|
Purpose |
Administrator Name and Address |
Phone |
Website |
|
Enrollment Customer Service | MyBenefits
134 N. LaSalle Street
Suite 2200
Chicago, IL 60602 | 844-251-1777
844-251-1778 (TDD/TTY)
|
MyBenefits.illinois.gov |
| Health Plan | Aetna HMO (Group #285657)
PO Box 981106
El Paso, TX 79998-1106 | 855-339-9731
800-628-3323 (TDD/TTY)
| aetnastateofillinois.com |
Aetna OAP (Group #285653)
PO Box 981106
El Paso, TX 79998-1106 | 855-339-9731
800-628-3323 (TDD/TTY)
|
aetnastateofillinois.com |
College Choice Health Plan (CCHP) - Aetna PPO
(Group #285662)
PO Box 981106
El Paso, TX 79998-1106 | 855-339-9731
800-628-3323 (TDD/TTY)
|
aetnastateofillinois.com |
BlueAdvantage HMO
(Group #B06803)
PO Box 805107
Chicago, IL 60680-4112
| 800-868-9520
866-876-2194 (TDD/TTY)
| bcbsil.com/stateofillinois
|
BlueCross Blue Shield OAP (Group Number 268988)
(effective 07/01/21)
| 855-810-6537
|
| Address for all Blue Cross Plans: PO Box 805107, Chicago, IL 60680-4112 |
Health Alliance Medical Plans
(Group #00810A)
3310 Fields South Drive
Champaign, IL 61822 | 800-851-3379
800-526-0844 (TDD/TTY)
|
healthalliance.org/stateofillinois |
HealthLink OAP
(Group #160003)
PO Box 411580
St. Louis, MO 63134 | 800-624-2356
800-624-2356 ext. 6280 (TDD/TTY)
|
healthlink.com/soi/learn-more |
HMO Illinois
(Group #H06803)
PO Box 805107
Chicago, IL 60680-4112 | 800-868-9520
866-876-2194 (TDD/TTY)
|
bcbsil.com/stateofillinois |
| Prescription Drug Plan | CVS Caremark®
(for CCHP or OAP Plans)
(Group #s:
CCHP 1399CD3
Aetna OAP 1399CCH HealthLink OAP 1399CCF)
Paper Claims: CVS Caremark® PO Box 52136
Phoenix, AZ 85072-2136
Mail order Rx: CVS Caremark® PO Box 94467
Palatine, IL 60094-4467 | 877-232-8128
800-231-4403 (TDD/TTY)
|
caremark.com |
|
Vision Plan | EyeMed Out-of-Network Claims
PO Box 8504
Mason, OH 45040-7111 | 866-723-0512
TTY users, call 711
|
eyemedvisioncare.com/stil |
| Dental Plan | Delta Dental of Illinois
(Group #20242)
PO Box 5402
Lisle, IL 60532 | 800-323-1743
800-526-0844 (TDD/TTY)
| soi.deltadentalil.com |
| Behavioral Health | Through 07/01/21
Magellan Healthcare, Inc.
PO Box 2216, Maryland Heights, MO 63043
| 800-513-2611 (nationwide)
800-526-0844 (TDD/TTY)
| magellanascend.com |
| Effective 07/01/21
Aetna
PO Box 981106
El Paso, TX 79998-1106
| 855-339-9731
800-628-3323 (TDD/TTY)
Fax: 859-455-8650
| aetnastateofillinois.com
|
| State Universities Retirement System | 1901 Fox Drive
Champaign, IL 61820-7333
| 800-275-7877
800-526-0844 (TDD/TTY)
| surs.org |