We'll help you find the right plan for your needs. Call us now. HealthLink also provides a national network solution for clients with members who reside or travel outside of the service area. Register, Become a Vendor & State Government. Contact our office today to learn about your insurance plan or how to enroll! And The Breastfeeding Shop is here to help you with the ordering process. Members who may have already enrolled in another insurance option can change to HealthLink until the June 17th deadline. It has come to our attention that HealthLink OAP inadvertently sent new health insurance ID cards to all individuals who were ever a dependent in the past on the HealthLink OAP member . 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 . 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. HealthLink Service Area Outside of Illinois HealthLink members will continue to have network access in Missouri, Arkansas, Indiana, Kentucky, Ohio and Wisconsin. HealthLink OAP is advising members to disregard and destroy the Members can view the summary of benefits and coverage for each plan. Certain payors who conduct business with HealthLink determine their own covered benefits. QCHP network providers. . You can forget about spending your precious time trying to contact your insurance provider. Illinois Department ofCentral Management Services. vaccines.gov. By standing united, SEIU members have fought for and won quality health insurance benefits. Both are designed to make it easier for you to compare your options and understand exactly what you are buying. year, managed care plan members were all sent new health insurance ID The State will contribute a third of the deductible to an active State employees' HSA. 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. Benefit recipients may view a map of the various plans' coverage areas below: Plan Sponsor Notice: Machine-readable Files. This applies to all doctors, all locations and all services that Springfield Clinic provides. HealthLink, Inc. is not an insurance company and has no liability for . Please . summary of benefits and coverage (SBC) and a You must enroll or re-enroll in a Flexible Spending Account each plan year. 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. Customer Service Representatives are available to assist you Monday - Friday. SEIU Auto and Home Insurance. Main Line: 773-385-9300. Here is some guidance on obtaining approval for your surgery. 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. We are working diligently to get our phone lines up. the Illinois Bariatric Center cannot research your particular insurance plan. Please turn on JavaScript and try again. Aetna, which allows plan participants to access any provider nationwide. To create a just and more equitable society that fosters a lifetime of quality Health Care and financial security for ALL. All HealthLink providers applying for initial or continuing participation will be required to utilize CAQH ProViewTM by accessing the CAQH website https: . 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. 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. SEIU Healthcare United for Quality Care, Home Care, Child Care, Personal Assistants and Nursing Home Workers. To assist State of Illinois employees with their insurance questions, Springfield Clinic has established a special help line. This is a high deductible health plan as defined by the IRS. 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. Prescription Drug Deductible $150 per OAP enrollee., Prescription Drug Deductible $175 per QCHP enrollee.. were ever a dependent in the past on the HealthLink OAP members 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). A Transparency in Coverage rule (eff: Oct.29, 2020)requires health plans and issuers to publicly disclose pricing info via a machine-readable file. Medical Care Assistance Plan (MCAP) & Dependent Care Assistance Plan (DCAP). Choice Designs by HealthLink Insurance 100% Customer Satisfaction Is ALWAYS Our Goal! coverage. 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. The Affordable Care Act rules require health plans to provide a Be Well Illinois; Teachers Retirement Insurance; College Insurance; Local Government Health; Total Retiree Advantage IL (TRAIL MAPD) . lower out-of-pocket costs, when receiving services from a CDHP innetwork You can visit the website at www.seiuhcbenfund.org to learn more about your health plan coverage. Thank you for your support and cooperation. The MCAP benefit is not available if enrolling in an HSA. and HMO Illinois may also receive a discount when they fill a 90-day supply of . 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. Average Overall User Rating for Providers in Illinois who . (949) 582-1200. Review Your Insurance Options. More. 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 Reduced Tier 1: The Reduced Tier 1 pharmacy benefit is available through an HMO carrier. If you need claim or EOB information for medical services received before July 1, 2021, you can call HealthLink Customer . Please be sure to visit the new site and let us know how you like it. Many insurance companies provide coverage for bariatric surgery. Health Benefits/Information. 00 per day for meals and incidentals apply The C183 form is located on the website at www Learn how to enter and give mileage reimbursements to your employees In an effort to make finding the forms you need easier, we are providing access to them in a central location on our site Lgisticare. Contact Us. This plug-in will allow you to view the various documents throughout the Provider InfoSource website. 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 . responsibility to know and follow the specific requirements of the CDHP. For example, we will be adding tools to help you better understand the cost of your health care and a cost comparison tool. 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. Open Access Plans. It is your responsibility to determine what is required for your plan. Anyone, 6monthsof age and older, is eligible to receive the COVID-19 vaccine. Find your nearest vaccination location at Find your nearest vaccination location at Consumer-Driven Health Plan (CDHP). An HSA is like a 401(k) for healthcare, yet the HSA tax benefits are far greater. provider. 8:00am - 5:00pm CST. The following guidelines will help you receive the best possible service. Enhanced benefits are available for QCHP members who receive services from a * Applies to specific medications as defined by plan. We are pleased to announce that these Open Access Plans (OAP) will now be offered by Aetna, HealthLink and BlueCross BlueShield of Illinois. HealthLink is committed to answering your questions as efficiently and accurately as possible. 2022 Employee Benefits Booklet. Plan participants enrolled in Anyone, 6monthsof age and older, is eligible to receive the COVID-19 vaccine. While there are only two different plans offered by HealthLink, they actually create custom plans and coverage options for employers. HealthLink builds customized self-funded health plans to fit any workforce or corporate objective to control health care costs like never before. CDHP has a nationwide network Please contact CVS Caremark to determine if your medication is available under this benefit. Contact Us. We will continue to add information to the website over time. Check with your HMO to determine if your plan offers a 90-day supply through a retail pharmacy. College Insurance Program (CIP) What state do you reside in? Your email will go straight to the psychiatrist. In addition to managed care, the State plan offers aQuality Care Health Plan (QCHP), administered by Welcome State of Illinois Benefit Plan Members. You can see rates instantly and even apply online. Last Updated 06/24/2022. The SEIU Healthcare Illinois Benefit Funds are pleased to announce we have launched a new website beginning May 1, 2022. 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. Indiana, Kentucky, Ohio or Wisconsin . . HealthLink OAP Network Update Benefits Illinois. 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 . The following are self-funded plan sponsors, responsible for complying with the Transparency in Coverageregulations. **Medications received at CVS Caremark Pharmacy or through CVS Caremark Mail Service Pharmacy. 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 Important facts about coronavirus COVID-19 Learn more We apologize for the inconvenience. The ProviderInfoSource web site makes extensive use of the Adobe Acrobat Reader plug-in. Review Insurance Plans. Our office is located in the SEIU HCII Union building: Due to COVID-19, we are currently not accepting walk-ins at this time. Explore the plans we offer. HealthLink Health Insurance Claim Form When utilizing out of network providers, . Call us today! 2022 Retiree Benefits Booklet. Illinois Department ofCentral Management Services. The Provider InfoSource web site makes extensive use of the Adobe Acrobat Reader plug-in. Looking for more information? Important Notice: The Fund Office phone lines are down. 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. vaccines.gov. Find HealthLink Psychiatrists in Illinois, get help from an Illinois HealthLink Psychiatrist in Illinois. The State will contribute a third of the deductible to an active State employees' HSA. This means that HealthLink plans can look very different from state to state and employer to employer. Internist. 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. Health Savings Account (HSA), CDHP/HSA members will receive a $500 State contribution for anindividual memberor $1,000 for family. . The new requirements will also make it easier for employers to compare health insurance options to provide for their employees. THE WORKERS' RIGHT AMENDMENT IS ON THE BALLOT COMMIT TO VOTE YES. Health Savings Accounts (HSA) for Active State Employees. Illinois Missouri Types Of HealthLink Insurance Plans HealthLink offers two primary types of coverage. Find your nearest vaccination location at 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. Plan participants enrolled in MemberLink Login. State of Illinois Deferred Compensation Plan (Plan), maintenance and non-maintenance prescription networks, Register, Become a Vendor & State Government. We have years of experience working with all sorts of insurance, including HealthLink as well as CareSource. Illinois Department ofCentral Management Services. vaccines.gov. Coverage also is extended to their eligible dependents. 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) If you do not already have the plug-in, click on the logo to download the Adobe Acrobat Reader plug-in. 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. A breast pump can make feeding time a lot easier for both mom and baby.
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