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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 information regarding your benefits for the current plan year. Details for the FY2020 Benefit Choice Period can be found on the customized State of Illinois Learn More page on HealthLink.com.

• 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:
  
  FY2020 State of Illinois Members
  FY2020 Teachers' Retirement Insurance Program Participants
  FY2020 College Insurance Program Participants
  FY2020 Local Government Health Plan Members
  
  
• 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.
  
  Below are files of Summary Plan Description (SPD) booklets that describe the benefits available to you and your dependents. Please click on the participating member group that applies to you.
  
  FY2019 State of Illinois Members
  FY2019 Teachers' Retirement Insurance Program Participants
  FY2019 College Insurance Program Participants
  FY2019 Local Government Health Plan Members
  
  
• 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.
  


• The Telemedicine Program from HealthLink - At HealthLink, we know that when you’re sick, the last thing you want to do is go out. As a State of Illinois employee, you have access to the Telemedicine Program from HealthLink, so when you’re not feeling well, you don’t have to. With unlimited access to on-demand telephone consultations available 24 hours a day, seven days a week and 365 days a year, from anywhere, you can call to get the care you need so you can get well as quickly as possible.
  
  Features of the program include:
  

  - Board certified doctors available for consults within one hour.
  - Available 24/7/365.
  - Simple credit or debit card payment options to collect co-payment amount.
  - Intimate, quality health care experience.

  Call 855-717-6800 to get started. Don’t forget to save this number for instant access wherever you are!
  
  
• 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.
  
  2019 Pre-Certification List - Effective January 1, 2019
  
  
• Member Responsibilities – Quick Tips to Best Utilize Your Plan Benefits
  We want you to have the best possible experience when utilizing care. As a member, it's important to understanding your benefit plan.
  
  
• 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.
  
  
• 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.
  
  
• 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.