General Questions

Answers to questions about insurance, billing and balances with Lehan’s.

The following is a list (subject to change based on contracts) of current in and out of network insurance providers. We are able to bill any major insurance, but coverage will vary based on network status. In-Network Benefits (Durable Medical Equipment)*  Aetna/Coventry Blue Cross Blue Shield PPO ECOH First Health Net Health Alliance Health Link HFN Illinicare Medicaid Medicare Meridian Molina Multiplan Personal Care Insurance of IL Quartz/Chartwell The Alliance Tricare United Healthcare (Medicare Advantage Only) Out of Network Benefits (typically poor coverage)  BCBS Medicaid Managed Care Cigna Humana United Health Care (non-Medicare Advantage) UHC Medicare Advantage Complete (HMO) *There may be individual groups within an in-network insurance plan that utilize a narrow network which may exclude Lehan’s.  As such, Lehan’s will contact any insurance company on behalf of all patients and determine their coverage/benefits. We will work with all patients regardless of insurance or financial status to ensure the best patient care possible.  Please call Lehan’s at 815-758-0911 with any questions.
The coverage for all medical items depends on your specific insurance policy. Any time you need a medical item, service, or see a new doctor, you should contact your insurance policy for specific coverage details. The phone number for most insurances can be found on the back of your insurance card. Our customer service specialists are also happy to assist in contacting your insurance company for coverage details. Your policy will give the most accurate information regarding coverage. Most insurances require a prescription from a doctor in order to bill a claim and often require additional documentation from your healthcare providers including office visit notes. If you haven’t already received a prescription from your doctor, you can schedule an appointment or contact their office to have them send one to the pharmacy or medical equipment company of your choice.
Once the order for your items is reviewed by our billing staff, it is sent to your insurance company for processing. Once they’ve determined the final decision on your claim, they will send an explanation of benefits to you and an explanation of benefits with any payment required to Lehan's. The amount of time that it takes an insurance to process and pay a claim depends on the insurance company, and can vary greatly. This process can take one month or it can take several months. If there is any remaining patient balance on a claim, we will send out an invoice to the patient once the insurance company has processed and paid the claim. You can contact your insurance company to discuss where they are at in their claims process. If you have any further questions, you can contact our billing department at 815-766-3459.
For an up-to-date patient balance, please visit our patient portal (link to our Home Medical Bill Pay). You can view your balance, past payments, and invoices at your convenience. If there are any further questions, you can contact our billing department at 815-766-3459.