Insurance

  • Plan Summary

    Enrollment Form

    District employees can register an account online to see claims, create provider directory, preauthorization status and much more by following these simple steps:

    -Go to www.bcbsil.com/member
    -click on “Log in”
    -Click on “Register Now” and follow the on-screen instructions for setting up your account. You will need your member ID handy.
    OR 
    -Download the app for your smart phone from your phone's App Store (bcbsil).

    Group Health Plan Information
    If you need information for Blue Cross Blue Shield, utilize their website at  www.bcbsil.com or contact Blue Cross Blue Sheild at 1-800-828-3116 for assistance with any questions you have regarding covered services or the payment of claims. 

    Notice of Group Health Coverage Continuation Rights
    The Consolidation Omnibus Budget Reconciliation Act (COBRA), known as Public Law 99-272, requires that the District notify you of coverage available under this federal law. Please read the following information carefully so that you can make an informed choice about the benefits available to you.

    WHEN CONTINUED COVERAGE APPLIES
    You may elect up to 18 months of continued health coverage for yourself and your dependent if your coverage would otherwise end due to:
    1. Your voluntary or involuntary termination of employment (unless for gross misconduct); or
    2. A reduction in your work hours to fewer that the minimum needed to remain eligible for the plan.

    You may elect up to 36 months of continued health coverage for yourself if you are an employee’s dependent whose coverage would otherwise end due to:
    1. The employee’s death
    2. The employee’s divorce or legal separation from his or her spouse
    3. The employee’s eligibility for Medicare
    4. Dependent child’s attainment of limiting age

    You may elect up to 36 months of continued health coverage for yourself if you are an employee’s child whose coverage would otherwise end because you no longer qualify as the employee’s dependent as defined under the plan.

    If you or your dependents qualify under one of the conditions listed above, you must complete the election form within 60 days of eligibility. You will be required to pay the full cost of the coverage plus 2% of the premium as a handling expense.

    Extended coverage may be stopped if the following conditions apply:
    1. You obtain coverage under another group plan or Medicare
    2. You do not pay the required premium
    3. Coverage for a dependent may be stopped if the spouse remarried and has other group coverage, becomes entitled to Medicare or does not pay the required premium.


    Vision Service Plan Documents (Click on link to open):
    VSP Plan Summary
    VSP Remove Dependent Form
    VSP Enrollment Form
    VSP Out of Network Reimbursement Form


    Delta Dental Plan Documents (Click on link to open):
    Dental Plan Enrollment Form
    Dental Low Plan
    Dental High Plan

    Provider Contact Information

    Medical Coverage
    Blue Cross Blue Shield
    1-800-828-3116
    www.bcbsil.com

    Benefit Planning Consultants (BPC)
    1-217-531-9000
    www.bpcinc.com

     Prescription Coverage
    Catamaran
    PO Box 968022
    Schaumburg, IL 60196-8022
    1-800-851-3379

    Vision Service Plan (VSP)
    PO Box 997105
    Sacramento, CA 95899-7105
    1-800-877-7195
    Group # 12-001821-001-001
    www.vsp.com

    Eye Care Providers

    Chittick Family Eye Care
    1104 N. Vermilion
    Danville, IL 61832
    217-442-2631

    Gailey Eye Clinic
    478 E. Liberty Lane
    Danville, IL 61832
    217-446-3937

    Walmart Vision
    4101 N. Vermilion
    Danville, IL  61834
    217-443-9561


    No claim form or card is necessary. Just contact the providers above and let them know you are a District 118 employee with the VSP plan.
    Danville School District No. 118 Health Insurance Rates Health Insurance and Vision Plan Rates

    Employee Expense Per MONTH for Health Insurance (26 pays per year, lesser pays are higher premiums) Effective January 1, 2018

     

    Health Plan

    Vision Service Plan

    Monthly Premiums

     

     

    Employee Coverage

    $71.00

    Board Paid

    Optional Dependent Coverage

     

     

       One Dependent
       Two Dependents
       Three or More Dependents

    $360
    $385
    $410

    $11.00
    $11.00
    $11.00 

    Deductions PER PAY when
    both husband and wife are
    District No. 118 employees
    and elect family coverage

    $0

    $3.38


    All Union Custodial and Food Service employees, please refer to your contract for your rates and co-pays.

    POSC Plan

    In-Network

    Out-of-Network

    Summary of Plan Benefit

     

     

    Co-pay Primary Care Physician
    Co-pay Specialist

    $25.00
    $50.00

    50%
    50%

    Annual Deductible

     

     

    Individual
    Family

    $500.00
    $1,000.00

    $15,000
    $45,000

    Maximum Out of Pocket

     

     

    Individual
    Family

    $2,905
    $5,810

    $45,000
    $120,000

    Note: Absolutely all co-pays apply to the maximum out of
    pocket including pharmacy co-pays.

    Co-pay Emergency Room

    $200

    $200

    Maternity

    Routine prenatal care
    Maternity inpatient
    Newborn Care

    0%
    0%
    0%

    50%
    50%
    50%

    Preventative and Wellness Services
    Immunizations, adult and child annual physical
    Exams, mammograms, PAP smears, prostate
    screening and more.
    Age/frequency schedules apply 

     $0

    50%

    Prescription Drugs

     

     

    30-day Supply

     

     

     

     

     

    Generic - Tier 1
    Brand - Tier 2
    Non-preferred Brand - Tier 3

    $7
    $25
    $50

    50%
    50%
    50%

    Specialty Pharmacy/Medical

     

     

    Preferred - Tier 4
    Non-preferred - Tier 5
    Non-formulary - Tier 6

    $100
    $150
    50%

    50%
    50%
    50%


    All union Custodial and Food Service employees, please refer to your contract for rates, co-pays, plan description, etc.


    Women's Health and Cancer Rights Act
    December 1998

    Dear Participant or Beneficiary,
    On October 21, 1998, Congress passed a bill called the Women’s Health Care and Cancer Rights Act, also known as “Janet’s Law”. This law imposes new requirements on group health plans to provide benefits for reconstructive surgery following a mastectomy when mastectomy is a covered benefits under the plan.

    As you know, for a number of years, the Danville Community Consolidated School District 118 Group Health Plan has provided coverage for mastectomies. As part of this coverage, the Plan also covered the procedures necessary to effect reconstruction of the breast on which the mastectomy was performed. As well as the cost of prostheses (implants, special bras, etc.) and physical complications of all stages of mastectomy; including lymph edemas, as recommended by the attending physician of any patient receiving Plan benefits in connection with the mastectomy in consultations with the patient. However, the Plan did not cover any surgery and reconstruction of the other breast to achieve a symmetrical appearance.

    Effective for the Plan year beginning February 1, 1999 for any participants or beneficiary of the Plan who currently is receiving Plan benefits for a mastectomy, the Plan will provide coverage for any necessary surgery and reconstruction of the breast on which a mastectomy was not performed in order to produce a symmetrical appearance.

    This new coverage will be subject to the same deductibles and co-payments that apply to mastectomies under the Plan’s current terms (see the Danville Community Consolidated School District 118 Group Health Plan Summary Plan Description for details of the Plan’s deductible and co-payment requirements for mastectomies).