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Human Resources
Woody Hall 1st Floor - MC 6520
900 S. Normal Avenue
Carbondale, IL 62901
618-536-3369
hrinfo@siu.edu
Main Content
| Specific Plan Component | Contact For: | Administrator's Name and Address | Administrator's Phone |
|---|---|---|---|
| Quality Care Health Plan (QCHP) Medical Plan Administrator | Medical service information, network providers, ID cards, claim forms, claim filing/resolution and predetermination of benefits. | CIGNA Group Number 3181456 Cigna HealthCare P.O. Box 182223 Chattanooga, TN 37422-7223 |
(800)962-0051 (nationwide) (800)526-0844 (TDD/TTY) www.cigna.com/stateofil |
| QCHP Notification & Medical Case Management Administrator | Notification prior to hospital services. Non compliance penalty of $800 applies | Intracorp, Inc. (no address required) |
(800)962-0051 (nationwide) |
| Prescription Drug Plan Administrator QCHP (1400SD3) Health Alliance Illinois (1400SBS) Coventry OAP (1400SCH) HealthLink OAP (1400SCF) |
Information on prescription drug coverage, pharmacy network, mail order, ID cards, speciality pharmacy and claim filing. |
Express Scripts Paper Claims |
(800)899-2587 (nationwide) (888)759-1089(TDD/TTY) |
| QCHP Behavior Health Administrator | Notification and authorization for any and all related services | Magellan Behavior Health Group number 3181456 PO Box 2216 Maryland Heights, MO 63043 |
(800)513-2611 (nationwide) |
| Quality Care Dental Plan | Dental Services, claim forms and filing, and ID cards. | Delta Dental of Illinois Group Number 20240 PO Box 5402 Lisle, IL 60532 |
(800)323-1743 (800)526-0844 (TDD/TTY) http://soi.deltadentalil.com |
| Vision Plan | Vison Services and benefits, network providers, claim forms and filing. | EyeMed Out-of-Network Claims PO Box 8504 Mason, OH 45040-7111 |
(866)723-0512 |
| Flexible Spending Account Program (MCAP & DCAP) |
Information on setting aside pre-tax dollars for medical and dependent care expenses. | Fringe Benefits Managment Company PO Box 1810 Tallahassee, FL 32302-1810 |
(800)342-8017 (800)955-8771 (TDD/TTY) (850)514-5817 (Fax) http://www.myFBMC.com |
| State Health/Dental Plans, COBRA, Life Insurance & Adoption Benefits | General Information on the state health plans or other benefits | CMS Group Insurance Division 801 S 7th Street PO Box 19208 Springfield IL 62794-9208 |
(217)782-2548 (800)442-1300 (800)526-0844 (TDD/TTY) http://www.benefitschoice.il.gov |
| Employee Assistance Program (EAP) | Confidential assistance and assessment services. | Magellan Behavioral Health For Non AFSCME represented employees No Address Required |
(866)659-3848 (nationwide) (800)456-4006 (TDD/TTY) www.MagellanHealth.com |
| Personal Support Program (PSP-AFSCME EAP) | Confidential assessment and assistance services | AFSCME Council 31 For AFSCME represented Employees |
(800)647-8776 (statewide) (800)526-0844 (TDD/TTY) www.afscme31.org |
CMS contracts with specific benefits administrators to manage the plan's components. Claim forms can be obtained and should be filed with the benefit administrators listed above. Specific coverage questions or concerns should also be directed there. Only general plan questions should be directed to the CMS Group Insurance Division or your Group Insurance Representative.