Provider Networks

Carle Health plans offer both in-network and out-of-network coverage. Using in-network providers means lower co-pays/coinsurance, deductibles and out-of-pocket maximums.

Your home address and available Carle Health providers determine which in-network providers your covered family members have access to:

Local Carle Health Network

If your ZIP code appears in the list below, you have in-network coverage with all Carle Health providers (including those affiliated with the Carle Health Physician Partners), FirstCarolinaCare provider network plus Health Alliance-contracted behavioral health/substance abuse providers.

Health Alliance Network

If you live in Illinois but beyond the ZIP codes in the chart, your in-network providers include all Carle Health providers and Health Alliance-contracted providers (excluding Christie Clinic and OSF) plus the FirstHealth network.

National Network

If you live outside the ZIP codes above and outside the state of Illinois or in Cook County, Illinois, your in-network providers include those who contract with the FirstHealth national network.
 

College Extended Network

Dependent children who leave our service area for 90 consecutive days or more to attend a college, university, technical school or vocational school can get access to in-network care through the national FirstHealth network while at school for no additional cost. Your dependent student can search the FirstHealth network through the Hally member portal. All other family members on the plan will continue using the standard provider networks. Please contact Health Alliance at membership@healthalliance.org for more information.