Looking for more information? Health HealthLink has announced that it has reached an agreement with Springfield Clinic to offer HealthLink Open Access (Tier 1) to State of Illinois employees. Choice Designs by HealthLink Insurance 100% Customer Satisfaction Is ALWAYS Our Goal! Aetna, which allows plan participants to access any provider nationwide. Active State employees who qualify (see Qualifying for an HSA below), can save or invest the account funds. Members can view the summary of benefits and coverage for each plan. Please contact CVS Caremark to determine if your medication is available under this benefit. Anyone, 6monthsof age and older, is eligible to receive the COVID-19 vaccine. Questions? Plan participants enrolled in HealthLink OAP, Aetna OAP, Blue Cross Blue Shield OAP, the Consumer Driven Health Plan . When enrolled in an HMO plan,a 90-day supply of medication is 2.5 times the copayment amount when ordered through the plan's mail order pharmacy. Call us today! 866-622-9222. . HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits, including insurers, third party administrators or . Find your nearest vaccination location at Healthlink providers in Illinois listed on Doctor.com have been practicing for an average of: 29 year (s) Average ProfilePoints score for Providers in Illinois who take Healthlink: 41/80. * Applies to specific medications as defined by plan. An HSA oers triple tax savings. We will continue to add information to the website over time. This plug-in will allow you to view the various documents throughout the Provider InfoSource website. As time allocation for these cases continues to grow, physicians are concerned with additional workload and inefficiency in the workplace. HealthLink Health Insurance Claim Form When utilizing out of network providers, . And if you're already a HealthLink . For provider inquiries, more time will be needed. The website is available 24 hours a day. Anyone, 6monthsof age and older, is eligible to receive the COVID-19 vaccine. A Transparency in Coverage rule (eff: Oct.29, 2020)requires health plans and issuers to publicly disclose pricing info via a machine-readable file. Most popular medical specialty of providers who acceptHealthlink in Illinois. Illinois Department ofCentral Management Services. The health insurance plans available to State members differ in the benefit levels they provide, the doctors and hospitals you can access and the out-of-pocket cost to you. HealthLink has announced that it has reached an agreement with Springfield Clinic to offer HealthLink Open Access (Tier 1) to State of Illinois employees. The following guidelines will help you receive the best possible service. Toll-Free: 877-734-8543 (877-SEIU-KID) Pension (Nursing Home Workers only), dial ext. HealthLink, Inc., is an Illinois corporation. Note: The Medical Policies and Clinical UM Guidelines on this site may not always be the criteria used for benefit determinations for a covered individual. Find the Right HealthLink Therapist in Springfield, IL - Chelsie Miller - Behavioral Health Center Of Illinois, LCPC, MA; Stephanie Perkins, LCPC; Lisa Cacciatori . Last Updated 06/24/2022. It looks like your browser does not have JavaScript enabled. You may also contribute an additional $3,150 for individual; or $6,300 for family, to your HSA through pre-tax payroll deductions or post-tax direct payment. This applies to all doctors, all locations and all services that Springfield Clinic provides. THE WORKERS' RIGHT AMENDMENT IS ON THE BALLOT COMMIT TO VOTE YES. Due to the change in copayment amounts for the FY2014 plan year, managed care plan members were all sent new health insurance ID cards. You can forget about spending your precious time trying to contact your insurance provider. Members will find a listing of providers who participate in thehealth plan's network when they go to theprovider directorypage onthe plan's website. To provide the highest quality health and retirement benefits in the most financially responsible manner, while always acting in the best interest of the members. Member inquiries: enroll@seiuhcbenfund.org, Provider eligibility inquiries: memberselg@seiuhcbenfund.org, Provider claims status inquiries: status@seiuhcbenfund.org, Pension inquiries: pension@seiuhcbenfund.org, Accounting inquiries: invoices@seiuhcbenfund.org, SEIU Healthcare IL Benefit Funds Office Provides Quality Health Insurance For Home Care, Child Care, Personal Assistants and Nursing Home Workers Health & Welfare. We are pleased to announce that these Open Access Plans (OAP) will now be offered by Aetna, HealthLink and BlueCross BlueShield of Illinois. Register, Become a Vendor & State Government. Be Well Illinois; Teachers Retirement Insurance; College Insurance; Local Government Health; Total Retiree Advantage IL (TRAIL MAPD) . . The State will contribute a third of the deductible to an active State employees' HSA. Top 10 Healthlink Provider Specialties: Family Doctor (2078 providers) Pediatrician (Kids / Children Specialist) (1998 providers) Internist (1979 providers) Counselor (1151 providers) Chiropractor (1062 providers) Social Worker (1029 providers) Obstetrician / Gynecologist (OBGYN) (1001 providers) Psychologist (955 providers) Surgeon (703 providers) Register for the new HealthLinkNow portal to access the latest information about your coverage, including your digital ID card, claims, and EOBs for medical services received on or after July 1, 2021.. . were ever a dependent in the past on the HealthLink OAP members Reduced Tier 1: The Reduced Tier 1 pharmacy benefit is available through an HMO carrier. Patients can call Springfield Clinic at 217.528.7541 or 800.444.7541 between 8:00 am and 5:00 pm and ask for the "State Employee Hotline." Updated 06/09/11. It looks like your browser does not have JavaScript enabled. The new HealthLinkNow online portal and mobile app is now available. And The Breastfeeding Shop is here to help you with the ordering process. Find your nearest vaccination location at The PHO consists of St. Margarets Hospital and twenty-seven physicians along with fifteen midlevel providers (e.g., PCPs, Ortho, Womens Health, ER). The coverage examples will illustrate sample medical situations and describe how much coverage the plan would provide in an event such as . Our growing geographic service area is centered around Missouri, Illinois and surrounding states. These short, easy-to-understand Summary of Benefits and Coverage (SBCs) include a new, standardized plan comparison tool called "coverage examples", like the Nutrition Facts label required for packaged foods. . By standing united, SEIU members have fought for and won quality health insurance benefits. 2022 Benefits ~ Effective 03/01/2022. PPO. The MCAP benefit is not available if enrolling in an HSA. HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits, including insurers, third party administrators or employers. 2022 Employee Benefits Booklet. The Affordable Care Act rules require health plans to provide a HealthLink OAP Network Update Benefits Illinois. Under the Affordable Care Act, Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, not including abortifacient drugs, will be covered by the plan without cost-sharing requirements. maintenance and non-maintenance prescription networks, they should be aware of prior to selecting a pharmacy. Coverage for specific drugs may vary depending upon the health plan. Plan participants enrolled in one of these plans should contact their healthplan for information regarding discounts and formulary lists. For example, we will be adding tools to help you better understand the cost of your health care and a cost comparison tool. Plan participants enrolled in any of the State health plans have prescription drug coverage included in their health plan benefits. Additionally, members may choose from an HMO Plan, the Consumer-Driven Health Plan (CDHP), or Quality Care Health Plan (QCHP): Essential Health Benefit Listings by Health Plans: Be sure to check the Benefit Choice Booklet and carrier websites for coverage details and provider availability to pick the plan that's right for you. vaccines.gov. Medical Care Assistance Plan (MCAP) & Dependent Care Assistance Plan (DCAP). It is a tax-favored, interest-bearing account that active State employees can use to pay for qualified medical expenses now, or in the future. The benefit levels listed in the SBCs go into effect July 1st of each year. Open Access Plans. We are working diligently to get our phone lines up. It has come to our attention that HealthLink OAP Please turn on JavaScript and try again. Prescription benefits are administered by the health plan's prescription benefit manager (PBM). the Illinois Bariatric Center cannot research your particular insurance plan. The ProviderInfoSource web site makes extensive use of the Adobe Acrobat Reader plug-in. The following are self-funded plan sponsors, responsible for complying with the Transparency in Coverageregulations. College Insurance Program (CIP) What state do you reside in? HealthLink ID Cards. State of Illinois Deferred Compensation Plan (Plan), Register, Become a Vendor & State Government. HealthLink also provides a national network solution for clients with members who reside or travel outside of the service area. Open Access Plan (OAP), deliver healthcare through a system of network providers and have a lower monthly premium than the Quality Care Health Plan (QCHP). Find your nearest vaccination location at The Provider InfoSource web site makes extensive use of the Adobe Acrobat Reader plug-in. You can see rates instantly and even apply online. vaccines.gov. Access to your healthcare plan is now at your fingertips. SEIU Auto and Home Insurance. Plan participants enrolled in Statistics for Healthlink Eye and Vision Services Providers in Illinois on Doctor.com Cities with the most Healthlink Eye and Vision Services Providers: Saint Louis, MO Chicago, IL Indianapolis, IN Columbia, MO Springfield, IL Aggregate Statistics Illinois Healthlink Eye and Vision Services Providers by City Listed in order of popularity Self-insured managed care plans (i.e., HealthLink OAP and Aetna Health Care OAP), the Quality Care Health Plan (QCHP) and the Consumer Driven Health Plan (CDHP) have prescription benefits administered through the prescription benefit manager (PBM), CVS/caremark.Prescription benefits are independent of other medical services . More. Please answer the simple question(s) outlined below so we're able to direct you to the appropriate network of participating providers. An HSA is like a 401(k) for healthcare, yet the HSA tax benefits are far greater. In general, managed care plans, such as, There are several managed care plans located throughout the state available to State members. This program provides health, dental, vision, and life insurance benefits to all full-time and eligible State employees of Illinois State government and the university system, along with retirees and annuitants who are eligible to participate in any of the five State retirement systems. HealthLink: Grievance & Appeals: 1831 Chestnut Street St. Louis, MO 63103: P.O. (949) 582-1200. Review Your Insurance Options. Contact Us. Members who elect an OAP will have three tiers of providers from which to choose to obtain services. glossary of health coverage and medical terms. Benefits are outlined in the plan's Summary Plan Document (SPD). The State will contribute a third of the deductible to an active State employees' HSA. They currently offer three tiers of plans that provide addiction and mental health treatment: Tier 1 - Covers 100% of both inpatient and outpatient treatment after the copay Tier 2 - Covers up to 90% of inpatient and outpatient treatment after the copay Tier 3 - Covers up to 80% of inpatient and outpatient treatment after the copay For HealthLink Customer Service with dates of service before July 1, 2021: Toll Free: 800-624-2356: Hours: 8:00 a.m. to 5:00 p.m. (CST) Customer Service Representatives are available to assist you Monday - Friday. Members who use the PBMs pharmacy network to obtain their medication will be charged the applicable prescription copayment after the prescription deductible has been met. This tier allows members to obtain specific medications in a 90-day supply from a CVS Caremark pharmacy or through the CVS Caremark Mail Service Pharmacy for half of the copayment. Thank you for your support and cooperation. Box 411580 St. Louis, MO 63141 : Change to electronic: 90001 : Change to electronic: 96475 : HealthLink will return two types of reports: (217) 733-5410 View Champaign, IL 61821 Offers online therapy Brittany L Malak Marriage & Family Therapist, MA, LMFT Verified Are you ready to rebuild your relationship, but don't know where to. HealthLink Service Area Outside of Illinois HealthLink members will continue to have network access in Missouri, Arkansas, Indiana, Kentucky, Ohio and Wisconsin. An increase in prior authorization (PA) requirements from health insurance companies is placing administrative and financial burdens on primary care offices across the United States. . Find HealthLink Psychiatrists in Illinois, get help from an Illinois HealthLink Psychiatrist in Illinois. Health Savings Accounts (HSA) for Active State Employees. HealthLink OAP is advising members to disregard and destroy the QCHP network providers. You may also contribute an additional $3,150 for individual; or $6,300 for family, to your HSA through pre-tax payroll deductions or post-tax direct payment. Arkansas, Illinois or Missouri . 8711. Illinois Department ofCentral Management Services. Coverage becomes effective July 1, 2011. User Guide 12 - My HealthLink Messages: User Guide 13 - Find a Payor: User Guide 14 - My Network Specialist: User Guide 15 - Self Registering: User Guide 16 - Create Users: User Guide 17 - Manage Users: User Guide 18 - Manage Groups Please turn on JavaScript and try again. ID cards for any dependent who is no longer on their coverage. vaccines.gov. Even if you're not enrolled in a HealthLink health plan, we've got tools to help you take charge of your health. Anyone, 6monthsof age and older, is eligible to receive the COVID-19 vaccine. HealthLink offers State of Illinois members a variety of free tools and resources to help you get the most from the money you spend on healthcare. And, when paired with the We have years of experience working with all sorts of insurance, including HealthLink as well as CareSource. Applies to HealthLink OAP, Aetna Health Care OAP, QCHP and CDHP Only . If you have additional questions, please feel free to contact a Member Service Representative Monday Friday, 8:30am 5:00pm at (773) 385-9300. Health Savings Account (HSA), CDHP/HSA members will receive a $500 State contribution for anindividual memberor $1,000 for family. Please see the covered individual's plan document for covered or excluded services. Illinois Missouri Types Of HealthLink Insurance Plans HealthLink offers two primary types of coverage. Important Notice: The Fund Office phone lines are down. Thank you for your patience. HealthLink, Inc., is an Illinois corporation. HealthLink builds customized self-funded health plans to fit any workforce or corporate objective to control health care costs like never before. Phone: 877-379-5802. Check with your HMO to determine if your plan offers a 90-day supply through a retail pharmacy. You must enroll or re-enroll in a Flexible Spending Account each plan year. 2 NH Locations: Landcare Stone Madbury, NH Stratham Hill Stone Stratham, NH Shipping Nationwide of providers through Aetna Explore the plans we offer. Health Benefits/Information. responsibility to know and follow the specific requirements of the CDHP. This means that HealthLink plans can look very different from state to state and employer to employer. MemberLink Login. It is your responsibility to determine what is required for your plan. As a State of Illinois member you have access to multiple provider networks. New this year to active State employees is the Review Insurance Plans. A pharmacy that is not in the network may charge more than the copayment amount; therefore, members should verify that a pharmacy is in-network to avoid high prescription costs. It looks like your browser does not have JavaScript enabled. Box 411424 St. Louis, MO 63141 Please turn on JavaScript and try again. To create a just and more equitable society that fosters a lifetime of quality Health Care and financial security for ALL. A breast pump can make feeding time a lot easier for both mom and baby. provider. While there are only two different plans offered by HealthLink, they actually create custom plans and coverage options for employers. HealthLink is committed to answering your questions as efficiently and accurately as possible. Health plan participants (members and dependents) are required to pay a prescription deductible each plan year. This tier allows members to obtain specific medications in either a 30-day or 90-day supply for a reduction of the normal tier 1 applicable copayment. cards. Please turn on JavaScript and try again. You may call the SEIU HCII Member Resource Center at 866-933-7348to have your call triaged and reported to the Fund. 8711. St. Margarets PHO in Spring Valley (Bureau County) has signed a Tier I agreement with HealthLink OAP. summary of benefits and coverage (SBC) and a SEIU Healthcare United for Quality Care, Home Care, Child Care, Personal Assistants and Nursing Home Workers. My goal for clients is to help you on your journey by providing tools, education, and support so you can find positive solutions to your problems by creating a comfortable, non-judgmental . HealthLink offers new claim status, eligibility, and other secured features. 2022 Retiree Benefits Booklet. Welcome State of Illinois Benefit Plan Members. It looks like your browser does not have JavaScript enabled. coverage. WE'VE GOT YOU COVERED. To assist State of Illinois employees with their insurance questions, Springfield Clinic has established a special help line. State employees have until June 17th to finalize the selection of their health insurance plan. This plug-in will allow you to view the various documents throughout the ProviderInfoSource website. It is the member's It is important to note that formulary lists are subject to change any time during the plan year. Some HMO plans also offer the 2.5 copayment discount for a 90-day supply filled ataretail pharmacy. 2022 Health Plan Document for Union and Non-Union Retirees. There are several managed care plans located throughout the state available to State members. Internist. All HealthLink providers applying for initial or continuing participation will be required to utilize CAQH ProViewTM by accessing the CAQH website https: . In addition to managed care, the State plan offers a, State of Illinois Deferred Compensation Plan (Plan), glossary of health coverage and medical terms, Register, Become a Vendor & State Government, Tax-free interest or investment earnings, Tax-free distributions, when used for qualified medical expenses. Coverage also is extended to their eligible dependents. * Applies to specific medications as defined by plan. If you are not able to connect to the Fund Office by phone, please email your inquiry and a representative will respond within 24 hours. Healthcare Presentation from 01/05/2022. Coverage becomes effective July 1, 2011. Please . If you do not already have the plug-in, click on the logo to download the Adobe Acrobat Reader plug-in. Our office is located in the SEIU HCII Union building: Due to COVID-19, we are currently not accepting walk-ins at this time. Prescription Drug Deductible $150 per OAP enrollee., Prescription Drug Deductible $175 per QCHP enrollee.. The SEIU Accident & Injury Insurance Plan, an Accident coverage issued by The Prudential Insurance Company of America, helps defray out-of-pocket medical and non-medical costs that arise from an unexpected accident. Contact Us. Please contact your HMO to determine if your medication is available under this benefit. Coverage becomes effective July 1, 2011. The new requirements will also make it easier for employers to compare health insurance options to provide for their employees. Pension (Nursing Home Workers only), dial ext. To assist members with their insurance questions, Springfield Clinic has established a special help line. Enhanced benefits are available for QCHP members who receive services from a To assist State of Illinois employees with their insurance questions, Springfield Clinic has established a special help line. Total number of Dentists in Illinois on Doctor.com who Accept Healthlink: 14: Dentists in Illinois who are confirmed as being board certified and take Healthlink: 100%: HealthlinkDentists in Illinois listed on Doctor.com have been practicing for an average of: 22.5 year(s) Average ProfilePoints score for Dentists in Illinois who take . In general, managed care plans, such as 10047. Monday - Friday: 8:00 AM - 5:00 PM (CST) Saturday - Sunday: Closed: Holidays: Closed : TOLL FREE: 800-624-2356 : Please note: To keep your login account from going inactive, logon at least once every 30 (thirty) days. BlueAdvantage HMO, Health Alliance HMO, Aetna HMO, and HMO Illinois may also receive a discount when they fill a 90-day supply of medication. Patients can call Springfield Clinic at 217.528.7541 or 800.444.7541 between 8:00 am and 5:00 pm and ask for the "State Employee Hotline.". Search: Logisticare Wv Mileage Reimbursement Pay Schedule 2020. The benefit level is determined by the tier in which the healthcare provider is contracted. Important facts about coronavirus COVID-19 Learn more Prescription Drug Deductible $150 per HMO enrollee. We apologize for the inconvenience. This applies to all doctors, all Detail: Visit URL Category: Doctor View Health **Medications received at CVS Caremark Pharmacy or through CVS Caremark Mail Service Pharmacy. To compare formulary lists (preferred drug lists), cost-savings programs and to obtain a list of pharmacies that participate in the various health plan networks, plan participants should visit the. HealthLink, Inc. is not an insurance company and has no liability for . As an administrator, you must provide your Tax Identification Number (TIN) and National Provider Identifier (NPI) to register for online access. If you are a Home Care Worker, Child Care Provider, Personal Assistant or Nursing Home Worker, contact the SEIU Healthcare IL Benefit Funds office to learn more about your Insurance Health Plan or enrolling. Employees who may have already enrolled in another insurance option can change to HealthLink until the June 17th deadline. inadvertently sent new health insurance ID cards to all individuals who HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits, including insurers, third party administrators or employers. You can visit the website at www.seiuhcbenfund.org to learn more about your health plan coverage. Members who may have already enrolled in another insurance option can change to HealthLink until the June 17th deadline. In addition to managed care, the State plan offers aQuality Care Health Plan (QCHP), administered by We'll help you find the right plan for your needs. Consumer Driven Health Plan (CDHP) members may Main Line: 773-385-9300. Due to the change in copayment amounts for the FY2014 plan Contact our office today to learn about your insurance plan or how to enroll! Note: If the cost of the drug is less than the plan's copayment, the plan participant will pay the entire cost of the drug, all of which will be applied toward the deductible. This is a high deductible health plan as defined by the IRS. Open access plans combine similar benefits of an HMO with the same type of coverage benefits as a traditional health plan. year, managed care plan members were all sent new health insurance ID vaccines.gov. Call us now. Plan participants enrolled in Certain payors who conduct business with HealthLink determine their own covered benefits. State of Illinois Deferred Compensation Plan (Plan), maintenance and non-maintenance prescription networks, Register, Become a Vendor & State Government. First health's customer service team will get back to you within 48 hours.Most plans, except fixed coverage plans, from img participate in the first health ppo network.Iso offers its renowned plans:Identify yourself as a health plan participant accessing first health limited benefit plan network.Will your claims payment address change?. lower out-of-pocket costs, when receiving services from a CDHP innetwork 2022 Education Slide Show - City of Springfield Benefit Plan Offerings. Anyone, 6monthsof age and older, is eligible to receive the COVID-19 vaccine. If you need claim or EOB information for medical services received before July 1, 2021, you can call HealthLink Customer . Benefit recipients may view a map of the various plans' coverage areas below: Plan Sponsor Notice: Machine-readable Files. Many insurance companies provide coverage for bariatric surgery. Please be sure to visit the new site and let us know how you like it. Indiana, Kentucky, Ohio or Wisconsin . Your email will go straight to the psychiatrist. Illinois Department ofCentral Management Services. and HMO Illinois may also receive a discount when they fill a 90-day supply of . If you are a Home Care Worker, Child Care Provider, Personal Assistant or Nursing Home Worker, contact the SEIU Healthcare IL Benefit Funds office to learn more about your Insurance Health Plan or enrolling. Grow, physicians are concerned with additional workload and inefficiency in the SEIU HCII Union building: Due to,... For covered or excluded services plan 's summary plan Document ( SPD ): to... And try again now available HSA is like a 401 ( k ) for,! Benefits as a State of Illinois Deferred Compensation plan ( MCAP ) & Dependent care Assistance plan ( ). To your healthcare plan is now available through a retail pharmacy call triaged and reported the! Different plans offered by HealthLink insurance plans HealthLink offers new claim status, eligibility, and other secured.! Union and Non-Union Retirees and all services that Springfield Clinic has established special! Healthplan for information regarding discounts and formulary lists are subject to change any time during the plan year care a..., QCHP and CDHP only like a 401 ( k ) for healthcare, yet the tax. Spring Valley ( Bureau County ) has signed a Tier I agreement with HealthLink determine their covered. That HealthLink plans can look very different from State to State members medications as defined by.. Site and let us know how you like it dial ext by health! Far greater mobile app is now at your fingertips Show - City of benefit! Oap will have three tiers of providers who acceptHealthlink in Illinois, get help from an HealthLink... Per HMO enrollee to disregard and destroy the QCHP network providers and even apply online Affordable care rules. Thehealth plan 's summary plan Document for covered or excluded services July 1st of each year a... Various documents throughout the State health plans to provide for their employees deadline... Prior to selecting a pharmacy providers, health care OAP, the Consumer Driven plan! Medical care Assistance plan ( CDHP ) members may Main line:.. ( k ) for active State employees & # x27 ; HSA their insurance,... Il ( TRAIL MAPD ) benefit levels listed in the SBCs go effect... Healthlink insurance plans the SBCs go into effect July 1st of each year national solution! Plans can look very different from State to State members their coverage builds customized self-funded health to. Formulary lists insurance claim Form when utilizing out of network providers, SPD ) ( members and dependents ) required! Extensive use of the service area is centered around Missouri, Illinois and states. Affordable care Act rules require health plans to fit any workforce or corporate objective to control health care financial... 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May also receive a $ 500 State contribution for anindividual memberor $ 1,000 for family only different. Far greater an insurance company and has no liability for SPD ) HealthLink OAP is advising to! Qchp enrollee ' RIGHT AMENDMENT is on the logo to download the Adobe Acrobat Reader plug-in members... Provider networks plug-in, click on the logo to download the Adobe Acrobat Reader plug-in have the plug-in click. Supply through a retail pharmacy coverage for specific drugs may vary depending upon the health plan are subject change! Is advising members to disregard and destroy the QCHP network providers to add information to Fund... Plan offers a 90-day supply of subject to change any time during the year! Aware of prior to selecting a pharmacy COMMIT to VOTE YES the BALLOT COMMIT to VOTE YES offers! Springfield benefit plan Offerings the Consumer Driven health plan 's prescription benefit (! Open access plans combine similar benefits of an HMO with the ordering process are. 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The new site and let us know how you like it already have the,! To your healthcare plan is now at your fingertips plans also offer 2.5. Formulary lists are subject to change any time during the plan 's.. Qchp and CDHP only for information regarding discounts and formulary lists your precious time trying to contact your HMO determine! 'S website plan participants enrolled in any of the service area is centered around Missouri Illinois! Teachers Retirement insurance ; Local Government health ; Total Retiree Advantage IL ( TRAIL MAPD ) Tier in the! Understand the cost of your health care costs like never before Account funds Account each year! Age and older, is eligible to receive the COVID-19 vaccine that fosters a lifetime of quality health insurance.! To view the summary of benefits and coverage options for employers Update benefits.. Plans should contact their healthplan for information regarding discounts and formulary lists InfoSource web site extensive... More equitable society that fosters a lifetime of quality health care and a cost comparison.... Plans, such as attention that HealthLink plans can look very different State... Lifetime of quality health insurance id vaccines.gov to employer instantly and even apply online insurance to! Have fought for and won quality health insurance options to provide a HealthLink ordering. The COVID-19 vaccine plans also offer the 2.5 copayment discount for a 90-day supply through a pharmacy. A map of the service area is centered around Missouri, Illinois and surrounding states including HealthLink Well. ( TRAIL MAPD ) directorypage onthe plan 's summary plan Document for covered or services., 6monthsof age and older, is eligible to receive the COVID-19 vaccine &... A HealthLink OAP network Update benefits Illinois change any time during the plan 's prescription manager... In general, managed care plans located throughout the State available to State members with... Call triaged and reported to the Fund Office phone lines are down Well! In thehealth plan 's prescription benefit manager ( PBM ) Caremark to determine if your medication is under... Customized self-funded health plans have prescription Drug deductible $ 150 per OAP enrollee., Drug... To answering your questions as efficiently and accurately as possible of providers who acceptHealthlink in Illinois, we continue... Until June 17th deadline the MCAP benefit is not an insurance company and has no liability.... Flexible spending Account each plan year note that formulary lists are subject to change any time during plan... Get our phone lines up per OAP enrollee., prescription Drug coverage in... Will illustrate sample medical situations and describe how much coverage the plan 's website for example we. The ProviderInfoSource web site makes extensive use of the Adobe Acrobat Reader plug-in plan as defined plan... Like it will find a listing of providers who acceptHealthlink in Illinois What is required your..., there are several managed care plans, such as, there are several managed care plans such. Machine-Readable Files have your call triaged and reported to the website at www.seiuhcbenfund.org to more... Information for medical services received before July 1, 2021, you can call HealthLink Customer age and older is. Claim or EOB information for medical services received before July 1, 2021, you can visit the over... Triaged and reported to the website at www.seiuhcbenfund.org to Learn more about health! Office is located in the SEIU HCII member Resource Center at 866-933-7348to have your call triaged and to... Listing of providers from which to choose to obtain services Update benefits.! Questions, Springfield Clinic has established a special help line insurance id vaccines.gov dial ext employers to compare insurance. The coverage examples will illustrate sample medical situations and describe how much coverage the plan would provide an... Due to COVID-19, we will continue to add information to the Fund Office phone lines up benefit! Summary of benefits and coverage for each plan year ; VE GOT you covered have three tiers of providers participate! See the covered individual & # x27 ; s plan Document for Union and Non-Union.! Follow the specific requirements of the deductible to an active State employees Qualifying for HSA. Any workforce or corporate objective to control health care OAP, QCHP and CDHP only to obtain.! Plan would provide in an event such as Reimbursement pay Schedule 2020 claim or EOB for... Benefit level is determined by the IRS ( CIP ) What State do reside!
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