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State of Illinois Retirees

We have a rich history of supporting State of Illinois retirees and are proud to offer our Health Alliance™ MAPD HMO plan to State Employees Group Insurance Program (SEGIP), College Insurance Program (CIP) and Teachers’ Retirement Insurance Program (TRIP) retirees for the 2021 plan year. It’s a plan made for you.

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Not a State of Illinois retiree? Return to the main State of Illinois page

Medical Benefits

When it comes to coverage, it’s all about you. See an overview of health benefits made to fit your needs.

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State

Out-of-Pocket Max $3,000
Deductible $0
PCP $20
Specialist $30
Emergency Room:
Worldwide Coverage
$120
Urgent Care:
Worldwide Coverage
$30
Inpatient Hospital Care $350
Outpatient Surgery $250
Ambulance $0
Laboratory Services $0
Diagnostic Radiology $0
Preventive Services: including wellness visits, Pap smears, cervical cancer screenings, and colorectal screenings $0
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CIP/TRIP

Out-of-Pocket Max $3,000
Deductible $0
PCP $20
Specialist $20
Emergency Room:
Worldwide Coverage
$120
Urgent Care:
Worldwide Coverage
$20
Inpatient Hospital Care $250
Outpatient Surgery $150
Ambulance $0
Laboratory Services $0
Diagnostic Radiology $0
Preventive Services: including wellness visits, Pap smears, cervical cancer screenings, and colorectal screenings $0
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Pharmacy Benefits

We give you access to prescription drug coverage. See an overview of pharmacy benefits made for you.

State

Rx Deductibles $100
Do I Have Coverage Through the Gap? Yes
Tier 1 and Tier 2: Generic, 30-day Supply $8 at network pharmacies
Tier 3: Preferred Brand, 30-day Supply $26
Tier 4: Non-Preferred Drug, 30-day Supply $50
Tier 5: Specialty Tier, 30-day Supply $50
Retail 60 and 90 Benefit 2 copays for 60 days and 2.5 copays for 90 days at contracted pharmacies
Generics in Catastrophic Coverage At $3.70 or 5% whichever is higher, amount is capped at $50 for a 30-day supply
All Other Drugs in Catastrophic Coverage At $9.20 or 5% whichever is higher, amount is capped at $50 for a 30-day supply
Catastrophic Coverage begins when a member's out-of-pocket drug costs for the year has reached $6,550
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CIP/TRIP

Rx Deductibles $0
Do I Have Coverage Through the Gap? Yes
Tier 1 and Tier 2: Generic, 30-day Supply $10 at network pharmacies
Tier 3: Preferred Brand, 30-day Supply $20
Tier 4: Non-Preferred Drug, 30-day Supply $40
Tier 5: Specialty Tier, 30-day Supply $40
Retail 60 and 90 Benefit 2 copays for 60 days and 3 copays for 90 days at contracted pharmacies
Generics in Catastrophic Coverage At $3.70 or 5% whichever is higher, amount is capped at $40 for a 30-day supply
All Other Drugs in Catastrophic Coverage At $9.20 or 5% whichever is higher, amount is capped at $40 for a 30-day supply
Catastrophic Coverage begins when a member's out-of-pocket drug costs for the year has reached $6,550
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Documents & Materials

Your Perks and Programs

Get access to plenty of perks and programs made for you and your health goals.

View all Perks and Programs

Hally® Health

Hally health is all about helping you live your healthiest life. And we give you plenty of ways to do it, like fitness courses, recipes, wellness programs, health coaching, care coordination and more.

Learn More

Finding Care

With a statewide network of trusted doctors to choose from, you get access to reliable care with lots of options.

  • Find doctors and hospitals in network.
  • Get 24/7 answers to your health questions with the Anytime Nurse Line.
  • Schedule a virtual visit from home.

Find Care Now

How to Reach Us

We’re here to answer your questions and help you with your plan.

Email us at MemberServices@HealthAlliance.org or use the contact info below. If you have a complaint, learn more about filing an appeal or grievance.

Phone

Call us at (877) 795-6131 (TTY 711), daily from 8 a.m. to 5 p.m. local time.

Voicemail is used on holidays and weekends, April 1 to September 30.

Mailing Address

Health Alliance
3310 Fields South Dr.
Champaign, IL 61822

Visit Us

Health Alliance Connections
3301 Fields South Drive
Champaign, IL 61822

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