Health Insurance & Billing

There are several considerations regarding health plans - from whether it is a hospital or physician plan, to what kind of coverage your plan allows. People are encouraged to verify their benefits with their plan administrator by referring to their insurance membership card for contact information. Please check with your insurance company, HMO or PPO network or your employee benefits department to make certain all services are covered at Sarah Bush Lincoln.

You may be liable for certain services if they are not pre-authorized. Always check with your health plan prior to any elective admission or testing to determine whether it is a covered service.

You may be eligible for Sarah Bush Lincoln Financial Assistance for services provided by a Sarah Bush Lincoln employed provider. For more information and to download an application, visit this page.   

If you would like to review and pay your bills online for your dates of service, please visit https://sbl.paymyhealthbill.com/quickpay . You may be eligible to receive a 10 percent discount on applicable billing statements when paid in full within 30 days.

If you have questions, please do not hesitate to contact us at:

• Sarah Bush Lincoln: 800-381-0040
• SBL Fayette County Hospital: 618-283-5440

We are happy to help you.

Sarah Bush Lincoln is a Participating Provider with the following health plans:

INSURANCE

AARP United Healthcare Aetna Aetna Better Health of Illinois Aetna Better Health Premier Plan MMAI Aetna Medicare Advantage Allied Benefit Systems (w/Accepted Payer logo only) Allied National-Globalcare BeechStreet Benefit Administrative Systems (w/Accepted Payer logo only) BlueCross Anthem BlueCross BlueShield PPO Blue Cross Choice Plans BlueCross Community Health Plans BlueCross Community MMAI BlueCross Medicare Advantage Care Management Resources (Coventry) Champ VA Cigna (excluding Medicaid MCO) Community Partners Health Plan (Humana) Companion Life Consociate Care Consociate Health (First Brands Group) Consociate Health (Rural King) Coventry Coventry Medicare EIU Student Insurance EIU Varsity Federated Mutual First Health Network GEHA Health Alliance Health Alliance Medicare Advantage Healthlink (HMO and PPO) HealthSCOPE (United Healthcare) HFN-Healthcare Finest Network

HMA HOPE Trust Humana Humana Gold Plus Integrated MMAI Humana Medicare Advantage Humana MMAI - Beacon Health Illinois Medicaid Lasso Healthcare MSA Live360 Health Plan (ER Only) Live360 - Medical Associates Health Plans (Plans with Group "P" only) Luminare Health (formerly Trustmark - cards with Aetna, Cigna, Healthlink logo ONLY) Medicare Medicare Railroad Medi-Share Complete (First Health) Meridian Complete Meridian HealthChoice Mertain Health Molina Molina Dual Options Multiplan/PHCS Optimed People’s 1st Health Strategies (Odd Fellow Rebekah Home) Plain Church Medical Group Plain Church Medical Group (Small Business Worker’s Aid) Redirect Health Rural Carrier Benefit Plan Self Insured Society (Amish and Mennonite) Tricare (Tricare for Life) Trustmark Small Business UMR (United Healthcare) UMWA Union Health (w/First Health Network logo) United Healthcare (Marketplace Plans excluded) United Healthcare Medicare Advantage United Healthcare Shared Services Veterans Affairs WellCare Medicare Advantage (Wellcare By Allwell excluded) WellFirst Health (limited plans, see card) YouthCare

SELF PAY

Alliance for Shared Health (ASH) Altrua Health Share Christian Health Aid Christian Health Ministries Dutch Prairie Mennonite Church Jericho Share Liberty HealthShare Medi-Share Value netWell OneShare Health Samaritan Minitries Solidarity Healthshare WeShare

For questions or more information, call 1-800-381-0040.

COVID-19 Testing

The cost of the COVID-19 testing is $135. Your insurance should cover the full cost.

Consumer Guide to Healthcare Prices

Sarah Bush Lincoln is eligible to participate in the 340B Federal Drug Program due to the large number of Medicare and Medicaid patients it serves. However, according to the federal regulations, in order to participate in the 340B Program, Sarah Bush Lincoln must designate certain medical offices of Sarah Bush Lincoln as “Hospital-Based.” A hospital-based designation is a national model of billing practice that is regulated by Medicare.

It means that when receiving care at Sarah Bush Lincoln hospital-based locations, all patients, regardless of insurance, may receive a facility charge, as well as a professional or physician charge for outpatient services and/or procedures. These separate charges will be reflected on the patient statements for services provided.

Insurance coverage for the facility charge will depend on a patient’s specific insurance carrier. Patients are advised to review their insurance benefits or contact their insurance provider to determine what their policy will cover and identify any out-of-pocket expenses. Patient may also contact Sarah Bush Lincoln’s Patient Financial Services at 1-800-381-0040. Our staff is always happy to help you.

Below is a list of Sarah Bush Lincoln’s Hospital-Based clinics affected.

• Advanced Wound Center (SBL, 1000 Health Center Dr., Suite 302)
• Arcola Clinic (241 W. Springfield Rd., Arcola, IL)
• Arthur Clinic (211 S. Walnut, Arthur, IL)
• Bariatric Program (SBL, 1004 Health Center Dr., Suite 210)
• Bonutti Diagnostic Imaging (1303 W. Evergreen Ave., Effingham, IL)
• Cardiology & Pulmonology Clinic (SBL, 1000 Health Center Dr., Entrance H)
• Casey Clinic (934 N Rt. 49, Casey, IL)
• Center for Interventional Pain (SBL, 1000 Health Center Dr., Suite 106)
• Charleston East Family Practice (2040 Lincoln Ave., Suite 101, Charleston, IL)
• Charleston Family Practice (116 W. Buchanan Ave., Charleston, IL)
• Child Psychiatry (SBL, 1005 Health Center Dr., Suite 101)
• Effingham Cardiology Clinic (1303 W. Evergreen Ave., Effingham, IL)
• Effingham Echocardiography (1303 W. Evergreen Ave., Effingham, IL)
• Effingham EKG (1303 W. Evergreen Ave., Effingham, IL)
• Effingham Endocrinology Clinic (1303 W. Evergreen Ave., Effingham, IL)
• Effingham ENT Clinic (905 N. Maple, Effingham, IL)
• Effingham Family Practice Clinic - Oltman (905 N. Maple, Effingham, IL)
• Effingham Family Practice - Flynn (905 N Maple, Effingham, IL)
• Effingham Heart Screen (1303 W. Evergreen Ave., Effingham, IL)
• Effingham Infusion Center (901 Medical Park Dr., Effingham, IL)
• Effingham Internal Medicine (1303 W. Evergreen Ave., Effingham, IL)
• Effingham Medical Clinic (1303 W. Evergreen Ave., Effingham, IL)
• Effingham METS (1303 W. Evergreen Ave., Effingham, IL)
• Effingham Neurology Clinic (1303 W. Evergreen Ave., Effingham, IL)
• Effingham Outpatient Mental Health (905 N. Maple, Effingham, IL)
• Effingham Pacemaker (1303 W. Evergreen Ave., Effingham, IL)
• Effingham Pediatrics (1303 W. Evergreen Ave., Effingham, IL)
• Effingham Surgical Practice (1104 W. Evergreen Ave., Effingham, IL)
• Effingham Urology Clinic (1303 W. Evergreen Ave., Effingham, IL)
• ENT Clinic (SBL, 1000 Health Center Dr., Suite 401)
• Family Medical Center - Suites 1, 2, 3 & 4 (200 Richmond Avenue East, Mattoon, IL)
• Gastroenterology & Special Procedures (SBL, 1000 Health Center Dr., Suite 204)
• Infectious Disease Clinic (SBL, 1000 Health Center Dr., Suite 302)
• Infusion Services - Effingham (901 Medical Park Dr., Suite 201)
• Interventional Pain Management (1303 W. Evergreen Ave., Effingham, IL)
• Martinsville Clinic (890 Ridgelawn Rd., Martinsville, IL)
• Mattoon Infusion Center (SBL, 1000 Health Center Dr., 1 North)
• Mattoon Southern Illinois Hand Center (SBL, 1000 Health Center Dr., Suite 401)
• Medical Clinic at the Center for Healthy Living (1004 Health Center Dr. Suite 210)
• Neoga Clinic (650 Oak Ave, Neoga, IL)
• Neurology Clinic (SBL, 1000 Health Center Dr., Suite 107)
• Neurosurgery (SBL Deerpath Medical, 100 Deerpath Rd., Charleston, IL)
• Newton Clinic (807 West Jourdan St. Newton, IL)
• Orthopedics Clinic (SBL, 1004 Health Center Dr., Suite 100)
• Orthopedics (SBL Bonutti Clinic, 1303 W. Evergreen Ave., Effingham, IL)
• Occupational Medicine (SBL, Prairie Pavilion 1, 1005 Health Center Dr., Suite 104)
• Occupational Medicine (SBL Bonutti Clinic, 1303 W. Evergreen Ave., Effingham, IL)
• Pediatric Clinic (SBL, Prairie Pavilion 1, 1005 Health Center Dr., Suite 100)
• Prairie Family Practice (SBL, Prairie Pavilion 1, 1005 Health Center Dr., Suite 103)
• Psychiatry & Counseling (SBL, 1005 Health Center Dr., Suite 102)
• Regional Cancer Center (1001 Health Center Dr. 104, Mattoon, IL)
• Shelbyville Clinic (1215 W. Main St. Shelbyville, IL)
• Southern Illinois Hand Center (901 Medical Park Dr., Effingham, IL)
• Sullivan Clinic (7 Hawthorne Lane, Sullivan, IL)
• Surgery Clinic (SBL, 1000 Health Center Dr., Suite 101)
• Toledo Clinic (104 Courthouse Square, Toledo, IL)
• Tuscola Clinic (1100 Tuscola Blvd, Tuscola, IL)
• Tuscola Endocrinology Clinic (1100 Tuscola Blvd, Tuscola, IL)
• Urology Clinic (SBL, 1000 Health Center Dr., Suite 305)
• Julian Vassay, MD (101 Professional Plaza, Mattoon, IL)
• Walk-In Clinics (Charleston, 2040 Lincoln Ave, Suite 100 - Mattoon, 200 Dettro Dr. - Tuscola, 1100 Tuscola Blvd. - Effingham, 1303 W. Evergreen Ave.)
• David Winograd, DO (101 Professional Plaza, Mattoon, IL)
• Women’s Healthcare Clinic (SBL, 1000 Health Center Dr., Suite 201)

FREQUENTLY ASKED QUESTIONS

Current as of 3/5/2024