Humana Benefit Plan of Illinois, Inc. is a subsidiary of Humana Inc., a leading health insurance company in the United States.
Founded in 1994, Humana Benefit Plan of Illinois, Inc. provides various health insurance plans and services to individuals and groups in the state of Illinois.
Historical Outline of Humana Benefit Plan of Illinois, Inc.
- 1994:Â Founded as a state-specific subsidiary of Humana Inc.
- 1995:Â Began offering Medicare Advantage plans in Illinois.
- 2000s:Â Expanded its product offerings to include individual and group health insurance plans.
- 2010s:Â Continued growth and focus on innovation in healthcare delivery and technology.
- 2020s:Â Continued to expand its Medicare Advantage offerings and introduce new health and wellness initiatives.
Missions and Values
Mission:
- To improve the health and well-being of the people of Illinois by providing access to high-quality healthcare services, innovative health plans, and personalized support.
- To partner with healthcare providers to deliver coordinated and efficient care that meets the individual needs of each member.
- To be a leader in the Illinois health insurance market by providing exceptional customer service, value, and affordability.
Values:
- Member Focus:Â Putting the needs and well-being of members at the forefront of their decisions and actions.
- Quality:Â Delivering high-quality healthcare services and products that meet or exceed industry standards.
- Innovation:Â Embracing new technologies and solutions to improve healthcare delivery and member experience.
- Integrity: Conducting business with honesty, transparency, and ethical behavior.
- Community:Â Partnering with local organizations to improve the health and well-being of communities throughout Illinois.
Contacting Humana Benefit Plan of Illinois, Inc.
If you need to reach out to Humana Benefit Plan of Illinois, Inc., call these numbers.
| Contact Method | Phone Number | Hours of Operation |
|---|---|---|
| Customer Service | 1-800-787-3311 (TTY: 711) | Monday-Friday, 8 AM – 8 PM Central Time |
| Illinois Client Enrollment Services | 1-877-912-8880 (TTY: 866-565-8576) | Monday-Friday, 8 AM – 6 PM Central Time |
| Provider Services | 1-800-448-6262 (TTY: 711) | Monday-Friday, 8 AM – 8 PM Central Time |
Filing Claims with Humana Benefit Plan of Illinois, Inc.
Humana Benefit Plan of Illinois, Inc. wants to make claiming reimbursement for your healthcare services hassle-free. Here’s a quick overview:
Who can file claims?
- Members of Humana Benefit Plan of Illinois, Inc. can do it themselves.
- Providers can also submit claims on behalf of their patients.
Before filing a claim:
- Check if your plan covers the service you got.
- Gather necessary docs, such as:
- Provider’s itemized bill
- Explanation of Benefits (EOB) from Medicare, if applicable
- Any other forms or info specific to your plan
Ways to file claims:
- Online
- Mobile app
- Fax
Claim processing:
- Humana Benefit Plan of Illinois, Inc. will check if your claim is covered.
- You’ll get a notification about your claim status.
- If approved, expect payment within 10 business days.
- If denied, you’ll receive an explanation and info on the appeals process.
Services and Products Offered by Humana Benefit Plan of Illinois, Inc.
Humana Benefit Plan of Illinois, Inc. has a bunch of health insurance plans and services for folks in Illinois. Check them out:
Health Insurance Plans
- Medicare Advantage Plans: Full coverage for folks with Medicare, including prescription drugs, vision, and dental.
- Medicaid Plans: Help for those who qualify, covering doctor visits, hospital stays, and preventive care.
- Employer-Sponsored Health Plans: Bosses can get plans for their teams, giving employees good health coverage.
- Individual Health Insurance Plans: Plans for individuals and families outside of work, with different levels of coverage.
- Dental and Vision Plans: Plans just for teeth and eyes, either on their own or added to other insurance.
Humana Benefit Plan of Illinois, Inc., has a mix of ratings, reviews, and complaints. Let’s break it down:
Ratings
- A.M. Best: A- (Excellent) for financial strength.
- Standard & Poor’s: A- (Strong) for financial strength.
- Moody’s Investors Service: A2 (Good) for financial strength.
- NCQA Medicare Advantage Health Plan Ratings: Varies by plan, with stars ranging from 3.5 to 4.5 out of 5.
Reviews
- Consumer Reports: Scores vary, some plans get average to good ratings, others lower.
- J.D. Power Medicare Plan Satisfaction Study: Ranked 3rd out of 8 plans in the East North Central region in 2023.
- Humana Member Reviews: Mixed online reviews. Some like customer service and benefits, and others are not happy with claims and networks.
Complaints
- Better Business Bureau (BBB): Rated B+, with 210 closed complaints in the last 3 years. Most focus on billing, customer service, and claims.
- NAIC: Complaint ratio of 1.08, slightly higher than the national average. This means more complaints compared to insurers of similar size.
Resolutions
- File complaints or seek help through Humana Member Services at 1-800-787-3311 or online.
- Use Humana’s Grievance and Appeals Process for formal complaints or appealing claim denials.
- If issues persist, members can file complaints with the Illinois Department of Insurance.
Humana Benefit Plan of Illinois, Inc. aims to address concerns through various channels to ensure member satisfaction.
Benefits of Joining Humana Benefit Plan of Illinois, Inc. as a Client and an Employee
Humana Benefit Plan of Illinois, Inc. has a lot to offer both clients and employees. Whether you need health insurance or are looking for a healthcare career, Humana has something for you.
Benefits for Clients
- Wide Range of Plans: Humana provides various health insurance plans, including Medicare Advantage, Medicaid, employer-sponsored, and individual plans.
- Comprehensive Coverage: Plans cover medical expenses like doctor visits, hospital stays, preventive care, and prescriptions. Some plans also include dental and vision coverage.
- Strong Finances: Humana has excellent financial ratings, ensuring stability and reliability for your future healthcare needs.
- Extensive Provider Network: Access a large network of healthcare providers in Illinois for convenient and quality care.
- Wellness Programs: Prioritize your health with wellness programs that help manage chronic conditions and potentially reduce healthcare costs.
- Technology and Innovation: Benefit from advanced technology through online tools and a mobile app for easy plan management and customer service.
- Award-Winning Customer Service: Humana is known for its outstanding customer service, committed to resolving inquiries promptly.
Benefits for Employees
- Competitive Compensation and Benefits: Humana offers competitive salaries, comprehensive benefits, and appealing retirement plans.
- Career Growth: Encourages career growth with training, education, mentorship, and resources to advance skills.
- Positive Work Environment: Fosters a supportive work environment valuing diversity, inclusion, and employee well-being.
- Work-Life Balance: Promotes a healthy work-life balance with flexible arrangements for managing personal and professional responsibilities.
- Community Involvement: Encourages employees to participate in community programs, making a positive impact on others’ lives.
- Strong Company Culture: Built on a culture of innovation, collaboration, and integrity, providing a positive and rewarding workplace.
- Job Security: As a leading healthcare company, Humana offers job security and stability.
FAQ’s
1. Question: How can I contact Humana Benefit Plan of Illinois, Inc.?
- Answer: You can reach Humana Benefit Plan of Illinois, Inc. by phone for customer service or visit their website.
2. Question: What types of health insurance plans does Humana offer in Illinois?
- Answer: Humana offers various health insurance plans, including Medicare Advantage, Medicaid, employer-sponsored plans, individual plans, and dental and vision coverage.
3. Question: How do I file a claim with Humana Benefit Plan of Illinois, Inc.?
- Answer: Members can file claims online through their member account on the Humana website or mobile app, by mail using a printable claim form, or by fax using the dedicated fax number for their plan.
4. Question: What wellness programs does Humana provide for its members?
- Answer: Humana offers wellness programs such as HumanaVitality, Healthy Rewards, and Disease Management Programs to help members stay healthy, manage chronic conditions, and earn rewards for preventive care.
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