Resources Understand and manage health issues with valuable resources.
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.
Benefit Overviews HealthLink has provided an overview of your Open Access III benefits from the State of Illinois. Please note, the information included in the documents is intended to summarize your benefits under the State of Illinois CMS Administered Health Plan. For detailed information, please refer to your plan documents or consult your benefit administrator. Select your plan option by clicking on one of the links listed below:
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.
Telemedicine Program - As a State of Illinois employee, you can now consult with a doctor or nurse over the phone with HealthLink's telemedicine program. Waiting for an appointment with the doctor, perhaps weeks away, isn't the best way to take care of your health. HealthLink's telemedicine program is here to give you the same high-quality, doctor consultation experience, without the hassle, waste of time, and high costs. Features of the program include:
- Board certified physicians are available for consults within one hour. - Simple payment with credit card to collect co-payment amount. - Intimate, quality healthcare experience. - The clinical staff will call within 48 hours after the TeleConsult to follow up.
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. Pre-Certification List - Effective January 1, 2017
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 in a contract with us 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 regarding physician and other non-facility out-of-network reimbursement, Click here.
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.
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).
HealthLink®, Inc., is an Illinois corporation. 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. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not liable for any acts or failures to act, by contracted providers. HealthLink, Inc. is not an insurance company and has no liability for benefits under benefit plans offered or administered by payors. HealthLink® is a registered trademark of HealthLink, Inc. and a separately incorporated and capitalized subsidiary of WellPoint, Inc. Any reference in the material to other organizations or companies, including their Internet sites, is not an endorsement or warranty of the services, information or products provided by those organizations or companies.
