How do you find Health Alliance Medicare PPO providers in your area? This directory is organized by category (Primary Care Physicians, Specialty Care, etc.) and then alphabetically by city. Adams, Brown, Bureau, Cass, Champaign, Christian, Clark, Coles, Crawford, Cumberland, DeWitt, Douglas, Edgar, Effingham, Ford, Hancock, Iroquois, Jasper, Livingston, Kankakee, Knox, Logan, Macon, Macoupin, Marshall, Mason, McDonough, McLean, Menard, Montgomery, Morgan, Moultrie, Peoria, Piatt, Pike, Putnam, Sangamon, Schuyler, Scott, Stark, Tazewell, Vermilion and Woodford counties in Illinois. What is the service area for Health Alliance Medicare PPO? The counties in our service area are listed below.
If you obtain routine care from out-of-network providers, it may cost more than if you went to an in-network provider. You or someone else should call to tell us about your Emergency Care, usually within 48 hours.Įmergency and urgent services care can always be obtained in or out of the service area from the nearest available provider. We need to follow up on your Emergency Care. As soon as possible, make sure to tell Health Alliance Medicare about your emergency. You do not need to get approval or a referral first. Call 911 for help or go to the nearest emergency room, Hospital or urgent care center. If you are using an out-of-network provider for Emergency Care, Urgently Needed Care or out-of-area dialysis, you may not have to pay a higher cost-sharing amount. Instead, please submit it to Health Alliance Medicare so we can determine what, if any, of the fees you actually must pay. If you receive care from a non-network provider and receive a bill from that provider, you should not pay it. If you have any questions about whether we will pay for any medical service or care that you are considering, you have the right to ask us whether we will cover it before you get the service or care. In some cases, you may get covered services from non-network providers. If you have been going to one network provider, you are not required to continue going to that same provider. However, some services may require a referral. You may go to any of our network providers who are listed in this directory. The “network providers” listed in this directory have agreed to provide you with your health care coverage.
To get detailed information about your health care coverage, please see your Evidence of Coverage. This directory provides a list of Health Alliance Medicare PPO network providers. Enrollment in Health Alliance Medicare depends on contract renewal.ġ-80 TTY/TDD 711 or 1-80 (Illinois Relay) Ĭps-ILMedPPOproviderdirectory-0713 Y1417_14_10140 Accepted Health Alliance Medicare is a PPO plan with a Medicare contract. TTY/TDD users should call 711 or 1-80 (Illinois Relay). To get the most up-to-date information about Health Alliance Medicare PPO network providers in your area, you can visit or call our Health Alliance Medicare Services Department at 1-80, Monday through Friday, 8 a.m. We do not guarantee that each provider is still accepting new members. Some network providers may have been added or removed from our network after this directory was printed. This directory is current as of September 1, 2013. This directory is for beneficiaries in Adams, Brown, Bureau, Cass, Champaign, Christian, Clark, Coles, Crawford, Cumberland, DeWitt, Douglas, Edgar, Effingham, Kankakee, Knox, Ford, Hancock, Iroquois, Jasper, Livingston, Logan, Macon, Macoupin, Marshall, Mason, McDonough, McLean, Menard, Montgomery, Morgan, Moultrie, Peoria, Piatt, Pike, Putnam, Sangamon, Schuyler, Scott, Stark, Tazewell, Vermilion and Woodford counties in Illinois.
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