|
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 #285656)
PO Box 981106, El Paso, TX 79998-1106 | 855-339-9731
800-628-3323 (TDD/TTY)
| aetnastateofillinois.com |
Aetna OAP (Group #285652)
PO Box 981106, El Paso, TX 79998-1106 | 855-339-9731
800-628-3323 (TDD/TTY)
|
aetnastateofillinois.com |
Local Care Health Plan (LCHP) - Aetna PPO
(Group #285661)
PO Box 981106
El Paso, TX 79998-1106 | 855-339-9731
800-628-3323 (TDD/TTY)
|
aetnastateofillinois.com |
Local Consumer-Driven Health Plan (LCDHP) - Aetna PPO
(Group #285661)
PO Box 981106
El Paso, TX 79998-1106 | 855-339-9731
800-628-3323 (TDD/TTY) |
aetnastateofillinois.com |
BlueAdvantage HMO
(Group #B06801)
PO Box 805107
Chicago, IL 60680-4112
| 800-868-9520
866-876-2194 (TDD/TTY)
| bcbsil.com/stateofillinois
|
BlueCross Blue Shield OAP (Group Number 269094)
(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 #000610)
3310 Fields South Drive Champaign, IL 61822
| 800-851-3379
800-526-0844 (TDD/TTY)
|
healthalliance.org/stateofillinois |
HealthLink OAP
(Group #160001)
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 #H06801)
PO Box 805107
Chicago, IL 60680-4112
| 800-868-9520
866-876-2194 (TDD/TTY)
|
bcbsil.com/stateofillinois |
| Prescription Drug Plan | CVS Caremark®
(for LCHP, LCDHP or OAP)
(Group #s:
LCHP 1401LD3
LCDHP 1401LD9
Aetna OAP 1401LCH
HealthLink OAP 1400LCF)
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 (Group #
9784851)Claims
PO Box 8504, Mason, OH 45040-7111
| 866-723-0512
800-526-0844 (TDD/TTY)
|
eyemedvisioncare.com/stil |
| Dental Plan | Delta Dental of Illinois
(Group #20241)
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 |