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At HealthLink, we are dedicated to improving the lives of the people we serve and the health of our communities. We offer a wide range of free programs and services - all designed to help you and your family achieve maximum health and wellness.
Below is important information about your benefits for the current plan year, as well as valuable tools and resources to help you get the most from your HealthLink health plan.

• Summary Plan Descriptions
  The State of Illinois has a contractual arrangement with HealthLink, Inc. and its subsidiary, HealthLink HMO, Inc., the Claims Administrator, to access two Provider contracted networks, to provide Medical Management services and to provide claims administration.
  
  
• Summary of Benefits and Coverage
  Health insurers and group health plans are required to provide an easy-to-understand summary about a health plan's benefits and coverage. This will help State of Illinois employees conduct a side-by-side comparison of all plan benefits and coverage available.
  


• Save Time & Money with the Telemedicine Program from HealthLink
  As a State of Illinois member, you have access to telephone and video consultations, 24 hours a day, seven days a week, and 365 days a year, so you can quickly get the care you need – without leaving home. You can even speak to a psychiatrist or psychologist to get the support you need if you’re feeling stressed, anxious or just having a tough time.
  
  A telemedicine doctor can:
  - Diagnose and treat a wide range of common medical and behavioral health conditions
  - Write a prescription or refill
  - Request lab tests or imaging studies
  - And more
  
  You have two options to access care:
  1. Call 855-717-6800 to start a telephone consult
  2. Visit HealthLink.careclix.com or download the HealthLink Telemedicine app from the Apple App Store or Google Play store for a video consult
  
  Save this number or register online today so you have instant access to the program when you need it. Be sure to have your member ID card when you start a consult.
  
  
• Guest Membership - If you are a State of Illinois employee residing in the states of Missouri, Illinois or Arkansas and you have dependents (under the age of 26) residing outside of these three states, they are eligible to enroll in the Guest Membership program which provides national access to medical care. This program is ideal for college students attending school outside of HealthLink's service area, but who still need access to medical care through their guardian's plan. To enroll your dependent in the Guest Membership program, please contact HealthLink Customer Service.
  
  Need a copy of your member ID card? You can view, print and/or download a copy of your ID card. Click on the “Home” tab and click on the “My ID Card” link.
  
  
• Temporary ID Cards
  Until your permanent ID card arrives, you can print a temporary card to use if you need to visit a HealthLink participating doctor or facility. Your permanent card should arrive soon.
  
  
• Restriction and Authorization Forms
  The HIPAA Privacy Rule gives individuals the right to give authorization or request restrictions to view Protected Health Information (PHI) by submitting the appropriate form.
  
  
• HealthLink Health Insurance Claim Form
  When utilizing out of network providers, please complete the HealthLink Health Insurance Claim Form and mail to the HealthLink address indicated on the form.
  
  
• Services Requiring Pre-Certification
  Certain services require pre-certification for planned in-patient or out-patient services. High-tech imaging services are now reviewed by AIM Specialty Health.
  
  2021 Pre-Certification List - Effective January 1, 2021
  
  
• Non-Participating Provider Reimbursement Methods
  It is important to understand how in-network providers may be able to help you save money. In-network providers have agreed to accept specific amounts for various covered medical services. Because there is no similar contract with out-of-network providers, they may be able to bill you for the difference between what we pay and what they charge. For further information, please view your Summary Plan Description
  
  
• State of Illinois: Frequently Asked Questions
  Quickly find answers to common questions.
  
  
• Healthy Living
  Online resource tools for health and wellness tips and tools. Take a mini health assessment or read about a daily health tip.
  
  
• eHouseCall Newsletter
  A monthly newsletter that focuses on health and wellness information for the whole family.
  
  
• Preventive Health Guidelines
  When should you have a mammogram? When and what kind of immunizations should your children have? These are among the many preventive measures that you can take to lead a healthier lifestyle. This document includes preventive guidelines for children, adolescents and adults as recommended by the U.S. Preventive Task Force and other health related agencies.
  
  
• Early Medicare Enrollment
  You may be eligible for Medicare before you turn 65 if you meet certain guidelines. You may also get to keep your current plan while you receive benefits. Download this fact sheet or call HealthLink Customer Service to learn more.
  
  
• Enrollee Rights and Responsibilities
  HealthLink believes that health care should be physician-driven and based on a strong relationship between doctor and patient. This document acknowledges some fundamental elements of this relationship and helps you become a better consumer of health care.
  
  
• HealthLink Enrollee Grievance Form
  Please complete the HealthLink Enrollee Grievance Form when you have a grievance about the quality of service or care received, or to appeal an adverse benefit determination (i.e. claim denial).
  
  
• Privacy Practices
  
  
• Pharmacy Benefits
  Links to the State of IL CMS Administered Benefit website for information about your pharmacy benefits.