Information about this and other benefits is available by contacting the Benefits Center, 505 E. Green St., Champaign; 333-3111. Collection of Social Security Numbers for Insured Dependents... Federal legislation effective Jan. 1 includes new requirements for reporting information about insured dependents. Information that must be reported includes member (employee) and dependent names and Social Security numbers, type of coverage (single or family), name and address of group health plan, and name and address of employer. Of the information required, only dependent Social Security numbers are not currently maintained on employee insurance records. This information is to be used to establish a Medicare/Medicaid Coverage Data Bank to identify and collect amounts paid by Medicare that should have been paid by another insurance carrier. The law prohibits the employer from providing any information about the health status of the member or his/her dependents, the cost of coverage, or any limitations on a member's specific coverage. In order to comply with the new requirement, the Benefits Center is sending letters that ask for Social Security numbers from the state's Department of Central Management Services to employees insuring dependents. Responses are due by March 15 and can be returned to the Benefits Center or directly to Central Management Services. and Medical Care and Dependent Care Assistance Plan Participants The Benefits Center also has learned that CMS recently sent a letter to the participants in the Medical Care and Dependent Care Assistance Plans asking for names and Social Security numbers of "dependents eligible to be claimed on their federal income tax return," whether or not they are insured under the health plan as dependents. For employees insuring dependents, this will be duplicate reporting; however, CMS has apparently determined that separate reporting is necessary. CMS also requests the form be returned indicating no dependents if the participant has none. Completed forms can be sent to the Benefits Center by campus mail for forwarding to CMS or mailed direct to CMS. The Social Security numbers already should have been provided when employees enrolled in the Dependent Care Assistance Plan; therefore, the letter is asking employees to confirm the Social Security numbers on file. Claims Payments Update for Quality Care Health and/or Dental Plan Members Recent months have brought significant improvement in the time between processing and the release of claim payments under the Quality Care Health and Dental Plans. At present, medical claim payments to members are being released approximately 10 working days from the date of process; medical claim payments to providers and all dental claims are being released 20 working days from the date of process. If you have a medical or dental claim you feel should have been paid by now, your first step should be to call the appropriate 800 number to confirm your claim was received and to request a status report. Cigna/Equicor (800) 654-8777 Dental Care Plus (800) 999-1669 When you call, you should be prepared to give the date of service, provider name and amount charged. The claims administrator should then be able to tell you when that claim was received, when it was processed, how much and to whom the benefit was paid. With the process date you can estimate when payment should be received. If you are having trouble resolving a claim payment, contact the Benefits Center. Your counselor will be happy to assist. Mail-order drugs Included in the state of Illinois Pharmacy Network are two mail-order pharmacy options - Caremark and Stadtlanders. The mail-order option may be advantageous to members who require multiple and/or expensive maintenance prescription drugs. To learn more about how the mail-order options work, to compare drug costs, etc., call the following numbers: Caremark (800) 654-4903 Stadtlanders (800) 238-7828 Most major pharmacy chains continue to participate in the pharmacy network as well as many independent local pharmacies around the state. Advantages of using a participating pharmacy include discounted drug costs and direct claims filing by the pharmacy. If your deductible has been satisfied, some pharmacies, including the mail-order options, are willing to charge you only the 20 percent copayment; the remainder due will then be paid directly to the pharmacy by Cigna/Equicor. Member Assistance Program The Quality Care Health Plan provides higher benefits to members who receive outpatient mental-health and substance-abuse services from a network provider through the state's Member Assistance Program. There are a limited number of network providers in the Urbana-Champaign area; however, Carle Clinic recently was added as a network provider. To obtain the most current information regarding other providers in the area, members should call Biodyne at (800) 862-2878 or the Benefits Center, which obtained a recent register of area network providers. Benefits applicable when services are precertified (by calling (800) 862-7828) through the Member Assistance Program and a network provider is used: * 80 percent of negotiated rate. * 95 percent of negotiated rate for Department of Alcoholism and Substance Abuse-licensed programs for substance abuse services. Benefits applicable when services are NOT precertified through MAP or if a network provider is not used: * 50 percent of reasonable and customary fee up to a $40 maximum payment per visit for a maximum of 50 visits per contract year. Services must be rendered by physicians, psychiatrists or licensed clinical psychologists. * 80 percent of reasonable and customary fee for DASA-licensed programs for substance abuse services.