On behalf of the Physicians and Staff of Fox Valley Medicine, Ltd., I would like to thank you for choosing us as your Managed Care Provider.

Fox Valley Medicine, Ltd.(FVM) is an Independent Physician’s Association located in the Fox River Valley since 1984. We are the administrative entities of the managed care network. Our purpose is to review the services that are requested by HMO members and healthcare providers to meet guidelines and requirements that are established by your insurance company. We oversee and coordinate the benefit inquiry process, claims, eligibility verification, contracting, utilization management, quality assurance, and credentialing.

As you may know, a major factor of your managed care plan is the active role of your Primary Care Physician (PCP). Your PCP will be responsible for directing all of your healthcare needs. Be sure to contact your PCP whenever you need to seek healthcare services. Services rendered outside your PCP's authorization may not be covered if proper prior authorization has not been obtained.

If you live outside the FVM service area (service area being, St. Charles, Batavia, West Chicago, Geneva, North Aurora, Aurora, Naperville, Plano, Sandwich) we welcome you to FVM. Please note that most services are provided within our service area, however, not all services are available at all locations. We have selected ‘Centers of Excellence’ for high profile cases. These may be within or significantly outside our service area, such as Chicago and Park Ridge. Our member hospitals (Rush Copley, Delnor, Provena Mercy, and Valley West) may be utilized for different diagnoses, to provide the highest level of care for you and your family.

Please review the section entitled "Important Steps to Managed Care". This should assist you in obtaining maximum benefit of your insurance plan. Please read the handbook given to you by your employer and be familiar with all of your benefits. This handbook contains critically important information.

If you add a family member through birth, marriage or adoption, please remember to enroll this new member through your employer group. Even if you are already paying for "Family Coverage", the plan must have the name and birth date of each new member.

HMOI and Blue Advantage HMO members needing behavioral health services may recieve them through Linden Oaks Medical Group at Edwards Hospital in Naperville. Please call 1-888-969-7874 between the hours of 9:00 and 4:30 to register.

Should you have any questions, please call our Member Service Department at 630-482-9758. We look forward to a long and healthy relationship.




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