Skip navigation

Prescription Benefit

Plan participants enrolled in any State health plan have prescription drug benefits included in the coverage. Plan participants who have additional prescription drug coverage, such as Medicare or TRICARE, should contact their plan’s prescription benefit manager (PBM) for coordination of benefits (COB) information. Copayments and a prescription deductible apply to each plan participant each plan year for all health plans. Please note that when a pharmacy dispenses a brand drug for any reason and a generic is available, the plan participant must pay the cost difference between the brand product and the generic product, plus the generic copayment.

To compare formulary lists, cost-savings programs and to obtain a list of pharmacies that participate in the various health plan networks, plan participants should visit their health plan's website.

Need More Information?

MyBenefits Marketplace
MyBenefits.illinois.gov
1-844-251-1777
1-844-251-1778 (tdd/tty)

Call the HRS Service Center at 815-753-6000 and ask to be connected to one of our HR associates.

Central Management Services http://www.cms.illinois.gov

Quality Care Health Plan (QCHP)

Aetna HMO / OAP
1.855.339.9731 (p)
1.800.628.3323 (tdd/tty)
www.aetnastateofillinois.com
Health Alliance HMO
1.800.851.3379 (p)
1.800.526.0844 (tdd/tty)
www.healthalliance.org
Health Link OAP
1.800.624.2356 (p)
1.800.624.2356 ext. 6280 (tdd/tty)
www.healthlink.com
HMO Illinois and Blue Advantage HMO
1.800.868.9520 (p)
1.866.876.2194 (tdd/tty)
www.bcbsil.com


Insurance Forms & Documents