Blue Cross/Blue Shield is the current group health plan provider.
Please refer to the other attachments below for other important information regarding the health insurance plan. The website for Blue Cross/Blue Shield of Illinois is www.bcbsil.com/ . The listing of PPO network providers is also available through this website, or by clicking here: www.bcbsil.com/providers/index.htm (You will need to enter the group plan as a PPO.)
The Blue 365discount vision plan is part of the health insurance package. Please see the attachments below for a listing of benefits. A Blue 365 provider list can be found by going to www.davisvision.com.
Click on Members then Open Enrollment. Towards the bottom of the page there is a box that says Open Enrollment and asks for a client code. Enter 4513 and press submit. On the next page there is a place to find a provider.
|Blue Cross/Blue Shield Plan||Blue Cross/Blue Shield Plan Booklet for Participants|
|Blue365 Vision Discount Program||A Schedule of Blue365 Benefits - A Benefit Available to You Through Your Health Insurance Plan|
|Laser Correction Information||Information on the TruVision Laser Correction Benefit, Available as Part of Your Health Insurance Plan|
|Blue Cross/Blue Shield Mail Order Pharmacy Form||See also: Blue Cross/Blue Shield Prescription Drug Coverage Summary for Additional Information on Mail Order Prescription Benefits|
|Preventive Care Guidelines||Informational Brochure on Preventive Care Services|
|Essential Health Benefits Information||Information From Blue Cross/Blue Shield on Essential Benefits|
|Young Adult Dependent Coverage||A fact sheet for information on covering an adult child up to age 26|
|Affordable Health Care Act Information to Plan Participants|
|Childrens' Health Insurance Program.pdf||Information on the Childrens' Health Insurance Program Reauthorization Act (CHIPRA)|
|Notice of Women's Health and Cancer Right Act||Required Notice regarding women's health and cancer rights|
|Blue Cross Blue Shield Claim Form|
|2017 Health Insurance Rates|
|2017 Summary of Plan Coverage||Summary of Benefit Coverage for 2017 Health Insurance Plan|
|HIPAA Notice of Special Enrollment Rights||
A required notice regarding enrollment periods outside of Open Enrollment
|HIPAA Privacy Notice||A required notice regarding privacy rights|
|Annual Notice - Health Insurance Marketplace||A required notice regarding coverage available under the Affordable Care Act|
|Blue Cross/Blue Shield Prescription Drug Coverage Summary||Summary of prescription drug coverage|
Required Notice under the Womens' Health and Cancer Rights Act