-firm-says-negotiations-ongoing\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.shawlocal.com\/the-herald-news\/2026\/05\/06\/blue-cross-patients-could-lose-coverage-at-illinois-prime-hospitals-healthcare-firm-says-negotiations-ongoing\/\">expressed concerns about patients losing insurance coverage<\/a> on Monday. <\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">In response, Prime Healthcare officials said negotiations with Blue Cross Blue Shield of Illinois had been \u201congoing.\u201d They said a letter from the insurer to their customers \u201cmay create unnecessary concern for patients\u201d during negotiations.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Prime Healthcare officials said Blue Cross Blue Shield has committed to communicating the change with customers who were sent notifications about the June 1 cut off. <\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">The company \u201cremains contracted with all major health plans\u201d in Illinois and they are \u201ccommitted to continuing to work in good faith\u201d with Blue Cross and Blue Shield of Illinois to protect \u201cpatient access and support the long-term sustainability of hospitals,\u201c according to a Prime Healthcare spokesperson.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Blue Cross Blue Shield spokeswoman Tricia Ament said Prime Healthcare had previously notified them of their \u201cplans to leave our networks\u201d on June 1.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">\u201cThose plans have changed, and we are pleased to let you know that Prime has confirmed that they will stay in network,\u201d Ament said.<\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">Blue Cross Blue Shield members can find more information about how to find in-network care at <a href=\"https:\/\/www.bcbsil.com\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.bcbsil.com\/\">bcbsil.com<\/a> or by calling the number on their member ID card. <\/p>\n<p class=\"default__StyledText-sc-xb1qmn-0 gBIiEi body-paragraph\">More information regarding Prime Healthcare\u2019s participation Blue Cross Blue Shield networks can be found at <a href=\"https:\/\/www.bcbsil.com\/prime\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.bcbsil.com\/prime\">bcbsil.com\/prime<\/a>. <\/p>\n","protected":false},"excerpt":{"rendered":"Prime Healthcare officials say they have reached an agreement to stay in-network with Blue Cross Blue Shield of&hellip;\n","protected":false},"author":2,"featured_media":432181,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[14910,12196,163,1541,521,85,9174,8757,46,139903,83823,118718,202697,202698,118719,46155],"class_list":["post-432180","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-aurora","tag-breaking","tag-health","tag-health-care","tag-healthcare","tag-il","tag-illinois","tag-insurance","tag-israel","tag-joliet","tag-kane-county","tag-kane-county-front-headlines","tag-kankakee","tag-kankakee-county","tag-kendall-county-front-headlines","tag-will-county"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/432180","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=432180"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/432180\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/432181"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=432180"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=432180"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=432180"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}