Healthlink providers il. , is an Illinois corporation.
Healthlink providers il. Medical Policies and Clinical UM Guidelines Note: The Medical Policies and Clinical UM Guidelines on this site may not always be the criteria used for benefit determinations for a covered individual. Introduction – HealthLink Web Site. Specifically, the purposes of HealthLink’s participating provider availability and accessibility standards are to offer a network of participating providers that are geographically accessible to HealthLink enrollees and offer an adequate number and type of contracted or participating providers to meet the health needs of HealthLink enrollees. 423. The name and logo position HealthLink as the network, and are readily identifiable by HealthLink participating providers as a point of reference in the filing and follow-up of their claims. 2828 N Monroe St · Decatur, IL · 62526 217. Please see the covered individual's plan document for covered or excluded services. In general, managed care plans, such as health maintenance organizations (HMOs) and open access plans (OAP), deliver healthcare through a system of network providers and have a lower monthly premium than the Teachers' Choice HealthChoice Illinois is the statewide Medicaid managed care program. Individuals still answer all calls to our office. discover State Of Illinois Healthlink Provider Portal. Open Access Network Programs HealthLink Open Access is a non-gatekeeper plan, and certain Payors may require pre-certification. And if you're already a HealthLink member, you can unlock additional resources and HealthLink also provides a national network solution for clients with members who reside or travel outside of the service area. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Local Government Health Plan: Healthlink Open Access Plan III Coverage Period: 07/01/2021 – 06/30/2022 Click State of Illinois CMS Figure 1. e General Inquiries Typical general inquiries concern covered services and covered persons of health plans that are contracted with HealthLink. The State of Illinois has a contractual arrangement with HealthLink, Inc. There are several The State of Illinois has a contractual arrangement with HealthLink, Inc. To browse the portal as a guest, please tell us in which State of Illinois group insurance program you belong: HealthLink ®, Inc. The manual documents HealthLink processes, procedures and standard specifications. Provider Updates Providers can register to receive E-mail notification, when new provider information has been posted to the Web site, by completing the form for Provider Releases and Bulletins E-mail Notification Request. Enter one or more search criteria below. Members who use the PBMs pharmacy network to obtain their medication will be charged the applicable prescription copayment after the prescription deductible has been Health Care Tools & Resources for Providers HealthLink was founded more than 30 years ago by a consortium of hospitals located in Illinois and Missouri. Healthlink Management System provides a platform for healthcare management and services. Apr 5, 2022 · You are encouraged to use in-network providers to receive the best value from your health plan. There are e three reso ources to as ssist in con nfirming the e HealthLink k contract t amount: HealthLink®, Inc. Find a doctor or hospital that participates in your health plan. You will find the link to the health plan provider directories on the Bureau of Benefits page of the Illinois Central Management Services website. We value your Electronic Data Interchange EDI Since 1984, HealthLink has proudly supported employers in Missouri, Illinois and the surrounding states by making it easy for them to offer health care access to their employees, with valuable extras to help along the way. With convenient locations in Carbondale, Murphysboro, Herrin, West Frankfort, Anna, Harrisburg and Carrier Mills we're able to built healthy, local relationships which can create a lifelong understanding of good health. 4115 Restriction Request Form Fill out this form to request that HealthLink restrict its use or disclosure of PHI. Then, enter the city & state or zip code of the area you’d like to find care. HealthLink HealthLink Website HealthLink HouseCall The Last Cigarette Quit Kit from Healthlink In-Network Providers Save Money Telemedicine Special Discount Offers as a Healthlink Member Emergency Room Alternatives How to Navigate the HealthLink Provider Directory Free Standing Clinic Facilities Health Savings Account (HSA) HSA Eligible Expenses Feb 15, 2023 · Healthlink Doctors with great reviews in Springfield, IL Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Health Plan Provider Directories Each health plan has a provider directory on their website of providers within their network. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 07/01/2024-06/30/2025. Login Members: Click here find a doctor Providers: Please click here to complete a provider signup form. We are committed to answering your question as quickly as possible. As a HealthLink member, you have access to a variety of free tools and resources to help you stay healthy and save money HealthLink is a provider advocate and we strive to maintain high levels of provider satisfaction. Als so, HealthLink can prov vide health h care providers with th name an nd telephon ne number of the plan administra ator. SEIU Healthcare IL Benefit Funds is a dynamic benefits administration organization committed to providing the highest quality health and retirement benefits in the most financially responsible manner, while always acting in the best interest of the union members. We have compiled all of the most important information and health care forms you may need as you utilize your health plan HealthLink builds customized self-funded health plans to fit any workforce or corporate objective to control health care costs like never before. Plan participants should be sure to show The health insurance plans available to TRIP members differ in the benefit levels they provide, the doctors and hospitals you can access and the out-of-pocket cost to you. If you are a Home Care Worker, Child Care Provider, Personal Assistant or Nursing Home Worker, contact the SEIU Healthcare IL Benefit Funds office to learn more about your Insurance Health Plan or enrolling. HEALTHLINK’S DISCRETION The credentialing summary, criteria, standards, and requirements set forth herein are not intended to limit HealthLink’s discretion in any way to amend, change or suspend any aspect of HealthLink’s credentialing program (“Credentialing Program”) nor is it intended to create rights on the part of practitioners or HDOs who seek to provide healthcare services to Jun 30, 2025 · Health Insurance Providers Blue Advantage HMO Blue Cross Blue Shield IL OAP Quality Care Health Plan (Aetna) Aetna HMO Aetna OAP Health Alliance HMO (valid through 06/30/2025) Healthlink OAP HMO Illinois Be Well Illinois Only general plan questions should be directed to the CMS Group Insurance Division or to your Health Plan Representative. HealthLink®, Inc. , Monday through Friday. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services College Insurance Program: Healthlink Open Access Plan III Coverage Period: 07/01/2021 – 06/30/2022 Business Focus HealthLink is a preferred provider administrator or network organizer that contracts with physicians, hospitals and other health care professionals and arranges for the delivery of health care services to Payors that sponsor, administer or insure plans. discover Healthlink Contact Number Illinois. 550. 694. As a HealthLink member, you have access to a variety of free tools and resources to help you stay healthy and save money Toll-free 800-624-2356 To obtain sales and/or marketing information about HealthLink network programs and services: Forms and Manuals HealthLink offers a library of downloadable and interactive forms and documents. Open Access Plans (OAPs): Aetna, Blue Cross Blue Shield, HealthLink The OAP allows you the flexibility to use out-of-network providers in Tier Open Access Plan (OAP) Benefits Open Access Plan (OAP) members will have three tiers of providers from which to choose to obtain services. , Ste. Discover local support and community care services To begin, click the needed service category. As a provider-driven corporation, HealthLink remains true to its roots by working with doctors, hospitals and other health care facilities to deliver value in medical services to employer groups and their health plan members. Focus on the cost sharing amounts (deductibles, copayments and coinsurance) and excluded services under the plan. 3 days ago · Welcome to the Illinois Medicaid Provider Directory. com orcall receive a bill from a provider for the difference between the provider’s charge and what 24362for a list of participating your netwo provider s. 2422 440 N Main St · East Peoria, IL · 61611 309. , the Claims Administrator, to access two provider contracted networks, to provide Medical Management services and to provide claims administration. Find, Compare, and Connect With Doctors who accept HealthLink Insurance in Illinois. HealthLink does not require selection of a primary care physician. You will pay the most if you use an outof Will you pay less if you 6242356or see - www. Then click Search to find a Physician and view their office addresses, educational background and other information. Welcome State of Illinois Benefit Plan Members HealthLink offers State of Illinois members a variety of free tools and resources to help you get the most from the money you spend on healthcare. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases Forms and Manuals HealthLink offers a library of downloadable and interactive forms and documents. You may restrict what type of information is utilized and supplied to an organization as well as who can access your file and obtain PHI. Check your account now to learn when your revalidation is due. Please contact HealthLink, the health plan claims administrator or the Utilization Management firm listed on the health plan enrollee identification card if you have any questions about a patient’s Utilization Management requirements (or the effect of noncompliance) prior to the delivery of service. g. HEALTHLINK. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases HealthLink’s provider networks are currently located in Illinois, and Missouri. Sep 15, 2025 · Quality Care Dental Plan (administered by Delta Dental of Illinois) Claims processed to the PPO network, the Premier network, and the Non-network providers, are current No Hold. Margaret�s PHO in Spring Valley (Bureau County) has signed a Tier I agreement with HealthLink OAP. Memorial Health has the largest network of innovative healthcare access and options for your and your family. 7788 800. The Illinois Department of Health Care and Family Services administers Medicaid, which is a federal-state program that provides health insurance coverage to 3. NOTE: Information about the cost of this plan (called the premium) will be provided separately. The HMO Illinois Blue Advantage HMO Aetna HMO HealthLink OAP Aetna OAP Blue Cross Blue Shield OAP Consumer Driven Health Plan (CDHP) Quality Care Health Plan (QCHP) HealthLink's Find a Doctor tool can find the right doctor for you in your area. Occasionally physicians and hospitals change their participation status in www. Find a Provider We believe building a relationship of trust helps promote good health and the health of your family. Direct all specific claim inquiries to the plan administrators. Find, Compare, and Connect With Doctors who accept HealthLink Insurance in Galesburg, IL. Open Access III (OAIII) is a three-tier program: This program has three levels of benefits The Provider Manual is a reference source for information about HealthLink's networks, programs, services and administrative procedures. Be an informed health care consumer and make the health care system work for you. m. Halsted St. If you are enrolled in a health plan that uses the HealthLink network, you may use the Member Grievance Form to file a medical grievance such as the quality of service or care received, or file a medical appeal to an adverse benefit determination (i. The HealthLink Provider Relationship Account Management Team assists with education, administrative policies/procedures, problem resolution and service needs. Learn more. Join our preferred provider network and reach more patients. Health Care Forms & Guidelines for Members As a health care consumer, and HealthLink member, you have certain rights and responsibilities when it comes to the quality of care you receive from providers, your health plan benefits and your private health information (PHI). $0 HealthLink®, Inc. Even if you're not enrolled in a HealthLink health plan, we've got tools to help you take charge of your health. Programs and services* Note out-of-network coverage is provided in accordance with the Member’s health plan. Open access plans combine similar benefits of an HMO with the same type of coverage benefits as a traditional health plan. Apr 18, 2025 · HealthLinc provides quality care for all, accepting Medicaid, Medicare, most commercial insurance and the uninsured. Results displayed are based on data on file at HealthLink and may not accurately represent patient or claim details. Patterson@healthlink. Providers cannot request to alter or remove reviews. It is important you review the provider directories for each of the health plans to determine if your provider is in network and what your member responsibility will be for visits to that provider. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases Welcome State of Illinois Benefit Plan Members HealthLink offers State of Illinois members a variety of free tools and resources to help you get the most from the money you spend on healthcare. or some services (such as lab work To ensure that benefits are coordinated appropriately and to prevent financial liabilities with healthcare claims, plan participants must notify the State of Illinois CMS Medicare COB Unit when they become eligible for Medicare. In addition to personal service, our mission is to The Payer Strategy & Contracting (formerly Managed Care) at Springfield Clinic provides the interface between health insurance companies, Springfield Clinic's network of providers and our patients. With HealthChoice Illinois, you have a health plan partner to turn to for help. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Only those providers listed in this Mar 6, 2025 · Learn about HealthLINK, your secure member portal, giving you on-demand access to health tools and keeping track of your health care. We organize to build power to demand and win social and economic justice for our communities. If an out-of-network provider charges more than the allowed amount, you may have to pay the difference. 122, Chicago, IL 60608. Find, Compare, and Connect With Doctors who accept HealthLink Insurance in Springfield, IL. At HealthLink, we understand the payment delay may have had a large impact on your practice, and we are working to process payments for past claims as quickly as possible. MEMBER GRIEVANCE AND APPEAL FORM HealthLink members have the right to document a grievance or file an appeal by filling out a simple form. com As a HealthLink member, you have access to a variety of free tools and resources to help you stay healthy and save money HealthLink is a provider advocate and we strive to maintain high levels of provider satisfaction. Frequently Asked Questions Is the Service Address the provider's home or mailing address? The Service Address can be used to search for any address associated with the provider. Margaret�s Hospital and twenty-seven physicians along with fifteen midlevel providers (e. Information and educational resources for your physical, mental, and financial well-being from State of Illinois CMS. and its subsidiary, HealthLink HMO, Inc. Members may self-refer to participating Providers and Facilities. Explore our services and sliding fee scale today! The State of Illinois has a contractual arrangement with HealthLink, Inc. HealthLink has no control or right of control over the professional, medical judgment of contracted Health (7 days ago) HealthLink®, Inc. Feb 22, 2024 · HealthLink Members NewslettersHealthLink has migrated to Availity Essentials Beginning February 22, 2024, Availity Essentials became your dedicated, secure access point to HealthLink's online tools and resources. Find a doctor or hospital that participates in the HealthLink network. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not HealthLink builds regional provider networks and makes them available by contract to control health care costs like never before Welcome State of Illinois Benefit Plan Members HealthLink offers State of Illinois members a variety of free tools and resources to help you get the most from the money you spend on healthcare. Join Our Participating Provider Network We're glad to hear that you are interested in joining the HealthLink network. to access two (2) provider contracted networks, to provide Medical Management services, and claims administration. if y healthlink. As a HealthLink member, you have access to a variety of free tools and resources to help you stay healthy and save money HealthLink®, Inc. com for up-to-date participating provider information. We have a diverse network of exceptional healthcare professionals that help to ensure our members have uninterrupted access to the healthcare they need. 5002 Indiana Division – PO Box 1067, Decatur, IL 62525 800. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Utilization management resources for pre-certification of our members. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not discover Healthlink State Of Illinois. Click the “search button” to see the local options. Arkansas HealthLink ®, Inc. If you are eligible for Medicaid services or are enrolled in a Medicaid Managed Care Plan, and you are looking for mental health or substance use recovery services, you can use the resources below to find a provider or appropriate programs or services: The Service Provider Identification & Exploration Resource Database (SPIDER Database) allows users to search a specific area in the state for Page 1 of 1Updated October 2021 Insurance plans for State of Illinois Members. HealthLink, Inc. was founded in 1976 to serve self-funded health care plans with people-to-people customized service. In general, managed care plans, such as Health Maintenance Organizations (HMOs) and the Open Access Plan (OAP), deliver healthcare through a system of network providers and have a lower monthly premium than the Quality Care Find, Compare, and Connect With Doctors who accept HealthLink Insurance in Carbondale, IL. , is an Illinois corporation. Office hours are from 8:30 a. For example, if an out-of-network hospital charges $1,500 for an overnight stay and the allowed amount is $1,000, you may have to pay the $500 difference. Sep 22, 2022 · You are encouraged to use in-network providers to receive the best value from your health plan. Or call HealthLink Customer Service at 800-624-2356. The plan administrator’s name and telephone number appears on the membership identification card and can be verified by any of the Do you have a client looking for a provider network in Illinois or Missouri? HealthLink contracts with several regional and national health insurance carriers to provide network programs to help benefit administrators manage health care costs. HealthLink has no control or right of control over the professional, medical judgment Improving Health Care Quality & Outcomes. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefi ts, including insurers, third party administrators or employers. Click on the link for the health plan provider directory you would like to view and follow the instructions on the plan's website. HealthLink also provides a national network solution for clients with members who reside or travel outside of the service area. HealthLink Pricing Policies These policies serve as a guide to assist providers in accurate claims submissions and to outline the basis for allowed amounts for HealthLink members. The Medicare COB Unit can be reached by calling 1-800-442-1300 or 217-782-7007. St. Find, Compare, and Connect With Doctors who accept HealthLink Insurance in Marion, IL. discover How To Access Healthlink. HealthLink Dimensions Solutions HealthLink Connect SM Deliver omnichannel access to any healthcare audience using the most accurate, audited provider and facility database available. HealthLink has no control or right of control over the professional, medical https://soi. Certain payors who conduct business with HealthLink determine their own covered benefits. Programs to help you stay healthy and save money. The benefit level is determined by the tier in which the healthcare provider is contracted HealthLink gives providers the valuable tools they need to better serve their patients, our members. See Patient Ratings & Read Reviews of other Illinois doctors. Open Access Plans (OAPs): Aetna, Blue Cross Blue Shield, HealthLink The OAP allows you the flexibility to use out-of-network providers in Tier HealthLink ®, Inc. 798. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits, including insurers, third party administrators or employers. COM Every effort has been made to ensure the accuracy of this directory. We appreciate your continued partnership with HealthLink. The name and logo of the benefit administrator is INTRODUCTION You have chosen to be covered under the State of Illinois Health Benefits Plan. Jul 1, 2025 · Plan participants enrolled in any of the State health plans have prescription drug coverage included in their health plan benefits. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not Sep 18, 2025 · This directory is provided for informational purposes solely regarding a provider's enrollment and is not intended to guarantee payment for any service by any provider. 3 million residents – one in four Illinoisans – who meet certain eligibility standards. Most Medicaid customers are required to choose a primary care provider (PCP) and health plan. IMPORTANT TELEMEDICINE PROGRAM INFORMATION Access important consent and authorization information for the Telemedicine Program from HealthLink. Member Authorization Form HealthLink’s provider networks are currently located in Illinois, and Missouri. , PCPs, Ortho, Women�s Health, ER). HealthLink's Find a Doctor tool can find the right doctor for you in your area. Sep 4, 2025 · The fastest-growing union of healthcare, child care, home care and nursing home workers in the Midwest. HealthLink and Land of Lincoln Health have joined together to offer access to high quality doctors and hospitals for Illinoisans seeking health insurance coverage. You may use the information on the card to submit claims as instructed. This alternative basis may be applied to claims by any healthcare provider, regardless of the healthcare provider’s participation in the Preferred Provider Organization (PPO). That's right, no extra cost. The determination that a service, procedure, item, etc. Find, Compare, and Connect With Doctors who accept HealthLink Insurance in Red Bud, IL. HealthLink offers State of Illinois members a variety of free tools and resources to help you get the most from the money you spend on healthcare. We make getting started easy with our online application process. We value your participation in HealthLink's provider network, and our commitment to providers is an essential component of our business. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not HealthLink OAIII Freedom Network Select HealthLink ®, Inc. Results of the Procedure: You are now able to search for a provider in CCMS. Only those providers listed in this HealthLink®, Inc. As a HealthLink member, you have access to a variety of free tools and resources to help you stay healthy and save money Apr 18, 2025 · Find a family doctor that accepts Medicaid near you with the help of HealthLinc! View our providers to learn more, then schedule your visit by calling 888-580-1060. Do you have a client looking for a provider network in Illinois or Missouri? HealthLink contracts with several regional and national health insurance carriers to provide network programs to help benefit administrators manage health care costs. Our objective is to provide simple solutions that allow you to concentrate of delivering health care to our members, your patients. healthlink. Services provided by an out-of-network provider are paid at a lower benefit level Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services State of Illinois Health Plan: Healthlink Open Access Plan III Coverage Period: 07/01/2023 – 06/30/2024 IPMG has been helping our customers thrive for over 25 years with comprehensive insurance claims management solutions. Members who elect an OAP will have three tiers of providers from which to choose to obtain services. If you have questions about the temporary ID cards, please call HealthLink Customer Service at 800-624-2356. com Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment. This change in vendor only affects members enrolled in the Quality Care Health Plan (Cigna), HealthLink OAP and Coventry OAP. We believe building a relationship of trust helps promote good health and the health of your family. Members can speak to their claim adjuster, supervisors, officers, owners and other Mutual Medical employees about issues affecting their claims or health care plan. com orcall800 - network . Effective October 1, 2019 all Ordering, Referring and Prescribing providers must be enrolled through Illinois Medicaid Program Advanced Cloud Technology (IMPACT) as a participating individual practitioner. The Aetna health benefits plans offered by the State of Illinois provide you with tools, tips, programs and services such as: Large national network of doctors and hospitals In network lab benefits Worldwide emergency care coverage Access to online and mobile tools Plan documents Click on each Aetna plan name below to learn more. Jan 1, 2024 · HealthLink gives providers the valuable tools they need to better serve their patients, our members. The attending physician does not have to obtain pre-certification from the Plan for prescribing a maternity length of stay that is forty-eight (48) hours or less for a vaginal delivery or ninety-six (96) hours or less for a cesarean delivery. On July 1, 2015, CVS/caremark will be the prescription benefit manager (PBM) for State of Illinois employees, dependents and retirees. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health bene ts, including insurers, third party administrators or employers. HealthLink offers an expanded network to Members through HealthLink’s affiliated companies in Kentucky, Indiana Ohio, and Wisconsin. Dec 1, 2020 · Network Relations Consultant, Sr. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 07/01/2022 – 06/30/2023 State of Illinois Health Plan: Healthlink Open Access Plan III Coverage for: Plan Type: OAP IMPORTANT NOTICE This booklet contains a summary in English of your Plan rights and benefits under the SEIU Healthcare IL Home Care Health Plan. to 5:00 p. Each health plan has a provider directory on their website of providers within their network. UCLA HealthLink provides secure, remote access for community providers, vendors, and their office staff to a portion of UCLA's electronic health record (EHR) in order to improve continuity of care, check managed care eligibility, submit/review referrals, and view claim status. Providers/stakeholders choose where to receive alerts (SMS, SMTP, Secure Message App) and when the messages are to be generated. Prescription benefits are administered by the health plan's prescription benefit manager (PBM). Please return to the address listed at the end of the form. Phone: (314) 923-4267 Sonya. It's always been our goal to offer participants and their families comprehensive, high quality health care coverage while keeping costs down. HealthLink ®, Inc. HealthLink builds customized self-funded health plans to fit any workforce or corporate objective to control health care costs like never before. Functionality on Availity Essentials includes: Confirm patient eligibility, identifying the Benefit Administrator's name and contact number for eligibility and benefits verification State of Illinois Payments Being Released Good news - the State of Illinois has released funds to begin paying providers. Access key information for participating in our network. We value your Mutual Medical Plans, Inc. SIH offers comprehensive care for patients of all ages, close to home. Your actual costs will be different depending on the actual care you receive, the prices your providers charge, and many other factors. The SEIU Health and Welfare Fund provides medical, prescription drug, dental and vision benefits to approximately 6,500 SEIU participants (and eligible dependents) from more than 125 participating employers. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not Physician Profile Search Welcome to the State of Illinois Physician Profile Search. Sep 4, 2025 · Welcome to the Illinois Medicaid Provider Directory. HealthLink® insurers, third party administrators or employers. Land of Lincoln Health is Illinois’ first and only consumer-operated and oriented health insurance organization (CO-OP) as defined by the Affordable Care Act (ACA). Functionality on Availity Essentials includes: Confirm patient eligibility, identifying the Benefit Administrator's name and contact number for eligibility and benefits verification As a State of Illinois member you have access to multiple provider networks. HealthLink also offers a national, travel network option. Carle accepts many health plans and encourages patients to verify insurance plan coverage to determine in-network or out-of-network benefits for services. If you have difficulty understanding any part of this booklet, contact our office at 773-385-9300 for assistance or at 2229 S. This is only a summary. As a State of Illinois member you have access to multiple provider networks. All providers - even if you have completed a similar request previously, please complete and submit the Provider Communications Request Form to ensure timely updates are received. ID Card Requirements To support efficient claims administration, HealthLink's name and logo are required on the front of all Enrollee Identification Cards. Providers and Facilities can submit forms online directly to the appropriate HealthLink department. As a State of Illinois member you have access to multiple provider networks. The company contracts with health care providers and Payors, requiring each party to comply with specific obligations in the HealthLink ®, Inc. Find, Compare, and Connect With Doctors who accept HealthLink Insurance in Chicago, IL. Go to the State of Illinois Member Access home page and use the custom provider locator to find out if your provider is Tier I, II or III. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases Jan 2, 2025 · See the best health insurance companies in Illinois selling individual health plans on the federal marketplace, according to Forbes Advisor’s analysis. , the Claims Administrator, to access two provider contracted networks, to provide Medical Management services and claims administration. Each of our core programs deliver access to a wide-range of area doctors, hospitals and other health care facilities (providers) and feature the many unique advantages of Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services State of Illinois Health Plan: Healthlink Open Access Plan III Coverage Period: 07/01/2021 – 06/30/2022 The State of Illinois has a contractual arrangement with HealthLink, Inc. phcs. Stay up-to-date with all things HealthLink with our member publication, eHouseCall. Electronic Provider Communications Request Form ***NEW*** Receive Important HealthLink Provider Communications Electronically. HealthLink's broad network delivers access to contracted doctors, hospitals and other health care facilities (providers) at deep discounts. Check with the Payor for complete information, contact information is available by rolling over the Payor’s name. QHP is a value-driven organization committed to providing high-quality, cost-effective health services to the patients Need to find a doctor, hospital or urgent care near you in Illinois? Find BCBSIL in-network health care providers for in-person or virtual care appointments. To confirm if a provider is actively enrolled with Illinois Medicaid, please use the search features. You may need to check with your insurance provider directly for specific plan details. If the desired provider record does not display, you can click [Add] to create a new provider record. And if you're already a HealthLink member, you can unlock additional resources and Many Wellpoint (Unicare/Healthlink) plans in Illinois provide coverage for mental health services, including in-person or online therapy and psychiatry. HealthLink contracts with more than 40,000 providers and more than 430 hospitals and other healthcare facilities in its core service area of Missouri and Illinois. The PHO consists of St. As outlined within the Schedule of Benefits, the Plan provides an alternative basis for payment of claims associated with dialysis-related services and products. EyeMed administers the vision benefits for the State Employee's Group Insurance Program. discover Healthlink Provider Finder. Sep 10, 2025 · HealthLink seeks to advance diversity through mentoring the next generation of health professionals by connecting high school students (high school sophomores are given preference) with a UCSF graduate student mentor from one of the five health professional schools: Nursing, Pharmacy, Dentistry, Physical Therapy, and Medicine. Inpatient and outpatient surgery (excluding office surgeries, pain injections and screening colonoscopies) Accepted Insurances - SEIU – LOCAL 4 (HEALTHLINK) HMO & PPOIn partnering with the top gastroenterologists in the area, we hope to provide the best possible care for our patients in the most beneficial practice environment. HealthLink uses CAQH (Council for Affordable Quality State of Illinois Accounts: Contact AmeriBen Customer Service by calling 877-379-5802. HealthLink is a provider advocate and we strive to maintain high levels of provider satisfaction. 3 days ago · The information contained in this directory is made available to the public by the Illinois Department of Healthcare and Family Services (IDHFS) to assist Medical providers in verifying an actively enrolled ordering/referring/prescribing Medicaid provider. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not Clinical practice, preventive health and behavioral health guidelines for HealthLink's network of providers and facilities. Informed Consent and Authorization The following Statement of Patient Responsibility; Informed Consent and Authorization sets forth the terms under which a third party vendor hired by HealthLink is supplying you telephonic or electronic consultation HealthLink's Find a Doctor tool can find the right doctor for you in your area. Find, Compare, and Connect With Doctors who accept Healthlink Insurance in Aurora, IL. When plan participants utilize a network provider, the benefit levels are greater. he For ques stions abou ut the HealtthLink contrract amoun nt, participatting provide ers should contact HealthLink. Your benefits for each service are determined by whether the service provider falls within Tier I (HMO), Tier II (PPO) or Tier III (out-of-network) level. HEALTHeLINK™ securely shares health information among providers to improve health outcomes and health equity for patients across New York State. What this Plan Covers & What You Pay For Covered Services Coverage Period: 07/01/2019 – 06/30/2020 State of Illinois Health Plan: HEALTHLINK OPEN ACCESS III Coverage for: Plan Type: OAP would share the cost for covered health care services. Procedures and guidelines for conducting business with us and your patients. These types of inquiries can be most efficiently addressed with health care providers contacting the plan administrator. WWW. The Fund administers multiple benefit plan Note to Providers: Please honor this temporary ID card as you would any permanent HealthLink member ID card. Please answer the simple question (s) outlined below so we're able to direct you to the appropriate network of participating providers. 1 Jan 1, 2020 · HealthLink ®, Inc. You can also click to display more information about State of Illinois provider reimbursement, as shown (Figure 3). is covered under a member's benefit plan is not a determination that you will be reimbursed. Plan members were mailed new prescription ID cards by CVS/caremark the week of June 22nd. Health Care Tools & Resources for Providers HealthLink was founded more than 30 years ago by a consortium of hospitals located in Illinois and Missouri. 5 Network Name: If you are asked who your insurance provider is when seeking medical care, you should provide the name of your network. No matter which plan you are enrolled in, receiving health care from an out-of-network provider will significantly increase your out-of-pocket medical costs. Access a full list of contact information for all HealthLink departments. Healthlink Diagnostic Laboratories is a state-of-the-art Clinical Diagnostic and Reference Laboratory servicing healthcare providers and long-term care (LTC) facilities throughout the states of Florida, New Jersey, North Carolina and Pennsylvania. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases HMO Illinois Blue Advantage HMO Aetna HMO HealthLink OAP Aetna OAP Blue Cross Blue Shield OAP Consumer Driven Health Plan (CDHP) Quality Care Health Plan (QCHP) Specifically, the purposes of HealthLink’s participating provider availability and accessibility standards are to offer a network of participating providers that are geographically accessible to HealthLink enrollees and offer an adequate number and type of contracted or participating providers to meet the health needs of HealthLink enrollees. Access plan documents, your digital ID card, claims, health and wellness programs, and more. Feb 26, 2025 · The health insurance plans available to State members differ in the benefit levels they provide, the doctors and hospitals you can access and the out-of-pocket cost to you. Included at No Extra Cost: HealthLink Insight™ for professional colleagues, care providers, the patient and their selected family. Conveniently access links to various health plan provider and their wellness websites. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services State of Illinois Health Plan: Healthlink Open Access Plan III Coverage Period: 07/01/2023 – 06/30/2024 INTRODUCTION You have chosen to be covered under the State of Illinois Health Benefits Plan. z7cgf 2g86 e4dlp vybbu y6nf kyoo ysiv p2e bczf xr9tm