2022 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 2022 plan year. It’s a plan made for you.
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.
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 |
| Outpatient Laboratory Services | $0 |
| Outpatient Diagnostic Radiology | $0 |
| Preventive Services: including wellness visits, Pap smears, cervical cancer screenings, and colorectal screenings | $0 |
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 |
| Outpatient Laboratory Services | $0 |
| Outpatient Diagnostic Radiology | $0 |
| Preventive Services: including wellness visits, Pap smears, cervical cancer screenings, and colorectal screenings | $0 |
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 $3.95 or 5% whichever is higher, amount is capped at $50 for a 30-day supply |
| All Other Drugs in Catastrophic Coverage | At $9.85 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 $7,050 | |
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 $3.95 or 5% whichever is higher, amount is capped at $40 for a 30-day supply |
| All Other Drugs in Catastrophic Coverage | At $9.85 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 $7,050 | |
Documents & Materials
- Annual Notice of Change
Use this to see the annual differences from last year's plan.
- Benefit Highlights
Use this to check your deductible, copayment and coinsurance information for various services.
- Evidence of Coverage
Use this as your main guiding document for your health care.
- Directories
- Formularies
Your Perks and Programs
Get access to plenty of perks and programs made for you and your health goals.
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.
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 Nurse Advice Line.
- Schedule a virtual visit from home.
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