2020 Plan Details - Medical Benefits
|Inpatient Hospital Care||$350||$250|
|Preventative Services: including wellness visits, Pap smears, cervical cancer screenings, and colorectal screenings||$0||$0|
2020 Plan Details - Pharmacy Benefits
|Do I Have Coverage Through the Gap?||Yes||Yes|
|Tier 1 and Tier 2: Generic, 30-day Supply||$0 at preferred pharmacies
$8 at other network pharmacies
|$0 at preferred pharmacies
$10 at other network pharmacies
|Tier 3: Preferred Brand, 30-day Supply||$26||$20|
|Tier 4: Non-Preferred Drug, 30-day Supply||$50||$40|
|Tier 5: Specialty Tier, 30-day Supply||$50||$40|
|Retail 60 and 90 Benefit||2 copays for 60 days and 2.5 copays for 90 days at other contracted pharmacies||2 copays for 60 days and 3 copays for 90 days at other contracted pharmacies|
|Generics||At $3.60 or 5% whichever is higher, amount is capped at $50 for a 30-day supply||At $3.60 or 5% whichever is higher, amount is capped at $40 for a 30-day supply|
|All Other Drugs||At $8.95 or 5% whichever is higher, amount is capped at $50 for a 30-day supply||At $8.95 or 5% whichever is higher, amount is capped at $40 for a 30-day supply|
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See Annual Notice of Change
Use this to see the annual differences from last year's plan.
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See Evidence of Coverage (EOC)
Use this as your main guiding document for your health care.
2020 State of Illinois Retirees
My Benefits Marketplace
1-844-251-1777 (TTY 1-844-251-1778)
Monday through Friday, 8 a.m. to 6 p.m. CST.
An online enrollment tool designed specifically to streamline your benefit options into a one-stop shop for your insurance needs. Use this to learn more about your benefits, make enrollment decisions, change your current coverage, and find contact information for your plan administrators.
Anytime Nurse Line
3310 Fields South Drive
Champaign, IL 61822
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Health Alliance Medicare
Health Alliance Connections
3310 Fields South Drive #105
Champaign, IL 61822