How Do I Find Medicaid Providers in Illinois?

How Do I Find Medicaid Providers in Illinois?
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If you're pregnant, have a low income, experience a disability or meet other qualifying criteria, you could benefit from Illinois Medicaid coverage for cheap or free care. However, you'll need to visit someone from the state's Medicaid provider list to ensure your insurance is accepted. You can easily do this by using the state's Medicaid lookup tool, visiting insurers' websites, using doctor lookup tools or contacting providers directly. Once you've found an Illinois provider, be sure to have your Medicaid card handy.

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Consider also​: How to Get a Temporary Medicaid Card

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Using the HFS Provider Directory

The Illinois Department of Healthcare and Family Services runs a provider directory website with a Medicaid doctors list. When you visit the HFS provider directory, you'll see options to view a full of list providers, search by a provider's national provider number or look up providers based on their service category or type. You'll likely find the latter option most helpful since you can sort by doctors or dentists or look up certain specialties such as podiatry or physical therapy.

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Regardless of the search option you use, the Medicaid provider list that appears will show the person's full name and NPI. You can expand an entry to see the provider's address and then do further research online to get in contact for an appointment.

Checking Through Insurance Companies

Illinois Medicaid typically requires choosing a managed care health plan through an associated private insurance company. For example, you might get Medicaid plans through Molina, Aetna or BlueCross BlueShield. As a result, you can visit that insurance company's website and use its provider lookup tool for Medicaid too.

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For example, the Molina Medicaid provider finder lets you search by keyword, category, provider type or NPI as well as select from common searches such as virtual care. The state's BCBS Medicaid provider finder offers similar options and lets you explore potential costs too. You can expect fuller details on providers than the HFS provider directory offers.

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If you'd rather not search online, you can call the insurance company and follow the prompts to get provider information. You should find the number on your Medicaid card.

Consider also​: How to Find Doctors Who Accept Medicaid

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Using Third-Party Lookup Tools

Third-party tools offer ways to find an Illinois Medicaid doctors list and get more details than other options. For example, you can often see patient reviews and even directly book appointments online.

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One popular option is the Zocdoc website which lets you find Medicaid providers nearby that offer the services you need and have appointments available for a date you specify. You can search for primary care providers and get a full list with doctor images, contact details, appointment calendars, performance metrics and detailed reviews. Other handy information includes the typical wait time, provider licenses, qualifications and biographies.

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Doctor.com is another option with similar features to Zocdoc. This tool has you choose a specialty, enter your location and specify your Medicaid coverage. You can then fine-tune the results and see detailed provider profiles, reviews, appointment booking options, highlights, service fees and payment options.

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Consider also​: How to Change the Address on a Medicaid Card

Consulting Prospective Providers for Information

If you already have an Illinois provider in mind, you can save time by calling them to confirm Medicaid acceptance. Be prepared to provide information about the Medicaid type you have.

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You can also try going to the provider's website and locating the insurance page. You'll usually see Medicaid listed if it's accepted, but the provider might only accept certain managed care plans such as BCBS.

Consider also​: Does Medicaid Pay for LASIK?

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