Availability of OAP Tiers varies by county. The HSA vendor will be changing from PayFlex to Optum Financial on July 1, 2023. The level of coverage for specific services varies among plans. Learn how collective movement builds trust and social closeness. The Application for Benefits Eligibility (ABE) at ABE.Illinois.gov is the State of Illinois' Official website for applying for and managing Medical, SNAP and Cash benefits. Dependent premiums are separate and in addition to your employee premium. Please carefully review the booklet before making any changes. This includes appealing a benefit decision made by a Managed Care Organization (MCO) by requesting a State Fair Hearing. As a wellness plan member, you can use this site to access health plan information and educational resources including wellness webinars, monthly health awareness causes, financial wellness, healthy eating, and exercise. See Part-Time Employees. The new website is MyBenefits.illinois.gov . Illinois Department of You are encouraged to use in-network providers for the lowest out-of-pocket costs in the QCHP. Use Manage My Case to access your benefits, check your redetermination due date, and verify your mailing address. Note: After you elect an HSA, you must also open an account with PayFlex, the HSA vendor. Due to the severe weather in and around the Springfield area, our Springfield offices will not be able to see Child Support customers in person today, June 30, 2023. Phone (toll-free): 1-800-843-6154. The state will send you letters about your benefits, and you will sometimes need to reply to those letters by a certain date or risk losing your benefits. Additional optional programs include the Medical Care Assistance Plan (MCAP), the Dependent Care Assistance Plan (DCAP), the Commuter Savings Program (CSP), et. Welcome to the new IDOT home page. $1.74. If you have a concern that cannot be addressed by MyBenefits, please contact CMS at (toll-free) 800-442-1300, select the appropriate option and leave a message. Rates The Illinois Department of Central Management Services (CMS) determines the cost of this insurance. You can ask your OAP for an estimate of the amount that the plan will pay if you provide detailed provider and procedure code information from your doctor. Also contact your medical plan and your Primary Care Provider (PCP) to let them know about any of these changes. The Department of Central Management Services (CMS) is committed to equal employment opportunity (EEO) and affirmative action. If you and your spouse are both State employees, neither may enroll as a dependent of the other. July 1, 2021 - CMS, Illinois, & participating plans execute an updated three-way contract. is the State of Illinois Official website for applying for and managing Medical, SNAP and Cash benefits. The Community College Insurance Program CMS provides and oversees health, dental, and vision benefits for eligible downstate public community college retirees and their eligible dependents. Your children and stepchildren under 19 years old. The provider networks in an OAP are divided into two separate benefit levels called Tier I and Tier II. To find providers, see Provider Directories. CMS embraces a culture of diversity, equity, inclusion, and accessibility. The QCHP has an annual plan year deductible that applies to most services. A representative will return your call within 24 hours Monday through Friday. Your employee contributions for SEGIP health plan premiums are based on your annual salary and the health plan selected and are deducted from payroll. You will also receive a mailing from MyBenefits that will contain your unique Login ID. An employee hired for at least 4.5 months (one semester) at 100% time. Normal operations will resume on Monday, July 3, 2023. A temporary employee with an appointment of 50% or more for at least 9 months. Among the services CMS provides are human resources facilitation; benefits programs for employees, retirees and local governments; property and facilities management; diversity initiatives for public contracting and State employment; joint purchasing support; vehicle fleet oversight and support; surplus property programs; print and electronic communications services; and administrative hearings coordination. Once your redetermination has been processed, you will get a letter telling you if you are still eligible. Illinois Medicaid Renewals Information Center, Continuous Coverage Frequently Asked Questions. Benefit Choice is your annual opportunity to make changes to your State of Illinois benefits: Typically, Benefit Choice is available from May 1 through May 31, and any plan changes become effective July 1 of the same calendar year. The Agencys mission is to support the State by delivering innovative, responsive, and effective services that provide the best value for Illinois State government and the people it serves. Urbana-Champaign: Employee Development and Learning, Chicago: UIC HR Professional Development/Training, System Offices Professional Development Guidelines, System Offices Educational Funding Program, Distinguished Employee Leadership and Team Award (DELTA), Staying Engaged and Energized While Remote Working, Paid University Funeral/Bereavement Leave, System Office Performance Appraisal Information. 2101 S. Veterans Parkway Springfield, IL 62704 Phone: 217-785-7444 Fax: 217-785-7019 Email SERS Forgot your account details? More information on Medicare Part B premiums can be found on the Medicare website.
For a map of the health plans available in your area, see the Health Plan Map. Learn more about the difference between HSAs and FSAs. Our EEO policy applies to all aspects of employment, including, but not limited to recruitment, selection, promotion, placement, demotion, transfer, training, compensation, benefits, reduction . See your insurance card for this phone number. If you and your spouse (or civil union partner) are both employees of the University of Illinois or any other State of Illinois agency, and both are eligible for SEGIP coverage, then you must each be insured individually. The Social Security Administration website also indicates that completed forms can be sent or faxed to the local Social Security field office. All other customer service options are available. If use of privately owned automobile is authorized or if no Government-furnished automobile is available. Providers can access the most current Provider Manual at MolinaHealthcare.com. Employees electing to opt out or waive health plan coverage may only enroll their dependents in life insurance coverage. For plan details, refer to the Summary of Benefits and Coverage and the Benefit Choice booklet. to do things like check the status of that application, view benefit details, report a change, renew benefits, upload documents, and link to the online appeals portal. Construction or professional services firms looking to build their business and maintain a competitive edge are encouraged to conduct business with IDOT as a certified DBE. You are allowed to mix and match providers among all tiers. Changes to thenumber of people in your household. See your plans Summary of Benefits and Coverage for more details. These benefits include: Health Insurance Health Insurance (Part-Time Employees) Dental Insurance Vision Plan Life Insurance Accidental Death & Dismemberment Flexible Spending Accounts Urbana-Champaign: Employee Development and Learning, Chicago: UIC HR Professional Development/Training, System Offices Professional Development Guidelines, System Offices Educational Funding Program, Distinguished Employee Leadership and Team Award (DELTA), Staying Engaged and Energized While Remote Working, Paid University Funeral/Bereavement Leave, System Office Performance Appraisal Information, https://www.irs.gov/publications/p969#en_US_2019_publink1000204039, Glossary of Health Coverage and Medical Terms. If you do not return the form with the required documents by the date on the letter, your redetermination may be denied and you will lose your benefits. Kendra Dinkins, President and CEO For additional details, refer to the following sections of the State Employee Benefits Handbook: Eligibility Requirements beginning on page six, Contribution Payment beginning on page 17, and Time Away from Work beginning on page 20. Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023. In 2021, the median annual national cost of a private room in a nursing home was $108,405, according to the most recent figures from Genworth, a large long-term care insurance underwriter that . Privately Owned Vehicle (POV) Mileage Reimbursement Rates. Springfield, Illinois 62794 - 9208. Changing Health Plans During Benefit Choice, you may change health insurance plans. The University of Illinois System is the flagship higher education system in the state of Illinois. As a wellness plan member, you can use this site to access health plan information and educational resources including . The kinds of changes that you need to report include: Changes to the address where you get mail. System Offices Request for Reasonable Accommodation Based on Medical Condition or Religious Exemption. Out-of-pocket costs are based on coinsurance, which is a percentage of the lesser of total billed cost or MRC for eligible services. See Employee and Dependent Rates for the current premiums that vary based on your salary and chosen health plan. Out-of-pocket costs in an HMO are usually lower than other plans. 800-526-0844 (TDD/TTY), Optum Financial - Connecting Health Care & Finances, 833-955-3400 (nationwide) Return your form and any supporting information to the Department of Human Services address listed on your letter by the due date shown, even if there are no changes. The State of Illinois' Application for Benefits Eligibility (ABE) now has features to help you manage your benefits and appeals online, anytime. Changes to health insurance are made through MyBenefits. for a complete list of resources including an ABE User Guide, ABE Appeals Guide, instructions on setting up Manage My Case, Answers to Frequently Asked Questions, and more. An employee hired for at least 4.5 months (one semester) at 100% time. To be eligible for SEGIP health insurance benefits, you must meet the following criteria: You must be eligible to participate in SURS. You should report any change within10 daysof when the change happened. For more additional information related to COVID-19, we encourage members to refer to the US Centers for Disease Control and Prevention and World Health Organization websites for the most current information. When both parents are State employees, either employee may elect to cover children as dependents, but the same dependent cannot be enrolled under both employees for the same type of coverage. You may enroll in or change your SEGIP health plan only at the following times: See HMOs for more details. The State Employee Group Insurance Program (SEGIP) includes health, vision, dental, life and prescription insurance. CMS.BEN.MedicareCOB@illinois.gov. Biweekly paid employees will see half the total cost deducted from each of 24 pay checks (no premium is deducted from the third pay when there are three pay checks in the same month). Our location has changed, please update any bookmarks. System Offices Request for Reasonable Accommodation Based on Medical Condition or Religious Exemption. // ]]>
We are committed to ensuring that our members do not experience any issues regarding access to care and have appropriate resources readily available. Among the services CMS provides are human resources facilitation; benefits programs for employees, retirees and local governments; property and facilities management; diversity initiatives for public contracting and State employment; joint purchasing support; vehicle fleet oversight and support; surplus property programs; print and electronic co. DEI&B Certificate Program - Relaunch Coming Soon! In response to COVID-19, the Illinois Department Central Management Services' (CMS) Bureau of Benefits (Benefits) is working to mitigate any adverse health and financial impacts to our members who may be affected, either directly or indirectly. Scan and upload the documents to the secure websitewww.medredes.hfs.illinois.gov. Reset your password. The Benefit Choice period for FY 2024 has ended. See OAPs for more details. Airplane*. Any dependents that you plan to claim on your taxes. The COB Process: Ensures claims are paid correctly by identifying the health benefits available to a Medicare beneficiary, coordinating the payment process, and ensuring that the primary payer, whether Medicare or other insurance, pays first. Use the Check if I . Important: Dependent Social Security numbers are required when enrolling in State benefit programs. Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023. Due to the severe weather in and around the Springfield area, our Springfield offices will not be able to see Child Support customers in person today, June 30, 2023. You must correct any wrong information. For more information about health coverage options through the Health Insurance Marketplace visit: www.GetCoveredIllinois.govand click on"Explore yourhealth coverageoptions"or call:1-866-311-1119, Illinois Medicaid Renewals Information Center. Select from the links below to read about your options: See the Health Plan Map in the FY 2024 Benefit Choice Booklet for the plans available in your area. If the Social Security Administration determines that you or your covered dependent are not eligible for Medicare coverage, you must request a written statement of the Medicare ineligibility from the Social Security Administration. To browse the portal as a guest, please tell us in which State of Illinois group insurance program you belong: State Employees Group Insurance Program (SEGIP) SEGIP Member For more detailed information on the Flexible Spending Account program, see the Flexible Spending Accounts page or the State of Illinois Flexible Spending Account Program booklet. For questions about Benefit Choice or State of Illinois benefits, contact the MyBenefits Service Center at 844-251-1777 or TDD/TTY 844-251-1778, Monday Friday 8:00 a.m. 6:00 p.m. CT. For questions about eligibility or University plans, contact University Payroll & Benefits. Recover your Username. A temporary employee with an appointment of 50% or more for at least 9 months. [CDATA[
You can ask for an estimate of the amount that the plan will pay if you provide detailed provider and procedure code information from your doctor. Board of Trustees of Northern Illinois University. On April 4, the Centers for Medicare & Medicaid Services (CMS) announced that all Medicare enrollees with Medicare Fee-For-Service Part B or Medicare Advantage will have access to free COVID-19 testing, effective April 4th through the end of the Public Health Emergency (available here). Enrolling in a health insurance plan automatically enrolls you in the vision insurance plan, at no additional cost. Distributions are tax-free when used for qualified medical expenses. To find providers, see Provider Directories. CMS Personnel conducts a wide range of training and development programs aimed at assisting State employees, hiring managers, and prospective employees with their employment efforts. If you are no longer eligible, it tells you why. Tier III (out-of-network) providers are paid at a 60% of the plans allowable charges (varies by geographic region), after the plan year deductible and any applicable copay. The Tier II network offers an expanded range of providers to choose from, but you will pay copays, coinsurance, and have an annual plan year deductible. Failure to enroll and maintain enrollment in Medicare Parts A and B when Medicare is the primary insurance payer will result in a reduction of benefits under the State Group Insurance Program and will result in additional out-of-pocket expenditures for health-related claims.