Download the BCBSIL App. Your coverage information in the palm of your hand.
Find A Doctor Or Hospital In Your Network.
Blue Cross and Blue Shield of Illinois (BCBSIL) has an internal claims and appeals process that allows you to appeal decisions about paying claims, eligibility for coverage or ending coverage.
Please check “adverse benefit determination” in your benefit booklet for instructions.
If your internal appeal is denied, in some cases you may request an external review. External review is an option for denials for services that were not medically necessary or were clinically unproven.
As a BCBSIL HMO member, you may have these types of denials examined by external, independent reviewers. The independent review organization is not associated with your health plan. There is no charge for requesting the review.
We will send you information reminding you that independent, external review of coverage is available every year. We mail the information to members who do not have fax, email or internet access.
Call the customer service number on your member ID card if you have questions about the external review process.
Log in to Blue Access for Members SM , our secure member website, for a personalized search experience based on your health plan and network. Learn more about your benefits and gain access to member services. Get coverage details, access resources and tools, and more. You can also find doctors in your network, get an ID card, and sign up for text or email notifications, tips and reminders.
Originally published 10/14/2019; Revised 2020, 2022, 2023
Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
© Copyright 2024 Health Care Service Corporation. All Rights Reserved.
Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Illinois.
File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe ® Reader ® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com.
You are leaving this website/app ("site"). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. Some sites may require you to agree to their terms of use and privacy policy.
Powered by Telligent
