| Frequently Asked Questions
Will ISEA Retirees help me with insurance questions or help me get a claim paid?
Yes, we will make certain the claims have been submitted to Medicare (when applicable) and to your insurance plans, following your health administrator's regulations. We have an experienced Insurance Division to help ISEA Retiree members with insurance matters or to file claim appeals when required.
The cost of prescription drug co-payments keeps increasing. What can I do to help with this cost?
Certain plans offer the Maintenance Medication Program in obtaining the 90 day prescription which allow you to pay for two months and obtain one month free. There is the Mail Order Method if you are unable to utilize a network pharmacy to help save you money. Inform your Doctor and make sure he is aware of your prescription plan so he prescribes the generic drugs and preferred medications. Call your respective health plan with questions or call ISEA Retirees and we will check for you.
Do I have coverage for a hearing aid and exam?
Coverage for these services can vary depending on whether you retired as a teacher, university or state retiree. Please contact your insurance carrier at the telephone number listed on the back of your insurance card to ascertain your eligibility for these benefits. To avoid the frustrations of being put on hold or with leaving messages when calling your insurance company, you may call ISEA Retirees.
Do I have coverage if I vacation outside the state in which I live?
If you have insurance coverage other than the state's Quality Care Health Plan (QCHP), you should consult your insurance company for eligibility of out of network services. QCHP covers services outside of Illinois. Medicare covers services anywhere within the continental United States.
Do I have insurance coverage when I travel outside of the U.S.?
Quality Care Health Plan (QCHP) covers the majority of services outside the Continental U.S. Medicare does not. For other insurance carriers, please check with them by calling the telephone number listed on your insurance card.
If I need medical attention while traveling outside the U.S., what do I do?
If you plan to travel outside the Continental U.S., contact us 60 days before your planned departure. We will obtain for you the names, addresses, and telephone numbers of approved providers in the areas you plan to travel. ISEA Retirees will assist you in filing your medical claims to your insurance companies once you return home and we will monitor the claims until they are resolved.
Whom do I contact when my spouse dies?
The Social Security Administration at 1-800-772-1213 (TTY 1-800-325-0778) and the appropriate Retirement System. The telephone number and address for specific Retirement Systems may be found below:
State Employees Retirement System
2101 South Veterans Parkway, P. O. Box 19255
Springfield, IL 62794-9255
(217) 785-7444
State University Retirement System
1901 Fox Drive, P. O. Box 2710
Champaign, IL 61825-2710
(217) 378-8800 (800) 275-7877
General Assembly Retirement System
2101 South Veterans Parkway, P.O. Box 19255
Springfield, IL 62794-9255
(217) 782-8500
Judges' Retirement System
2101 South Veterans Parkway, P. O. Box 19255
Springfield, IL 62794-9255
(217) 782-8500
Teachers Retirement System
2815 West Washington, P. O. Box 19253
Springfield, IL 62794-9253
(217) 753-0311 (800) 877-7896
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