The Lake County Health and Benefit Plan contracts directly with the following hospital facilities. If the name of the hospital facility you seek or used is not on this list then those facilities will be paid in accordance to the out-of-network provisions of the Plan.
In-network Level A Designated Hospital Facilities
Franciscan St. Anthony Health - Crown Point, IN
Franciscan St. Anthony Health - Michigan City, IN
Franciscan Healthcare - Munster, IN
Franciscan St. Margaret Health - Dyer, IN
Franciscan St. Margaret Health - Hammond, IN
In-network Level B Designated Hospitals and Laboratory Facilities
Community Hospital - Munster, IN
Community Stroke and Rehabilitation Center – Crown Point IN
Methodist Hospital - Gary, IN
Methodist Hospital - Merrillville, IN
Pinnacle Hospital - Crown Point, IN
Portage Hospital - Portage, IN
Porter Regional Hospital - Valparaiso, IN
St. Mary Medical Center - Hobart, IN
St. Catherine’s Hospital - East Chicago, IN
University of Chicago - Chicago, IN
Keep in mind:
Level A and level B payment methodologies only apply to facility charges for services covered by the Plan.
Many physicians, surgeons and other medical professionals working within a hospital facility and/or outside service providers utilized for the treatments associated with your hospital visit, are often independent medical practitioners. Meaning: They are not directly employed by the hospital and as such are not covered under the terms of the Plan’s hospital contracts. Claims from these types of professionals will be paid in accordance to their network affiliation with this Plan. Meaning: Just because a physician or another medical provider is working within a participating hospital, does not mean they are network providers.