General Information by Provider for Current Employees
This information is applicable to positions with full benefits.
BLUE CROSS/BLUE SHIELD
Customer Service: 800.458.6024
- $300 in-network deductible per person/year — $900 in-network deductible per family/year
- $500 out-of-network deductible per person/year — $1500 out-of-network deductible per family/year
- Co-Insurance employee responsibility — 10% for in-network services/30% out-of-network after deductible
- $2500 maximum out of pocket, after deductible - in network
- $7500 maximum out of pocket, after deductible - out of network
Prescriptions: $10 generic/$40 formulary/$50 non formulary
For a complete PPO plan summary, click here.
Davis Vision Discount Program for PPO Participants:
DV Customer Service: 877.393.8844. Or, visit Blue Cross Blue Shield website at www.bcbsil.com or call PPO Member Services at 800.892.2803.
HMO Illinois and BlueAdvantage
Customer Service: 800.892.2803
- $20 Primary co-pay, $20 Specialist co-pay, $150 ER co-pay (waived if admitted)
- Prescriptions: $10 generic/$40 formulary/$50 non formulary
Davis Vision Discount Program for HMO Participants:
DV Customer Service: 877.393.8844. Or, visit Blue Cross Blue Shield website at www.bcbsil.com or call HMO Member Services at 800.892.2803.
Customer Service: 800.533.6654
- Six-month cleanings covered 100%
- $50 deductible
- Routine and Customary Work Covered 80%
- Major Work Covered 50%
- $1,500 Annual Max/Per Person
For a complete plan summary, click here.
Flexible Spending Section 125
Customer Service: 800-826-9781
Customer Service Fax: 877-390-4782
State Universities Retirement System (SURS)
Consolidated Omnibus Budget Reconciliation Act of 1985
Public Law 99-272, Title X (COBRA)
General Information Sheet (PDF)