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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

Using Your Coverage

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.

See Evidence of Coverage (EOC)

Use this as your main guiding document for your health care.

2021 State of Illinois Retirees

Other Plans

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.

Contact Health Alliance by Phone or Email

1-877-795-6131 (TTY 711)


Voicemail used on holidays and weekends, February 15 to September 30

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