Accepted Insurance Plans

Blue Cross Blue Shield (PPO) Aetna Humana Cigna Medicare

MultiPlan / PHCS ComPsych Delphi BHS

Some other plans may be accepted if the policy includes "Out of Network" benefits.

We will be happy to verify your insurance benefits for you, and explain how they apply to the services we offer.

Call our Billing Specialist at (815) 344-5061, Ext. 0

Forms & Paperwork

	Registration Form New Patient Registration Form
	MBH Privacy Notice This document describes how your personal healthcare information (referred to as PHI) may be used or disclosed, and how you may obtain access to it.
	Emergency Services Agreement We formulate a plan with each person for emergencies in the initial phase of therapy in the event it is needed.
	Consent to Treat Minor Meridian Behavioral Health minor treatment consent form.
	Child History Form Meridian Behavioral Health child history form.
	Financial Assistance Program Meridian Behavioral Health financial assistance program information.