2021 State of Illinois Retirees
We have a rich history of supporting State of Illinois retirees. We are proud to offer our Health Alliance MAPD HMO plan to State, CIP, and TRIP retirees for the 2021 plan year.
2021 Plan Details - Medical Benefits
| Hospital | State | CIP/TRIP |
|---|---|---|
| Out-of-Pocket Max | $3,000 | $3,000 |
| Deductible | $0 | $0 |
| PCP | $20 | $20 |
| Specialist | $30 | $20 |
| Emergency Room: Worldwide Coverage |
$120 | $120 |
| Urgent Care: Worldwide Coverage |
$30 | $20 |
| Inpatient Hospital Care | $350 | $250 |
| Outpatient Surgery | $250 | $150 |
| Ambulance | $0 | $0 |
| Laboratory Services | $0 | $0 |
| Diagnostic Radiology | $0 | $0 |
| Preventive Services: including wellness visits, Pap smears, cervical cancer screenings, and colorectal screenings | $0 | $0 |
2021 Plan Details - Pharmacy Benefits
| Drugs | State | CIP/TRIP |
|---|---|---|
| Rx Deductibles | $100 | $0 |
| Do I Have Coverage Through the Gap? | Yes | Yes |
| Tier 1 and Tier 2: Generic, 30-day Supply | $8 at network pharmacies | $10 at 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 contracted pharmacies | 2 copays for 60 days and 3 copays for 90 days at contracted pharmacies |
| Generics | At $3.70 or 5% whichever is higher, amount is capped at $50 for a 30-day supply | At $3.70 or 5% whichever is higher, amount is capped at $40 for a 30-day supply |
| All Other Drugs | At $9.20 or 5% whichever is higher, amount is capped at $50 for a 30-day supply | 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 |
Use your ID card
Show your doctor or pharmacy when you pick up prescriptions to access your coverage easier.
Access Hally
Set up your account at Hally.com for instant access to your coverage anytime, anywhere.
See Annual Notice of Change
Use this to see the annual differences from last year's plan.
See Benefit Highlight
Use this to check your deductible, copayment and coinsurance information for various services.
See Wellness Programs
Take steps to better health, earn gift card.
2021 State of Illinois Retirees
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Contact Us
State-Maintained Enrollment System
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
1-855-802-4612
Mailing Address
Health Alliance
3310 Fields South Drive
Champaign, IL 61822
File an Appeal or Grievance
Learn how on our Appeals and Grievances page
Visit Us
Health Alliance Medicare
Health Alliance Connections
3301 Fields South Drive
Champaign, IL 61822