Coverage

Health  Advisors

Your health plan includes support for you and your covered family members from nurses and other medical and behavioral health professionals called health advisors. This extra help is available at no added cost to you.

Blue Cross and Blue Shield of Illinois (BCBSIL) may call to help you:

• Get the care you need for serious illnesses or injuries
• If you have been in the hospital or have had a major surgery

You don’t have to wait for us to call you. If you need extra health support, just call the Customer Service phone number on your member ID card and ask to speak with a health advisor.

Predetermination of Benefits

A predetermination of benefits is a review by medical staff to determine if the service you are requesting is appropriate for your medical needs.

Learn more about this review process.

Benefits

Your BCBSIL coverage includes a range of benefits to help keep you and your family healthy.

Gender Dysphoria Services and Treatment Learn more about new coverage available for gender dysphoria services, including gender reassignment surgery (GRS).