April 11, 2014 Legislative Update SBC Updated on the SBC Tool for Illinois Groups 1-150 You may have recently retrieved a Summary of Benefits and Coverage (SBC) from the SBC Tool that describes an overview of what your plan covers and your level of cost-sharing for those services. Updates have been processed and are now available on the SBC Tool to retrieve. Review the below listing for more details on the updates and always review the SBC for accuracy before distributing to members. We appreciate your patience as we continue to improve our processes. Updated Plans Plan: | Update: | All IL HMOs (1-150) | For Rehabilitation and Habilitation, “Copay may apply” was added to the corresponding limitation sections.
| BPHB206 (2013 English, 2013 Spanish, 2014 English, 2014 Spanish)
| Updated specialist copay to read $35 copay/visit and emergency room services to $150 copay/visit
| BCP73434, BCP93434, E2THV024
| Added 2014 version for English and Spanish
| This communication is intended for informational purposes only. It is not intended to provide, does not constitute, and cannot be relied upon as legal, tax or compliance advice. The information contained in this communication is subject to change based on future regulation and guidance. |