How do I schedule an appointment?

Making an appointment is easy! Just call 708-352-0081 to speak to one of our Patient Services Representatives. If you are a current patient and are enrolled in the Patient Portal, you can request an appointment online by logging into your secure patient account. Note: If the patient is over 18, due to HIPAA laws/compliance, they will need to schedule all appointments. A proxy may be signed by the patient at their first visit.

Do you have same day appointments?

Yes, there are a limited number of same day appointments available throughout the day. Just call 708-352-0081 to speak to one of our Patient Services Representatives.

What should I bring to my appointments?

Please bring photo identification and your Insurance card.

What documents do I need if I am applying for a sliding scale discount?

You will need a valid photo identification, recent proof of address, proof of dependents, and proof of income. Please do not hesitate to reach out to one of our Benefits and Enrollment specialists to answer any questions.
Note: Our sliding scale discount is active for 12 months, and needs to be renewed annually. If there are any changes to the household income during this time, please contact a team member to update your information.

How do I cancel an appointment?

If you are unable to keep your appointment, please call us at 708-352-0081. Due to the high demand for appointments, we ask that you provide at least a 24 hour notice of cancellation or call us as soon as you know you have to cancel your appointment. Failure to do so may result in not being able to receive an appointment during peak/prime appointment times. If you are a current patient and are enrolled in the Patient Portal, you can request the cancellation via your account.

Why does Community Nurse Staff verify contact information at every visit?

It important to verify your contact information at every visit in order to make certain that our office has your current contact information. This ensures your provider can get in touch with you or your emergency contact immediately if a need arises. This also ensures any communication/mailings are sent to the correct address.

How do I request my Medical Records?

You can request printed medical records by fax, mail, or in person. Return the completed form below to our Medical Records Department, Attn: Release of Information. Please allow approximately 5-7 business days for the processing of all requests. Click here to download and print the form.
Fax numbers: Medical Center – 708-579-2408, Dental Center – 708-579-2418
Mail: Community Nurse Medical Records Department, 23 Calendar Ave. La Grange IL 60525

After Hours – Answering Service

Even when the clinic is closed, existing patients may call 708-352-0081 for urgent medical and dental needs and an on-call provider will call you back promptly to address your health care concerns and questions. If you are having a medical emergency, please call 911.

 

PAYMENT OPTIONS AND HEALTH INSURANCE

I do not have insurance. Can I still see the doctor?

We accept select Medicaid, Medicare, and some private commercial insurance plans. If you do not have insurance, our Benefits & Enrollment Specialists can help you sign up for Medicaid – just call 708-352-0081 to talk with someone on our Benefits & Enrollment Team or click here for more information. Patients who do not qualify for these programs can receive a medical visit for as little as $20 using our sliding scale, which is based on household income and family size. For more information about our Sliding Scale Discount program, please click here.

While we are committed to providing affordable care for all our patients, payment is still expected at the time of service by cash, check or Visa/Mastercard/Discover.

What health insurance plans do you accept?

We accept many insurance plans, including Medicaid, Medicare, and some commercial plans. If you have insurance coverage, it’s important that you tell us and present your insurance card at registration so we can verify your eligibility. Failure to disclose coverage may result in charges for past visits.

Please see here for a complete list of insurance plans that we accept. This list is updated on a regular basis. If you have any questions about which insurance plans we accept, please call our Benefits and Enrollment Team at 708-352-0081.

How do I change my Primary Care Provider (PCP) to Community Nurse Health Center?

You can call the number on the back of your insurance card or call 708-352-0081 to schedule an appointment to have a Community Nurse Benefits and Enrollment Team member assist you with the change/switch.

What if I do not have health insurance, can I still become a patient?

Absolutely! A member of our Benefits and Enrollment Team can help assess your current situation and discuss potential programs you may be eligible for.

Patient Portal/My Health Portal

What is the Patient Portal/My Health Portal? The Patient Portal enables our patients to communicate with our doctors, nurses, and staff members easily, safely, and securely via the Internet. Participating patients are given secure User IDs and passwords, enabling them to access the Portal to view their personal and private documents, including lab and diagnostic test results, educational information, and other health information. View Patient Health Portal Here.

 

REFERRALS

What is a referral?

A referral is a way for your provider to send you to a specialist for further evaluation. Your health plan may require you to see someone from a list of preferred specialists. It’s important to note that a referral is only good for 90 days.

What is a referral prior (or Pre-) authorization?

A process used by health insurance companies to determine if they will cover a procedure, service, or medication. Pre-authorization may be requested before any services can be provided. It takes approximately 7-10 business days to get pre-approval. If the referral is denied the insurance company will send a letter to the patient stating why the authorization was denied.

What is the process for getting a referral?

Your Primary Care Provider (PCP) will issue a referral when necessary. Clinical information from your medical record is sent/used. Once the referral is issued it can be mailed, faxed, picked up by the patient or sent through the Patient Portal. Then the patient can schedule their appointment with the specialist. A location is selected usually by distance from your address or your PCP’s location. It takes 5-14 business days to be determined if service will be approved. It also is given an expiration date, usually within 30-90 days.

What if I prefer a location other than the one chosen by my Provider/Care Coordinator – can it be changed?

When your referral is given, your Primary Care Provider (or Care Coordinator) gives you a list of locations accepted through your insurance, and you can pick any location from that list. If your preferred location is not on the list it most likely means your insurance is not accepted at that location.

What happens if my referral is expired?

Call our office and request an updated referral. A Care Coordinator can be reached through our Referral Line at 708-579-2406 or 708-579-2405.

What happens if my prior authorization is denied by my insurance?

When a prior authorization is denied by your insurance, a patient is given other treatment options or requirements. Your doctor will review these options with you and pick the best one. There is also an appeal process that is available for when service is denied.