Health Alliance HMO University Of ILLINOIS

I recently joined the University Of ILLINOIS and there I came to know about the Health Alliance HMO. Will you please tell me what Health Alliance HMO at the University is? It is any health care department available at the University? If yes tell me the facilities available at this department?

[sumit]

Plan Year Deductible
$0
$100 for prescriptions

Plan Year Out-of-Pocket Maximum
$3,000 per individual
$6,000 per family

Copayment, coinsurance, and deductible payments for the services listed below apply to the plan year out-of-pocket maximum.

Medical Benefits
$ = Copay % = Coinsurance

Medical Benefits
$ = Copay % = Coinsurance

Physician Visit $20
Specialist $30
Wellness and Preventive Services
Immunizations, adult and child annual physical exam, mammograms, PAP smears, cancer screenings and more. Age/frequency schedules apply. $0
Emergency Room $250
Ambulance Transport $0
Urgent Care $20
Diagnostic Testing - X-Rays, Lab Services
Preauthorization is required for imaging. $0
Outpatient Surgery
Preauthorization may be required for certain procedures. $250
Hospitalization
Preauthorization is required. $350
Home Health Care
Preauthorization is required. $30
Rehabilitation Services
Preauthorization is required. Up to 60 visits per condition per plan year. $30
Skilled Nursing Care
Preauthorization is required. $0
Durable Medical Equipment
Preauthorization may be required for certain medical equipment. 20%
Hospice Services $0



Prescription Drugs
Generic
30-day supply
90-day supply $8
$20
Preferred Brand
30-day supply
90-day supply $26
$65
Non-Preferred Brand
30-day supply
90-day supply $50
$125

Maternity
Prenatal Care $50 per pregnancy
Maternity Inpatient $350

Mental Health
Mental Health, Behavioral Health, or Substance Abuse Services - Outpatient $20
Mental Health, Behavioral Health, or Substance Abuse Services - Inpatient
Preauthorization is required. $350