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Resources / Materials

Website Resources and Materials

  • 2020 Summary of Benefits - English (PDF) - coming soon
  • 2020 Summary of Benefits - Spanish (PDF) - coming soon
  • 2020 IL H0281 MMP Member Handbook - English (PDF) - coming soon
  • 2020 IL H0281 MMP Member Handbook - Spanish (PDF) - coming soon
  • 2020 Annual Notice of Changes - English (PDF) - coming soon
  • 2020 Annual Notice of Changes - Spanish (PDF) - coming soon

List of Drugs (Formulary)

  • 2020 List of Drugs (Formulary) - English (PDF) - coming soon
  • 2020 List of Drugs (Formulary) - Spanish (PDF) - coming soon

Mail Order

Prescription Claims

Request for Medicare Prescription Drug Coverage Determination

Request for Redetermination of Medicare Prescription Drug Denial

 

To compare other plan ratings, find detailed reports on the findings, or to get the most recent rating information for IlliniCare Health go to: www.medicare.gov.