If you're a BCBS Illinois member, you're in luck - they offer a variety of customer service options to help you with your questions and concerns.
You can reach BCBS Illinois customer service by phone at 1-800-638-6443, or by visiting their website to submit a secure online message.
Their customer service hours are Monday to Friday, 8am to 6pm, and Saturday, 9am to 1pm, so you can plan your calls accordingly.
BCBS Illinois also offers a mobile app that allows you to access your account information, pay your premium, and even find a doctor or hospital near you.
Making a Complaint
If you're not satisfied with the service you've received from BCBSIL, you can file a complaint.
A grievance is a formal complaint about a matter besides a service that's been denied, reduced, or ended. BCBSIL takes member complaints seriously and wants to know what's wrong so it can make its services better.
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You may want to file a grievance if you feel your provider or a BCBSIL employee didn't respect your rights, or if you had trouble getting an appointment in a reasonable amount of time.
Some common reasons for filing a grievance include:
- Your provider or a BCBSIL employee was rude to you.
- Your provider or a BCBSIL employee didn't respect your cultural needs or other special needs you may have.
- You were unhappy with the care or treatment you received.
- Your provider or a BCBSIL employee didn't respect your rights.
- You had trouble getting an appointment in a reasonable amount of time.
Filing a complaint won't change your healthcare services or benefits coverage, but it will help BCBSIL understand what it can do to improve.
Appeals Process
If you're not happy with a decision made by BCBSIL, you can file an appeal. An appeal is a way for you to ask for someone to review our actions.
You might want to file an appeal if BCBSIL doesn't approve a service your provider asks for. This can happen if the service isn't in our network.
If BCBSIL decides that a requested service cannot be approved, or if a service is reduced, stopped or ended, you'll get a "Notice of Action" letter from us. This letter will tell you the action taken and the reason for it.
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You must file your appeal within 60 calendar days from the date on the Notice of Action letter. This is a strict deadline, so make sure to mark your calendar.
You can file an appeal for several reasons, including:
- BCBSIL doesn't approve a service your provider asks for
- BCBSIL stops a service that was approved before
- BCBSIL doesn't pay for a service your PCP or other provider asked for
- BCBSIL doesn't give you the service in a timely manner
- BCBSIL doesn't answer your appeal in a timely manner
- BCBSIL doesn't approve a service for you because it was not in our network
The Notice of Action letter will also tell you your right to file an appeal and how to do it. You can ask for a State Fair Hearing and how to do it. In some circumstances, you can ask for an expedited appeal and how to do it. You can also ask to have benefits continue during your appeal, but you may have to pay for the services.
Payment Options
To make a payment, you'll need to make your first premium payment for BCBSIL health plan coverage to start. Your coverage won't begin until this payment is made.
You can make a payment by following the steps for your specific payment option. This will ensure your coverage starts as soon as possible.
Frequently Asked Questions
How do I speak to a live person at BCBS of Illinois?
To speak to a live person at BCBS of Illinois, call 1-877-860-2837 (available 24/7) or reach a live agent from 8 a.m. to 5 p.m. Central Time, Monday through Friday.
What is the Blue Cross member number?
Your Blue Cross member number is listed below your name and is required for medical services and customer service assistance. Find it easily to access care and support.
Is Blue Cross Blue Shield in Illinois?
Yes, Blue Cross Blue Shield of Illinois is a statewide health insurer serving all 102 counties in the state. It's the largest provider of health benefits in Illinois, covering over 8.9 million members.
Is BCBS Illinois Medicaid?
BCBSIL operates a Medicaid plan in Illinois, known as the Blue Cross Community Health Plan (BCCHP). This plan is contracted with IHFS as a Medicaid MCO.
What is the phone number for BCBS of Illinois provider eligibility?
Call 800-972-8088 to access the BCBSIL provider eligibility information through our automated phone system. The system is available Monday through Saturday, with specific hours listed.
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