Only general plan questions should be directed to the CMS Group Insurance Division or your Health Plan Representative. Direct all specific claim inquiries to the plan administrators.
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Local Care Health Plan (LCHP) Medical Plan Administrator
Medical service information, claims forms, ID cards, claim filing/resolution, and pre-determination of benefits. |
Cigna
Group Number 2457474
Cigna HealthCare
P. O. Box 182223
Chattanooga, TN 37422 |
provider.healthcare.cigna.com/soi.html
(800) 962-0051
(800) 526-0844 (TDD/TTY) |
LCHP Notification and Medical Case Management Administrator
Notification prior to hospital services. Non-compliance penalty of $400 applies. |
| Intracorp, Inc. |
provider.healthcare.cigna.com/soi.html
(800) 962-0051
(800) 526-0844 (TDD/TTY) |
Prescription Drug Plan Administrator
Information on prescription drug coverage, pharmacy network, mail order drug, specialty pharmacy, ID cards and claim forms filing. |
Medco
Group Number 1401LD3, 1401LBS, 1401LCF
Paper Claims:
Medco Health Solutions
P.O. Box 14711
Lexington, KY 40512
Mail Order Prescriptions:
Medco
P. O. Box 30493
Tampa, FL 33630-3493 |
www.medco.com
(800) 899-2587
(800) 759-1089 (TDD/TTY) |
LCHP Behavioral Health Administrator
Mental Health and Substance Abuse notification, authorization, claims forms and claim filing/resolution. |
Magellan Behavioral Health
Group Number 2457474
P. O. Box 2216
Maryland Heights, MO 63043 |
www.MagellanHealth.com
(800) 513-2611
(800) 526-0844 (TDD/TTY) |
Local Government Dental Plan (LGDP) Administrator
Dental services, claim forms, ID cards and filing. |
Delta Dental of Illinois
Group Number 20240
P.O. Box 5402
Lisle, IL 60532 |
http://soi.deltadentalil.com
(800) 323-1743
(800) 526-0844 (TDD /TTY) |
Vision Plan Administrator
Vision services, benefits, network providers, claim forms and filings. |
EyeMed Vision Care
Out-of-Network Claims
P.O. Box 8504
Mason, OH 45040-7111 |
www.eyemedvisioncare.com/stil
(866) 723-0512
(800) 526-0844 (TDD/TTY) |
General Information
General information on the local government health plans, Medicare COB or other benefits. |
CMS Group Insurance Division
801 S. 7th Street
P. O. Box 10105
Springfield, IL 62791 |
(217) 782-2548
(800) 442-1300
(800) 526-0844 (TDD/TTY) |
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