• A six-month preexisting conditions
limitation applies to the Traditional
Plan but not to HIPAA-CHIP.
• Choice of five calendar-year deductible plans: $500,
$1,000, $1,500, $2,500, and $5,000 and Health Sav-ings
Account qualified High Deductible Health
Plans with several deductible options.
• PPO coverage.
• Prescription drug covered without a deductible with
an out-of-pocket maximum of $2,500 per calendar
year. (Except for High Deductible Plans) Services
other than prescription drugs subject to calendar year
deductible. No prescription drug coverage for Medi-care
• Coinsurance for all services of 20% (Coinsurance
for non-PPO providers is 40% ).
• Out-of-pocket expenses in regular deductible plans
are limited each calendar year to the selected de-ductible
plus $1,500. For these plans there is no
deductible for prescription drugs. (An additional out
of pocket expense limitation of $4,500 applies for
participants who choose to use non-PPO providers).
Out-of-pocket expenses for the high deductible plans
are based on the deductible: $1,200 deductible with
an out-of-pocket limit of $1,500; and $2,000 deducti-ble
with $2,500 out-of-pocket limit; $5,200 deducti-ble
with $0 out-of-pocket. Prescription drugs are
subject to the deductible.
• Lifetime Maximum benefit of $2.0 million. (Returns
to $1.5 million August 29, 2010.)
Are you losing your health
Have you been turned down for
Call Toll Free 866-851-2751
Or visit us on the web:
Phone Toll Free: 866-851-2751
Illinois Comprehensive Health Insurance Plan
320 West Washington Street Suite 700
Springfield, Illinois 62701-1150
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