Simplete plans are tiered health plans that offer Medicare and commercial members flexibility with out-of-pocket costs and provider choices. Members will typically have lower out-of-pocket costs at the time of service when they see Tier 1 providers.
As It Relates to You Coverage Update for Four Diagnosis Codes As of May 1, 2019, we will no longer cover services when the dx code is one of the following:
As It Relates to You Coverage Update for Four Diagnosis Codes As of May 1, 2019, we will no longer cover services when the dx code is one of the following:
As It Relates to You Coverage Update for Four Diagnosis Codes As of May 1, 2019, we will no longer cover services when the dx code is one of the following:
As you know, it is vital your patients have access to accurate, up-to-date information in the provider directory. To ensure this accuracy, the Illinois Department of Human Services, the Illinois Department of Insurance, and the Centers for Medicare & Medicaid Services all require that providers review and update their information quarterly or whenever there is a significant change.