Due to the change in copayment amounts for the FY2014 plan Explore the plans we offer. The following guidelines will help you receive the best possible service. You will find benefit information like your Summary Plan Description (SPD), Summary of Benefits and Coverage (SBC), and information on how to enroll for benefits. 8711. To assist members with their insurance questions, Springfield Clinic has established a special help line. 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 . Box 411580 St. Louis, MO 63141 : Change to electronic: 90001 : Change to electronic: 96475 : HealthLink will return two types of reports: Please turn on JavaScript and try again. HealthLink OAP Network Update Benefits Illinois. HealthLink HMO and State of Illinois P.O. HealthLink is committed to answering your questions as efficiently and accurately as possible. Health Savings Account (HSA), CDHP/HSA members will receive a $500 State contribution for anindividual memberor $1,000 for family. 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. Coverage becomes effective July 1, 2011. It is your responsibility to determine what is required for your plan. The benefit levels listed in the SBCs go into effect July 1st of each year. We apologize for the inconvenience. provider. The SEIU Healthcare Illinois Benefit Funds are pleased to announce we have launched a new website beginning May 1, 2022. A breast pump can make feeding time a lot easier for both mom and baby. If you need claim or EOB information for medical services received before July 1, 2021, you can call HealthLink Customer . Please . The MCAP benefit is not available if enrolling in an HSA. Register, Become a Vendor & State Government. 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 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. Get an SEIU member discount on auto, home, condo and renters insurance from Travelers. Enhanced benefits are available for QCHP members who receive services from a **Medications received at CVS Caremark Pharmacy or through CVS Caremark Mail Service Pharmacy. 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. Choice Designs by HealthLink Insurance 100% Customer Satisfaction Is ALWAYS Our Goal! Active State employees who qualify (see Qualifying for an HSA below), can save or invest the account funds. Both are designed to make it easier for you to compare your options and understand exactly what you are buying. vaccines.gov. 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. the Illinois Bariatric Center cannot research your particular insurance plan. We are working diligently to get our phone lines up. Illinois Missouri Types Of HealthLink Insurance Plans HealthLink offers two primary types of coverage. As a State of Illinois member you have access to multiple provider networks. SEIU Auto and Home Insurance. 2022 Health Plan Document for Union and Non-Union Retirees. The new requirements will also make it easier for employers to compare health insurance options to provide for their employees. This is a high deductible health plan as defined by the IRS. You can visit the website at www.seiuhcbenfund.org to learn more about your health plan coverage. 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. Members can view the summary of benefits and coverage for each plan. And if you're already a HealthLink . More. And The Breastfeeding Shop is here to help you with the ordering process. Internist. Plan participants enrolled in any of the State health plans have prescription drug coverage included in their health plan benefits. HealthLink OAP, Aetna OAP, Blue Cross Blue Shield OAP, the Consumer Driven Health Plan (CDHP), or the Quality Care Health Plan (QCHP)have specific policies, as well as A Transparency in Coverage rule (eff: Oct.29, 2020)requires health plans and issuers to publicly disclose pricing info via a machine-readable file. 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. 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) This applies to all doctors, all locations and all services that Springfield Clinic provides. If you do not already have the plug-in, click on the logo to download the Adobe Acrobat Reader plug-in. The new HealthLinkNow online portal and mobile app is now available. It looks like your browser does not have JavaScript enabled. 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). . were ever a dependent in the past on the HealthLink OAP members Saint Luke's Medical Providers Accepted Insurance . 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 . Please contact your HMO to determine if your medication is available under this benefit. . 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. Phone: 877-379-5802. THE WORKERS' RIGHT AMENDMENT IS ON THE BALLOT COMMIT TO VOTE YES. Member Resource Center: 866-933-7348 Thank you for your support and cooperation. responsibility to know and follow the specific requirements of the CDHP. Coverage becomes effective July 1, 2011. 8711. HealthLink offers new claim status, eligibility, and other secured features. 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. 8:00am - 5:00pm CST. * Applies to specific medications as defined by plan. 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. Please turn on JavaScript and try again. 2022 Education Slide Show - City of Springfield Benefit Plan Offerings. This means that HealthLink plans can look very different from state to state and employer to employer. State employees have until June 17th to finalize the selection of their health insurance plan. 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. Customer Service Representatives are available to assist you Monday - Friday. Open access plans combine similar benefits of an HMO with the same type of coverage benefits as a traditional health plan. Find your nearest vaccination location at Plan participants enrolled in one of these plans should contact their healthplan for information regarding discounts and formulary lists. To create a just and more equitable society that fosters a lifetime of quality Health Care and financial security for ALL. Reduced Tier 1: The Reduced Tier 1 pharmacy benefit is available through an HMO carrier. It looks like your browser does not have JavaScript enabled. Illinois Department ofCentral Management Services. You can see rates instantly and even apply online. Call us today! College Insurance Program (CIP) What state do you reside in? 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. Prescription Drug Deductible $150 per OAP enrollee., Prescription Drug Deductible $175 per QCHP enrollee.. 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?. Some HMO plans also offer the 2.5 copayment discount for a 90-day supply filled ataretail pharmacy. 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 . 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. This plug-in will allow you to view the various documents throughout the ProviderInfoSource website. Find the Right HealthLink Therapist in Springfield, IL - Chelsie Miller - Behavioral Health Center Of Illinois, LCPC, MA; Stephanie Perkins, LCPC; Lisa Cacciatori . Members who elect an OAP will have three tiers of providers from which to choose to obtain services. lower out-of-pocket costs, when receiving services from a CDHP innetwork Most popular medical specialty of providers who acceptHealthlink in Illinois. Illinois Department ofCentral Management Services. Contact our office today to learn about your insurance plan or how to enroll! Employees who may have already enrolled in another insurance option can change to HealthLink until the June 17th deadline. In general, managed care plans, such as Our office is located in the SEIU HCII Union building: Due to COVID-19, we are currently not accepting walk-ins at this time. Please be sure to visit the new site and let us know how you like it. Thank you for your patience. Many insurance companies provide coverage for bariatric surgery. 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. It is the member's maintenance and non-maintenance prescription networks, they should be aware of prior to selecting a pharmacy. 2022 Benefits ~ Effective 03/01/2022. 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 . In addition to managed care, the State plan offers aQuality Care Health Plan (QCHP), administered by Search: Logisticare Wv Mileage Reimbursement Pay Schedule 2020. 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 ProviderInfoSource web site makes extensive use of the Adobe Acrobat Reader plug-in. The State will contribute a third of the deductible to an active State employees' HSA. WE'VE GOT YOU COVERED. Aetna, which allows plan participants to access any provider nationwide. As an administrator, you must provide your Tax Identification Number (TIN) and National Provider Identifier (NPI) to register for online access. Please turn on JavaScript and try again. Paired with the Consumer Driven Health Plan (CDHP), an HSA is a powerful financial tool that gives you more control of your healthcare decisions. 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. 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. ID cards for any dependent who is no longer on their coverage. inadvertently sent new health insurance ID cards to all individuals who All HealthLink providers applying for initial or continuing participation will be required to utilize CAQH ProViewTM by accessing the CAQH website https: . Please contact CVS Caremark to determine if your medication is available under this benefit. The Affordable Care Act rules require health plans to provide a Indiana, Kentucky, Ohio or Wisconsin . 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. CDHP has a nationwide network 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. There are several managed care plans located throughout the state available to State members. Plan participants enrolled in 866-622-9222. . 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. The coverage examples will illustrate sample medical situations and describe how much coverage the plan would provide in an event such as . Health plan participants (members and dependents) are required to pay a prescription deductible each plan year. . Due to the change in copayment amounts for the FY2014 plan year, managed care plan members were all sent new health insurance ID cards. If you have additional questions, please feel free to contact a Member Service Representative Monday Friday, 8:30am 5:00pm at (773) 385-9300. 2022 Employee Benefits Booklet. An HSA oers triple tax savings. PPO. New this year to active State employees is the HealthLink builds customized self-funded health plans to fit any workforce or corporate objective to control health care costs like never before. Questions? 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.. 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. Coverage also is extended to their eligible dependents. Open Access Plans. By standing united, SEIU members have fought for and won quality health insurance benefits. year, managed care plan members were all sent new health insurance ID We have years of experience working with all sorts of insurance, including HealthLink as well as CareSource. Review Insurance Plans. You may call the SEIU HCII Member Resource Center at 866-933-7348to have your call triaged and reported to the Fund. 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. glossary of health coverage and medical terms. We'll help you find the right plan for your needs. 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