Material Modifications to Commercial Fully-Insured Policyholders in IL and IA Markets

Within the last few days, we have informed all our commercial fully-insured policyholders in Illinois and Iowa about material modifications to their benefits and coverage, due to the COVID-19 public health emergency.

Please read the below email, sent to members. A similar email was sent to employer groups. Please note that these messages were only sent to the following:

• Individual commercial members in Illinois and Iowa
• Fully-insured commercial groups in Illinois and Iowa

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“As our communities continue to deal with the impact of COVID-19, the illness caused by the novel coronavirus, we want to inform you of the efforts Health Alliance has taken to ensure that our members have access to the care and support they need during this public health emergency.

To make care more accessible, we have made multiple material modifications to your benefits and coverage. Many of these changes are temporary and will last through the duration of the public health emergency or Stay at Home Orders mandated by state and/or federal directives. For your health plan, modifications include:

• Health Alliance will cover, with no member cost share, appropriate medically necessary diagnostic laboratory testing for COVID-19. This includes serological (antibody) tests for COVID-19, and also tests for other causes of respiratory illness when an individual’s attending provider determines that these tests can help diagnose COVID-19.
• Health Alliance will cover, with no member cost share, COVID-19 testing related visits, whether they occur in a healthcare provider’s office, an urgent care center, an emergency department or via telehealth.
• Health Alliance has temporarily expanded the number and types of telehealth we’ll cover under your plan. These expanded services will be covered in network at no member cost share. We’re covering additional services, including behavioral therapy, during the public health emergency. As always, we remind you to continue to visit a hospital emergency department for all serious conditions and to call 911 for all emergencies.

These are only a few of the modifications we’ve made to make care more accessible for you. Please visit HealthAlliance.org/Coronavirus for the most up-to-date, in-depth description of the modifications we’ve made and the actions we’ve taken.

We’re here for you and your well-being. If you have any questions, please call the number on the back of your member ID card or email us at CustomerService@HealthAlliance.org.

Sincerely,

Health Alliance”

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If you have any questions, please contact Broker Services at BrokerServices@healthalliance.org or by calling (877) 917-8489.