For more information about these health plan options, please visit the Health Plans page. Add, drop, increase, or decrease Member Optional Life coverage, if eligible. To be eligible for coverage under theTotal Retiree Advantage Illinois MAPD plan,you and your eligible dependents must: Live in the United States or the U.S. You can manage yourHealthChoiceIllinoisplan benefits and your health goals from anywhere. When billing, you must use the most appropriate code as of the effective date of the submission. State Government Suggestion Award Board (SGSAB), College Insurance Program (CIP) Benefit Plans, Local Government Health Plan (LGHP) Benefit Plans, Total Retiree Advantage Illinois (TRAIL) Program, State Fall Open Enrollment Materials for Plan Year 2022, Prescription Drug Coverage with the TRAIL MAPD Program, State Universities Retirement System (SURS), Register, Become a Vendor & State Government. This new plan is an Aetna MAPD PPO Plan, and there are no longer any HMO Plan options available as there were in previous years. Visiti il nostro sito web oppure chiami il numero di telefono elencato in questo documento. Were bringing you to our trusted partner to help process your payments. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner. | Web Privacy Policy, Environmental Health, Safety and Sustainability. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. You may terminate the TRAIL MAPD coverage at any time by contacting the plan administrator in writing. In September, CMS announced that beginning January 1, 2023, there will be one medical and prescription drug plan for all TRAIL members; the Aetna Medicare Advantage Prescription Drug (MAPD) PPO Plan. We'd love to see you there! Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. We take care of the whole you. It contains informationfor our vendors. Using your Aetna Better Health ofIllinoisbenefits and services is easy. PDF Your TRAIL Medicare Advantage Prescription Drug (MAPD - Illinois Links to various non-Aetna sites are provided for your convenience only. There's a clear path for your vision benefits. Once you have enrolled in the TRAIL MAPD health plan, you will only use your red, white, and blue Medicare card for hospice care. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. You can also send a secure message through the Member Portal if you have a question. Learn more about reporting fraud, waste or abuse now, You deserve to live a happy, healthy life. You can access this free feature by signingin tothe Member Portal. View Medicare Coverage & Benefits | Aetna Medicare You may pay more when you go out of network. Beginning January 1, 2023, Aetna Medicare Advantage Prescription Drug (MAPD) PPO Plan will replace your current plan. Si tu intencin no era salir del sitio web, cierra este mensaje. For more complete benefit information regarding TRAIL and the health plan benefits with your new Aetna MAPD PPO plan, please review your: 2023 SEGIP Open Enrollment Guide book(for Current Members of TRAIL), Illinois Department of Central Management Services, Beginning January 1, 2023, Aetna Medicare Advantage Prescription Drug (MAPD) PPO Plan will replace your current plan. 2023 TRAIL MAPD Initial Enrollment Guide for members newly eligible for TRAIL State of Illinois | Aetna Medicare [CDATA[ The Aetna MAPD PPO plan with ESA for State of Illinois retirees allows Aetna members to use doctors and hospitals in or out of the Aetna Medicare network. (German), , . And the discounts we negotiate with the pharmacies in our large, national network can help you lower premiums and your retirees' cost sharing. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. If the member's and/or dependent's Medicare Beneficiary Identifier (MBI) number is not on file, it must be provided during your enrollment, please make sure you have this information available. It is also known as the Aetna MAPD PPO. Yes. And watch your mail for more plan information coming from Aetna over the next several weeks. You typically choose a primary care physician and most of our HMO-POS plans require you to use a participating provider for medical care. Canceling TRAIL MAPD coverage does not allow you to stay in your current CIP health plan. You must keep Medicare Parts A and B and continue to pay the applicable Medicare premiums, including applicable IRMAA (Income Related Monthly Adjustment Amount) surcharges. To obtain additional coverage you may enroll in a Part D prescription drug plan for prescription drug coverage, re-enroll in CIP-Sponsored TRAIL plan throughout the plan year with coverage effective the first of the month following your enrollment request, or enroll during your next annual TRAIL MAPD Enrollment Period. Contact will be made by an insurance agent/producer or insurance company. ${hours}. This includes HMO, PPO or HMO-POS plans. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". In September, we announced that beginning January 1, 2023, there will be one medical and prescription drug plan: the Aetna Medicare Advantage Prescription Drug (MAPD) PPO Plan. And Care Coordination for disease management. You are now being directed to CVS Caremark site. This site has its own log in. Use your rewards to help pay for many of your everyday living expenses! Get answers to common Medicare questions. Find a Doctor :: State of Illinois - Aetna Medicare coverage for the whole you body, mind and spirit, Discover coverage that takes a total approach to health, See how we help you get the right resources and care, Take full advantage of everything your plan offers you. We: If you need these services, visit our website, call the phone number listed in this material or on your benefit ID card. 25, 2022). You can call Member Services at1-866-329-4701 (TTY: 711)for more information. Your State of Illinois Medicare Advantage patients have a new - Aetna Let's explore. Aetna Medicare Advantage plans at a glance Through your Aetna member account you can manage claims, view plan details and more. (Vietnamese), Wenn Sie eine andere Sprache als Englisch sprechen, stehen Ihnen kostenlose Sprachdienste zur Verfgung. To view Aetna's MAPD PPO Plan FAQs regarding your new Prescription Drug coverage, click here. Non-discrimination notice and language assistance. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Im turning 65 or just starting to explore Medicare. PDF Frequently Asked Questions: Prescription Drugs - Illinois Department of There are no copays or deductibles within our preferred drug list. Aetna is part of the CVS Health family of companies. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). The plan coverage depends on which State of Illinois retiree group your patient is a member: College Insurance Program (CIP) State Employees Group Insurance Program (SEGIP) Teachers' Retirement Insurance Program (TRIP) It may be different from your Aetna secure member site log in. All Rights Reserved. Preferred provider organization (PPO) plans let you choose any provider who accepts Medicare. As a CIP member, who is newly-eligible for enrollment in the TRAIL MAPD health plan, this is your opportunity to enroll in the Aetna MAPD PPO Plan. (Portuguese), Si ou pale yon lt lang ki pa Angl, wap jwenn svis asistans pou lang gratis ki disponib. For more complete benefit information regarding TRAIL and the health plan benefits with your new Aetna MAPD PPO plan, please review your: 2023 CIP TRAIL Initial Enrollment Guide(for Newly-eligible TRAIL Members). Some plans exclude coverage for services or supplies that Aetna considers medically necessary. We updatetheonline provider search toolnightly. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. And many feature an affordable plan premium sometimes as low as $0. College Insurance Program - Illinois Department of Central Management Medicare pays a fixed amount for your care each month to Aetna. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Find a Doctor, Dentist or Hospital | Aetna If your CIP medical and prescription coverage is terminated, you will have only Original Medicare for your medical coverage. Territories, AND. If you add a non-Medicare dependent, you will be ineligible to enroll in a TRAIL MAPD plan. Why choose ${company} Medicare Solutions? All Rights Reserved. All services deemed "never effective" are excluded from coverage. Need help finding housing? Start by completing the Application for Benefits Eligibility. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. PDF Aetna Medicare Advantage Prescription Drug (MAPD) PPO Plan. This new CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. The Aetna MAPD PPO Plan s available throughout Illinois and nationwide. Next,select"Tasks and choose Manage My Health.. Our plan selection pages will be down for maintenance starting Friday, April 16, at 9 p.m. and returning by 1 p.m. Saturday, April 17. HMO Plan (PDF)* Open Access Plan (PDF) QCHP/CDHP Plan (PDF) See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Your benefits plan determines coverage. Others have four tiers, three tiers or two tiers. With our Medicare Advantage HMO plans, you typically choose a primary care physician who helps coordinate your care within a network of doctors and hospitals. We are working to update the information on this website to reflect your 2023 benefits. Some subtypes have five tiers of coverage. There are many ways to file. Therefore, enrollment in a different Medicare Advantage or Medicare Part D plan will automatically cause your TRAIL MAPD coverage to end, which will include your medical, prescription drug, dental and vision coverage. With our Medicare Advantage HMO-POS plans, you can enjoy all the benefits of receiving care through a network provider. For our non-discrimination notice and other language assistance: Espaol | | Ting Vit | | Kreyl Ayisyen | | | Franais | Polski | Portugus | Italiano | Deutsch | | | other languages. We help you live your healthiest life. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. In addition, we offer language interpretation services, including sign language, at no cost to you. An Aetna Medicare Advantage with Prescription Drug plan provides your retirees with integrated medical and pharmacy benefits in a single, easy-to-use plan. Illinois Department of Central Management Services, Group Insurance Division, at 1-800-442-1300 or by email at [email protected]. You can download and print a copy oftheprovider directory below. Aetna Medicare Advantage PPO plans may also include prescription drug coverage and other additional benefits. 3. Elect to re-enroll in coverage. You may re-enroll in medical, prescription drug, vision, and dental coverage if you previously opted out or waived coverage. If you'd like to speak with an agent right away, we're standing by for that as well. With our Medicare Advantage PPO plans, you can visit Medicare-approved providers, in or out of Aetnas provider network, who accept Aetnas plan terms. Limitations and exclusions may apply. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Plan features and availability may vary by service area. (Russian), . You can also look forward to informative email updates about Medicare and Medicare Advantage. TRAIL MAPD is a retiree healthcare program sponsored by the College Insurance Program (CIP). Youcanmakea standing request to receive all materials in a language other than English or inanotherformat. The Centers for Medicare & Medicaid Services releases annual Star ratings for Medicare Advantage plans.

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