Frequently Asked Questions

If you are having difficulty locating an in-network doctor or hospital, please contact Accolade at 1-844-287-3859. Your Accolade Care Advocate can help you locate an in-network doctor or hospital or, based on the plan you are enrolled in, initiate a review to determine if a PPO waiver might be appropriate.

Based on the plan you are enrolled in, you might be eligible for a PPO waiver.  A PPO waiver allows eligible charges provided by a non-PPO doctor or hospital to be reimbursed at the PPO benefit level; however, eligible charges will be subject to usual and customary allowed amounts. Please contact Accolade at 1-844-297-3859 to see if you are eligible for this option.

There are two scenarios whereby a PPO Waiver might be appropriate:

• A Geographic Waiver applies when there is no PPO doctor, of a particular specialty, available within 20 miles of the subscriber's home Zip code.
• A Clinical Waiver applies when a member requests to use a specific non-PPO doctor in lieu of available PPO doctor, based on a belief that the available PPO doctors are not able to treat the particular illness in question.

Please contact Accolade at 1-844-297-3859 for additional assistance.

Prior to any scheduled inpatient hospitalization and within two business days of an emergency hospitalization, Group Medical Plan members must call Blue Cross and Blue Shield of Illinois Pre-admission Utilization Review at 1-800-572-3089. This call can be made by:

• The member
• The doctor
• The hospital
• Family or friends of the patient

Members who do not make the call, or have it made on their behalf, within the appropriate time frame will be assessed a $100 Utilization Management Charge.

In the event of a medical emergency, contact 911. Members should seek treatment at the nearest appropriate facility. For emergency care, benefits will be paid at the in-network benefit level, regardless of the facility used.

Your prescription coverage is provided by a third-party pharmacy benefits manager. Contact your company’s pharmacy benefits.

Yes, even though Blue Cross and Blue Shield of Illinois will be processing our claims, the Group Medical Plan will continue to be a State Farm policy. State Farm will determine the benefits and rates. In addition, State Farm will continue to have final appeal authority.

For associates enrolling in the Group Medical Plan for the first time, you may be eligible to temporarily continue treatment with that doctor and receive the in-network benefit level. If you believe that you have a situation which may qualify for this special handling, contact Accolade at 1-844-287-3859. In order to qualify for this transitional benefit, you must contact Accolade prior to the start of the new Plan year. Examples of medical conditions that may meet the guidelines:

• Pregnancy
• Terminal illness where life expectancy is less than six months
• Chemotherapy/Radiation therapy
• Physical therapy

Examples of medical conditions that would not meet the guidelines:

• Routine care (immunizations, physicals)
• Chronic conditions which are stabilized (asthma, diabetes)
• Minor illness (flu, sprains)
• Elective surgery

Connect with your dedicated Accolade Care Advocate at 1-844-287-3859. Care Advocates are available Monday — Friday from 9:00 a.m. to 9:00 p.m. ET. Send a secure message at any time by visiting Accolade Online or downloading Accolade Mobile on the App Store or Google Play.

You can check claim status several different ways. You can call Accolade toll-free at 1-844-287-3859. They can advise you on the status of any processed claims, as well as those that are still being considered. You can also check claim status via Blue Access for Members.

To add a new dependent to your coverage, you need to contact the State Farm Benefits Center at 1-866-935-4015. Newly acquired dependents must be added within 60 days of the qualifying event.

Contact Accolade at 1-844-287-3859 to request a replacement ID card. Members can also obtain replacement ID cards by visiting Blue Access for Members.

When you receive care from an in-network doctor or hospital, you don’t need to file a claim. If you receive services from a out-of-network doctor or hospital who won’t file your claim, you can download a form to submit your charges.

You can search the online list of Doctors and Hospitals for information on contracting doctors and hospitals. With it, you can search for in-network doctors and hospitals in your area, or search for a specific doctor by name. You can also print out your search results in a customized report.

State Farm Group Medical Plan participants with "member only" coverage are sent one identification (ID) card. Participants with "member-plus-one" or "family coverage" receive two ID cards. If additional cards are needed, you can obtain them by contacting Accolade at 1-844-287-3859. Members can also request additional ID cards by visiting Blue Access for Members.

To change information on your coverage such as your name, address, or to add a new dependent, you will need to contact the State Farm Human Resources Service Center (HRSC) at 1-877-272-1999. Members have 60 days from the qualifying event to add new dependents to their coverage.