Drug and Pharmacy Information
With the Medicare-Medicaid Plan by IlliniCare Health, your prescriptions are paid for by us. Prescriptions will be covered by the drugs listed in our List of Drugs (formulary) as long as the drug is medically necessary, and other plan rules are kept based on the Medicare drug list and the Medicaid supplemental List of Drugs.
If you have any questions about being covered for prescription drugs, you can refer to the List of Drugs or contact Member Services for more information.
In addition, we can assist you with the following:
- Transitions of prescription drugs
- Out-of-Network Coverage
- Quality Assurance
- Utilization Management (Prior Authorization/Step Therapy Requirements)
- Exceptions and Appeals
- Find a Doctor or Pharmacy
- Information about any formulary changes
If you have any questions, call Member Services at 1-877-941-0482. Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on federal holidays, you may be asked to leave a message. Your call will be returned within the next business day. TTY users call 711.
Last Updated: 02/08/2018
With our plan, your Part D prescription drugs are covered at no cost. We select the generic and brand name drugs in our list of drugs (formulary) as part of a quality treatment program. To find out if your drug is covered, select the List of Drugs (Formulary) tab on the left, or contact Member Services for help.
We also can assist you with:
Part D Explanation of Benefits (EOB)
When you use your Part D benefit, we send you an Explanation of Benefits (EOB) to help you understand and keep track of your drug payments. The EOB is available for free in another format or language upon request.
If you have questions about your pharmacy benefits, contact Member Services. We are here to help.
Information last updated: 02/08/2019