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ProviderWe realize there are many differences between insurance carriers. For your patients who are insured with Pekin Life Insurance Company, we want to assist you in understanding their coverage, how to file a claim, and more. We have provided the following tools to assist you. If you still have questions or need more information, please call us for assistance. Call 800-371-9622 or by email.

Benefit Request

To request health coverage benefits, click on the link below.

Health Coverage Benefits

File a Claim

To help expedite your claim, it is always best to file based on the information provided on the back of your patient’s ID card. Not all claims for our members are filed to the same address. Not filing according to the unique instructions on each individual patient’s ID card could result in delayed claim handling.

We’ve provided a summary of all of Pekin Insurance’s medical coverage filing addresses. YOU MUST VERIFY WHICH IS CORRECT BASED ON YOUR PATIENT’S UNIQUE ID CARD. If you are unsure, please contact our Claim Department for filing assistance at 800-371-9622.

File A Claim

Claim Status

We want to give you immediate access to your patient’s Pekin Insurance claim history to assist with simplifying the insurance process for our members.

WEBeci allows you to review online a patient’s claim history, check the
real-time status of a claim, obtain all the same information you would find on an EOB, as well as confirm eligibility.   

Feel free to contact the Health Claim Department with any questions you may have at 800-371-9622 or email.

*Pekin Life Insurance Company has contracted with Eldorado Computing, Inc., to provide WEBeci access.

Coverage Policies

To review our Medical Coverage Policies, click on the link below.

Learn More

We want our members to get the most from their Pekin Insurance health plan. Choosing the correct in-network provider will help them get the highest level of benefit and you the highest level of reimbursement under the plan.

PPO Providers
Prescription Drug Prior Authorization Forms Some medications may require a prior authorization if they are part of our Step Therapy program or if they are for very specific complex medical conditions. This link will connect your patient to Restat’s website. From there he or she can locate the form he or she needs for the specific drug he or she is requesting to be considered for a Prior Authorization.

Prescription Drug Step Therapy Brochure LC173 Our medical plans with drug coverage participate in Restat’s Step Therapy Drug Program. This program assists you and your patient with obtaining the safest medically appropriate medications that are also the most cost effective. This brochure is a brief overview of the program as well as the drug categories that are included in the program. We highly recommend you review it with your patient if he or she is prescribed medications for conditions listed in the brochure. If your patients have questions or need assistance, please contact Pekin Life Insurance Company’s Claim Department at (800) 371-9622.

You may file a request for Pre-Determination of Benefits online. This is for specific planned treatments that may need reviewed in advance such as a specialized surgery or treatment that could be deemed cosmetic, investigational or experimental under the plan.

*Note – This is NOT for general plan benefits. If you are in need of general benefit information, please use the BENEFIT REQUEST tab above.

File Pre-Determination Request