Your HealthChoice Illinois Plan Choices

Transcription

Your HealthChoice Illinois Plan ChoicesAll plans have the same basic Medicaid services that you get now, such as: 24/7 nurse line Behavioral health services Doctor services Eye care services Hearing services Home health care Hospice care Hospital services Lab tests and x-rays Medical supplies Prescriptions Therapy Transportation tomedically necessaryappointmentsAll plans have extra benefits, such as Care Coordinators who will help you find the providers andservices you need. Use this chart to compare the extra benefits and services that each health plan offers.Important: If you receive Medicare benefits, Medicare will cover most of the services listed above. YourHealthChoice Illinois plan (Medicaid) will only cover: Your long-term care services if you live in a nursing home or supportive living facility Your home and community based waiver services (such as the Aging or Physically Disabled waivers) Non-emergency transportation and some behavioral health servicesNot all extra benefits will apply to you if you receive Medicare benefits. Extra benefits marked witha diamond ( ) are available to enrollees with Medicare benefits.1-877-860-2837TTY: Illinois Relay at 7-1-1 or 1-800-526-0844www.bcchpil.com1-800-608-8158TTY: 1-877-650-0952www.harmonyhpi.comProvidersBlue Cross has a network of providers includingprimary care providers (PCPs), specialists, hospitalsand long-term care facilities that you must use.Go to www.bcchpil.com to find providers in theBlue Cross Community Health Plan network.ProvidersHarmony has a network of providers includingprimary care providers (PCPs), specialists, hospitalsand long-term care facilities that you must use.Go to h to find providers in the HarmonyHealth Plan network.No co-pays 0 for doctor visits 0 for emergency room (ER) visits 0 for prescriptionsNo co-pays 0 for PCP visitsCo-pays 3.90 for specialist visits 2 for generic prescriptions 3.90 for brand name prescriptions 2 for over-the-counter drugs (doctor’sprescription required)Please see the back of this page for more information about these plans »Questions? Visit EnrollHFS.Illinois.gov or call 1-877-912-8880(TTY: 1-866-565-8576). The call is free!You can get this information in other languagesor formats, such as large print or audio.S01 0518 ENG

Preferred Drug List (PDL) A PDL is a list of prescription drugs and overthe-counter (OTC) medicines a health plancovers. You can read Blue Cross’s PDL online atwww.bcchpil.com.Dental Extra dental care for adultsPractice visits Members with developmental disabilities orserious mental illness can go to the dentist forpractice visitsPregnancy and healthy kids You may qualify for a free car seat, portablecrib or diapers in the Special BeginningsprogramTransportation You can get a ride to the pharmacy right afteryour doctor visit Vision You can get 40 toward a pair of upgradedeyeglass frames every two yearsWellness You may qualify for: Gift cards for completing certain preventiveservices in the Healthy Behaviors program A free cell phone to call your doctor, carecoordinator or 9-1-1 emergency services Members with diabetes can get in-home bloodsugar test kits Preferred Drug List (PDL) A PDL is a list of prescription drugs and overthe-counter (OTC) medicines a health plancovers. You can read Harmony’s PDL online atwww.wellcare.com/Illinois/pdl.Dental Extra dental care for adults Pregnancy and healthy kids You may qualify for: A free stroller or portable play yard in theHarmony HUGS program Six free packages of diapers by keepingpostpartum appointments and by gettingregular immunizations (shots) in theHarmony Diaper Program Children ages 4-11 can join the Healthy KidsClub to encourage preventive servicesTransportation You can get a ride to the pharmacy, a medicalequipment provider, Women, Infants, Children(WIC) food assistance sites, and the hospital tovisit a family memberVision Adults can get a free pair of approvedeyeglasses each year Wellness You may qualify for: Gift cards for completing certain preventiveservices in the Healthy Rewards program A free cell phone for members with highrisk pregnancies to call your doctor, carecoordinator or 9-1-1 emergency services Special hypoallergenic bedding to helpcontrol asthma symptoms 10 nutritional meals delivered to yourhome after a hospitalization or nursing homestay Free household items and help with rentor utility deposits if you are moving out ofa nursing home to a private home You can get a discounted membership atpartner gyms You can get a free 3-month membership toCurves You can get 10 in over-the-counter itemsmailed to your home each month

Your HealthChoice Illinois Plan ChoicesAll plans have the same basic Medicaid services that you get now, such as: 24/7 nurse line Behavioral health services Doctor services Eye care services Hearing services Home health care Hospice care Hospital services Lab tests and x-rays Medical supplies Prescriptions Therapy Transportation tomedically necessaryappointmentsAll plans have extra benefits, such as Care Coordinators who will help you find the providers andservices you need. Use this chart to compare the extra benefits and services that each health plan offers.Important: If you receive Medicare benefits, Medicare will cover most of the services listed above. YourHealthChoice Illinois plan (Medicaid) will only cover: Your long-term care services if you live in a nursing home or supportive living facility Your home and community based waiver services (such as the Aging or Physically Disabled waivers) Non-emergency transportation and some behavioral health servicesNot all extra benefits will apply to you if you receive Medicare benefits. Extra benefits marked witha diamond ( ) are available to enrollees with Medicare benefits.1-866-329-4701TTY: Illinois Relay at 7-1-1 or 1-800-526-0844www.illinicare.com1-866-606-3700TTY: Illinois Relay at 7-1-1 or 1-800-526-0844www.mhplan.com/ILProvidersIlliniCare Health has a network of providersincluding primary care providers (PCPs), specialists,hospitals and long-term care facilities that youmust use. Go to ProviderSearch.IlliniCare.com tofind providers in the IlliniCare Health network.ProvidersMeridian has a network of providers includingprimary care providers (PCPs), specialists, hospitalsand long-term care facilities that you must use.Go to corp.mhplan.com/en/provider-search to findproviders in the Meridian Health Plan network.No co-pays 0 for doctor visits 0 for emergency room (ER) visits 0 for prescriptionsNo co-pays 0 for doctor visits 0 for emergency room (ER) visits 0 for prescriptionsPlease see the back of this page for more information about these plans »Questions? Visit EnrollHFS.Illinois.gov or call 1-877-912-8880(TTY: 1-866-565-8576). The call is free!You can get this information in other languagesor formats, such as large print or audio.S01 0518 ENG

Preferred Drug List (PDL) A PDL is a list of prescription drugs and overthe-counter (OTC) medicines a health plancovers. You can read IlliniCare Health’s PDLonline at IlliniCare.com/pdl.Dental Extra dental care for adultsPregnancy and healthy kids You may qualify for: Up to 65 on a prepaid CentAccount debitcard by keeping prenatal and postpartumappointments in the Start Smart for YourBaby program A free car seat or diaper bag for going to aHealthy Mom, Healthy Baby eventTransportation You can get a ride to the pharmacy rightafter your doctor visit, medical equipmentprovider and, for new mothers only, Women,Infants and Children (WIC) food assistancesites for 30 days from date of baby’s birthVision You can get 100 toward eyeglasses or 80toward contact lenses every two yearsWellness You may qualify for: 10 to 50 rewards on your CentAccount prepaid debit card when you completecertain preventive services 50 reward dollars on your CentAccount prepaid debit card for completing yourannual diabetic screenings Up to 100 reward dollars on yourCentAccount prepaid debit card when youcomplete 6 antidepressant medication refills A free cell phone to call your doctor, carecoordinator or 9-1-1 emergency services inthe Connections Plus program Programs to help you manage diseases,such as depression Members with diabetes or heart disease canget in-home test kits You can get help to stop smokingPreferred Drug List (PDL) A PDL is a list of prescription drugs and overthe-counter (OTC) medicines a health plancovers. You can read Meridian’s PDL online tation You can get a ride to the pharmacy, a medicalequipment provider, and Women, Infants, andChildren (WIC) food assistance sitesVision Members under 21 years of age have no limiton eyeglassesWellness You may qualify for: Gift cards for completing certain preventiveservices in the Healthy Incentives program Nutrition services, counseling and programsto help you manage your weight, includinga free Weight Watchers membership You can get help to stop smoking You can get 10 in over-the-counter itemsmailed to your home each month (availableonly to enrollees with Medicare)

Your HealthChoice Illinois Plan ChoicesAll plans have the same basic Medicaid services that you get now, such as: 24/7 nurse line Behavioral health services Doctor services Eye care services Hearing services Home health care Hospice care Hospital services Lab tests and x-rays Medical supplies Prescriptions Therapy Transportation tomedically necessaryappointmentsAll plans have extra benefits, such as Care Coordinators who will help you find the providers andservices you need. Use this chart to compare the extra benefits and services that each health plan offers.Important: If you receive Medicare benefits, Medicare will cover most of the services listed above. YourHealthChoice Illinois plan (Medicaid) will only cover: Your long-term care services if you live in a nursing home or supportive living facility Your home and community based waiver services (such as the Aging or Physically Disabled waivers) Non-emergency transportation and some behavioral health servicesNot all extra benefits will apply to you if you receive Medicare benefits. Extra benefits marked witha diamond ( ) are available to enrollees with Medicare benefits.1-855-687-7861TTY: Illinois Relay at 7-1-1 or ina has a network of providers includingprimary care providers (PCPs), specialists, hospitalsand long-term care facilities that you must use.Go to providersearch.molinahealthcare.com tofind providers in the Molina Healthcare network.No co-pays 0 for doctor visits 0 for emergency room (ER) visits 0 for prescriptionsPlease see the back of this page for more information about these plans »Questions? Visit EnrollHFS.Illinois.gov or call 1-877-912-8880(TTY: 1-866-565-8576). The call is free!You can get this information in other languagesor formats, such as large print or audio.S01 0518 ENG

Preferred Drug List (PDL) A PDL is a list of prescription drugs and overthe-counter (OTC) medicines a health plancovers. You can read Molina’s PDL online atwww.MolinaHealthcare.com/ILMedicaidpdl.Dental Extra dental care for adultsPregnancy and healthy kids You may qualify for gift cards by keepingprenatal and postpartum appointments in thePregnancy Rewards programTransportation You can get a ride to the pharmacy, a medicalequipment provider, and Women, Infants, andChildren (WIC) food assistance sitesVision You can get 40 toward a pair of upgradedeyeglass frames each yearWellness You may qualify for: Gift cards for completing certain preventiveservices Programs to help you manage diseases Programs to help you manage your weight You can get help to stop smoking

Provider#/Search to find providers in the Harmony Health Plan network. No co-pays 0 for PCP visits Co-pays 3.90 for specialist visits 2 for generic prescriptions 3.90 for brand name prescriptions 2 for over-the-counter drugs (doctor’s prescription required) 1-800-608-8158 TTY: 1-877-650-0952 www.harmonyhpi.comFile Size: 215KB