CountyCare Access

CountyCare Access es un programa dentro de CountyCare, un plan de Medicaid que forma parte de HealthChoice Illinois.

  • CountyCare Access está destinado a personas que recibieron la aprobación para el programa Beneficios de Salud para Adultos Inmigrantes (HBIA) o el programa Beneficios de Salud para Inmigrantes Mayores (HBIS) del Departamento de Servicios de Salud y Familia de Illinois.
  • Health Benefits for Immigrant Adults (HBIA) and Health Benefits for Immigrant Seniors (HBIS) are programs for people who are 42 years old or older and meet the income guidelines. They must either be undocumented (have not applied for legal residency) or have applied for legal residency and been here over 5 years. Anyone who has applied for legal residency but has been here less than 5 years may be eligible for coverage through the Health Insurance Marketplace.
  • Su equipo de cuidado médico incluye proveedores de atención primaria (PCP), proveedores de atención especializada, coordinadores de atención médica, su farmacéutico y usted. Nuestro principal objetivo es garantizar que usted reciba atención médica de alta calidad.
  • ¡Sin copagos! CountyCare Access es el único plan de salud de Medicaid en ofrecer servicios cubiertos sin costo para usted y su familia.
  • La inscripción en un programa de cobertura de salud con una Organización de Atención Médica Administrada, como Beneficios de Salud para Inmigrantes Mayores (HBIS) y Beneficios de Salud para Adultos Inmigrantes (HBIA), nono cuenta para la carga pública. La inscripción a estos programas no afectará su estado de inmigración ni su solicitud de inmigración. Para más información sobre la carga pública, visite la sección del sitio web de PIF-IL o el sitio web de ILLINOIS – Public Charge, Benefits and Immigration | Keep Your Benefits También puede llamar a la línea directa de apoyo familiar de la Coalición de Illinois para los Derechos de los Inmigrantes y Refugiados (ICIRR) en inglés, español, coreano y polaco: 1-855-HELP-MY-FAMILY (1-855-435-7693).

Manual para miembros de CountyCare Access

Este manual le brinda información sobre sus beneficios médicos, cómo obtener servicios de cuidado médico, sus derechos y responsabilidades, y mucho más.

Servicios para miembros de CountyCare Access

No dude en llamar si tiene alguna pregunta.
312-864-8200
855-444-1661 (llamada gratuita)
711 (TTY)

Monday – Friday, 8AM – 6PM (Central Time)
Saturday, 9AM – 1PM (Central Time)

Línea telefónica de enfermeros asesores las 24 horas del día, todos los días del año. Incluye asistencia con preguntas sobre el plan de seguro médico durante el horario comercial.

CountyCare Access
Frequently Asked Questions (FAQ)

prémium

You are still enrolled in Medicaid. CountyCare Access is the health plan that will manage your Medicaid healthcare benefits.

Your healthcare coverage will remain the same and you will now have access to additional benefits and rewards. To learn more, call CountyCare Member Services at 312-864-8200, 711 (TTY/TDD) Monday-Friday: 8:00am – 6:00pm or Saturday: 9:00am–1:00pm or visit https://countycare1.wpenginepowered.com/members/benefits-rewards/.

CountyCare has a large network of doctors, including 4,500 primary care providers (PCPs), 20,000 specialists, 100 urgent care locations and 70 hospitals that proudly accept CountyCare Access members. If you need help with confirming that a doctor you have seen in the past is in the CountyCare network, call CountyCare Member Services at 312-864-8200, 711 (TTY/TDD). Otherwise, we will find a doctor that is in or close to your community. You can search for a PCP at: https://countycare.valence.care/member/#findAProvider

You can change your PCP by calling Member Services at 312-864-8200, 711 (TTY/TDD) Monday-Friday: 8:00am – 6:00pm or Saturday: 9:00am– 1:00pm or login to our secure member portal CountyCare Health Plan

Yes, you will be eligible for dental services. You must go to an in-network dental provider to receive dental services. You can find a CountyCare Access dental provider by going on our website Find a Provider (avesis.com) or by calling CountyCare Member Services at 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY).

Yes, you can receive vision services. You must go to an in-network provider to receive vision services. You can find a CountyCare Access vision provider by going on our website Find a Provider (avesis.com) or by calling CountyCare Member Services at 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY).

CountyCare Access covers doctor and hospital visits, dental and vision care, prescriptions and much more. Our members also have access to behavioral health services like therapy and substance-use disorder treatment. However, CountyCare Access does not cover some transplants, long-term care services over 90 days, or home and community-based waiver services. You can find more information on additional benefits in your member handbook or here on our website. If you have any questions about your benefits, please call Member Services at 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY).

Cost

No, there are no costs to enroll in CountyCare Access.

No, CountyCare Access is the only Medicaid health plan that offers covered services at no-cost to you. There will be no costs for any services that are covered under the benefit for CountyCare Access members.

No, CountyCare Access does not have any co-pays or costs to you for any covered services.

No, there are no costs or co-pays to see your doctor or primary care provider (PCP).

No, you will not have to pay for any medication that is prescribed by your doctor on the State of Illinois preferred drug list. To check whether your medication is covered, click aquí.

Public Charge/Immigration Status

No, it will not. Some CountyCare Access members may be concerned with a policy called “public charge.” The use of CountyCare, including all benefits and rewards, does not count towards public charge.

If you have more questions or concerns, please use these resources:

  • Email Protecting Immigrant Families at [email protected]
  • Call the Immigrant Family Resource Program at 1-855-437-7669

Using CountyCare Access

We are happy to answer all of your questions related to CountyCare Access! Call our Member Services at 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY) or find more information here on our website.

If you have not already done so, make an appointment with your primary care provider (PCP). Their name and phone number will be on the front of your ID card. You can change your PCP at any time by calling Member Services at 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY).

You will receive a welcome letter in the mail from CountyCare Access with your member ID. Please make sure you take this card to all your appointments.

Please read over all of the materials that you receive, including the Member Handbook. It has a lot of useful information that can explain CountyCare Access. If you still have questions or do not receive information in the mail from CountyCare, call Member Services at 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY).

CountyCare uses different ways to stay in touch with members. You can expect to receive a welcome call when you join the plan and text messages from us. We also mail information to our members on important updates. You may also receive phone calls and emails from our team.

Español