Health and Dental Benefits
As approved by our Board, our group health benefits will be provided through Community College Insurance Cooperative (CCIC). Benefit Administrative Systems, Ltd. (BAS), a third party administrator, will provide claims administration for our plan.
BAS will certify eligibility, quote benefits and accept claims.
All claims must be submitted directly to:
Benefit Administrative Systems, Ltd.
17475 Jovanna Drive,Suite 1B
Homewood, IL 60430
For claim inquiries, call: (708) 799-7400 or fax: (800) 843-3831
When you receive medical or dental care, make sure you show your BAS I.D. Card to the provider. The I.D. Card indicates BAS' address and telephone number for claim submissions and benefit information, the Plan you are enrolled in and the Utilization Review Service telephone number.
One claim form must be completed for each family member, each calendar year. Additional claim forms need not be submitted unless the expenses relate to an accident. Once you have filed a claim form for a participant, future claim submissions need only include your Employer's name and the Covered Employee's Social Security Number.
If additional information is required, such as accident details or other insurance coverage, to accurately determine benefits payable under the Plan, you will receive a letter requesting the required information. Make sure you answer all of the questions and return the letter to BAS for prompt reimbursement of eligible expenses.
Hospital Pre-Certification and Pre-Surgical Review Program:
Medical Cost Management (MCM) will administer the Hospital and Surgical Pre-Certification Program. MCM's telephone number - 800-367-9938 - will be on your BAS Identification Card. Call prior to any scheduled hospitalization or elective surgery. Call within 48 hours of an emergency admission or emergency surgery.
Preferred Provider Network (PPO):
You continue to have the option to choose Private Healthcare Systems (PHCS) or HealthLink as your Provider Network.
Before selecting your PPO Network or seeking the services of a medical provider, it is recommended that you call the Networks, visit their Web sites, or call your personal physician to verify which PPO network they accept.
PHCS: (800) 877-1066 - www.phcs.com
HealthLink: (800) 624-2356 - www.healthlink.com
If you select PHCS as your PPO Network, there will be a quicker turnaround in claim adjudication as PHCS claims are submitted directly to BAS for PPO discount repricing and processing. If HealthLink is your PPO Network, claims must first be submitted to HealthLink for repricing and then forwarded by HealthLink to BAS for processing.
The Provider Networks through PHCS and HealthLink provide medical services through a network of carefully selected hospitals and physicians who have agreed to provide the highest quality of care in a cost-efficient manner.
Although there is no requirement to use Network providers, it is important to note that the PPO option is one of the most important cost containment features provided by your medical benefit plan. When you and your dependents use Network providers, you not only reduce your out-of-pocket expenses, but you also conserve valuable plan resources.
Prescription Drug Benefit:
Your BAS Identification Card is an all-inclusive card and will also serve as your Prescription Drug Card. Major pharmacies and retail chains participate in the Prescription Drug Card program. To locate local network pharmacies and search for preferred brand & generic alternatives go to the Catalyst Rx Website located at www.catalystrx.com.
Dental Benefits:
You have freedom of choice for dental services.
