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Benefits and Services

IlliniCare Health provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services IlliniCare Health offers.

Need help understanding these benefits and services? Call us at 866-329-4701 (TTY: 711).         

Member Handbook pdf

You can also view more information about IlliniCare Health in our Member Handbooks.

All services must be medically necessary. Your Primary Care Provider (PCP) will work with you to make sure you get the services you need. These services must be given by your PCP or by another provider that your PCP refers you to. 

Some services may:

  • Have coverage limits.
  • Need a doctor’s order.
  • Need prior approval. Your PCP will submit any needed information. You do not need to contact us to request prior approval.

*Some Medicaid members may not have all the benefits listed.