Your Care and How It Works

Your plan is made to give you access to the care you need from a large network of providers you trust.

Our statewide network of doctors, hospitals and clinics connects you to world-class care with names you already know and trust. Wherever you’re at in Illinois, we connect you with the care you deserve.

In-Network Care

You have access to a group of doctors, hospitals, pharmacies and other providers who agree to give you care at a discounted rate. Log in at hally.com or call Customer Service to find in-network doctors, hospitals and pharmacies.

For a full list, visit: HealthAlliance.org/StateofIllinois

Out-of-Network Care

With your health maintenance organization (HMO) plan, you can go out of network for emergency situations. If you have an urgent or emergency situation, we’ll still cover your claims at the in-network level anywhere you go.

In-Network Specialty Care

Your doctor might require you to get a referral to see a specialist. Check with your doctor before you see a specialist or other provider to make sure you’ve taken the proper steps. If there’s no in-network specialist to treat your specific condition, we’ll help you find one. And you’ll still pay the in-network cost if you get prior authorization from us.

Prior Authorization

For specific drugs or services, your doctor must request prior authorization to make sure you meet certain requirements before we’ll cover them. To find out if a drug or service requires prior authorization, please refer to your policy document.

Providers can submit a prior authorization one of the following two ways:

•  Submit a prior authorization request through our provider website.

•  Fax a prior authorization form to (217) 902-9798.

Decisions are made within 24 to 72 hours of your provider’s request.