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We are committed to providing you with quick and easy access to the information you need to maximize your health insurance benefits. We have provided you with many useful tools and links to assist you. If you don’t see what you need, please don’t hesitate to contact us for assistance. Call us at 800-371-9622 or email.

Find a Provider

We want you to get the most from your Pekin Insurance health plan. Choosing the correct in-network provider will assure that you get the highest level of benefit under your plan.

Click on the link below to view the different networks we offer. Not all networks are available in all areas. Be certain to reference your ID card to determine your correct network. Only the network you or your employer chose can be accessed at the in-network rate. If you are unsure of your network, please call us to confirm your network at 800-371-9622, Extension 2793. Failure to use the correct network will greatly reduce your benefits.

Find a Provider

Claim History Access

When you have medical and dental claims, keeping track of all of your bills and insurance payments can be overwhelming. We want you to just worry about getting better. To help you easily track your claims, we provide 24-hour online access to your claim history. You can review all of the claims that have been filed under your Pekin Insurance medical and dental plan any time, day or night, through WEBeci.

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.

ID Card Requests

To request a new ID card, click on the link below.

ID Card Request

Prescription Drug Card Benefits

For our health plans that offer a prescription drug card, the prescription benefits are managed by Partners RX. Pekin Life Insurance Company and Partners RX are committed to providing our insureds with access to the safest, highest-quality and most effective prescription plans. We want to help you and your family to be informed and involved health care consumers. There are many online resources now available to you from Partners RX.

If you are having trouble logging in, feel free to contact Pekin Life Insurance Company at (800) 371-9622, Extension 2447 for assistance.

Click here for Partners RX information

Appeal Process

HEALTH CLAIM APPEAL PROCESS

Our policy is to treat each claim submission fairly. If, however, you are not satisfied with our claim handling you have certain appeal rights. Below are links to the appeal procedures specific to each state. For states not listed, you may contact us in writing at: Pekin Life Insurance Company, Life & Health Claim Grievance Committee, 2505 Court Street St, Pekin, IL 61554 or by phone at (800)371-9622 or by email.

Forms

We’ve provided access to some commonly used forms. If you aren’t sure which you should use or don’t see the form you are looking for, please contact our Claim Department at  800-371-9622.

Please note: These forms are related ONLY to Health, Dental, Life, and Disability coverage. They are not applicable to any type of auto, homeowners, workers compensation, or any other non-health-related coverages. For assistance with those types of claims, please contact 888-735-4611.

Authorization to Disclose Medical Information for Customer Service LS253 We are only authorized to discuss health information with you unless you provide authorization for us to discuss matters with someone else. Any insured over the age of 17 must complete this form if they wish to authorize anyone to access their claim information for customer service purposes.

Authorization for Use or Disclosure of PHI LS264 This form will need to be completed if we need to obtain records from your health care provider. It will give us authorization to get the records needed to process your claims.

Claim Form LC106 Used when additional medical history information is needed on a claim. This form is NOT needed for most claim filings. Only complete this form if we’ve requested it from you on a claim.

PartnersRx Payment Authorization LG287 Under some of our high deductible health plans, you are required to pay for your prescriptions in full at the pharmacy. Once you’ve reached the 100% benefit level, you may request that we begin paying your benefits directly to the pharmacy on your behalf to avoid paying at the time of purchase. This form can be completed to provide authorization of payments to the pharmacy.

Disability Statement of the Insured LC171 Disability forms are used to file a claim for Individual disability income benefits or Group weekly benefits. You may contact the Life Claim Department at 800-371-9622 to discuss your claim.

Insured Supplemental Statement LC142 (Group Disability) Used to provide updated proof of continual disability on a disability claim currently in benefit.

Accidental Injury Report LG199 For claims related to an accidental injury, additional information is typically needed in order for us to process your health insurance claim. This form is used for accident claims being filed under a Major Medical Plan.

Vision Discount Program

All group health members receive access to our Vision Discount Program at no additional charge. Learn more.

Disease Management Tools

Free Health Benefit for Better Health

You have a free health benefit from Pekin Insurance to help you enjoy better health! Covered plan members living with any of the following conditions should call to see if you can take advantage of the “Better Health Solutions” program.

  • Diabetes – Type 1 or Type 2
  • Asthma – Adult & Juvenile
  • High Blood Pressure, High Cholesterol
  • Coronary Artery Disease, Stroke or Vascular Disease
  • Congestive Heart Failure
  • COPD

Your Own Registered Nurse Health Coach

MCM Better Health Solutions will provide you a personal Registered Nurse Health Coach to be your patient advocate to help you better manage your health, providing:

  • HIPAA compliant interactions – your health information is never shared with your coworkers or management.
  • A one on one resource for health information you can trust.
  • Support and education towards reaching your goals for a healthier lifestyle.

Enroll Today and Enjoy Better Health!

Call 800-367-9938 to speak with a Health Coach Monday through Friday between 7:30 a.m. and 5:30 p.m. CST.

You can also enroll anytime online at www.medicalcost.com simply click on the Enroll Today link in the Health Coaching box on our home page and complete the secure enrollment form!

Quality and Cost Reference Tool

You can receive the best quality health care at the best price by being an informed health care consumer. Online tools allow you to research the quality and cost of health care services in your area. Before choosing a doctor or hospital, find out how well their patients recover after surgery and know why patients would (or would not) recommend them. You can also find cost estimates for medical services or equipment so you won’t overpay for your medical care. Follow the helpful links below to ensure that you receive the best quality health care at the best price.

Health Care Price Comparison

http://www.healthcarebluebook.com/page_Default.aspx
https://www.fairhealthconsumer.org/

Provider Quality Ratings

http://www.hospitalcompare.hhs.gov/
http://www.medicare.gov
http://www.rwjf.org/qualityequality/product.jsp?id=71857

Health and Wellness Resource Center

Cold & Flu Prevention
http://www.pekininsurance.com/wp-content/uploads/2011/10/ColdAndFluPrevention.pdf

How to Quit Smoking
http://www.cdc.gov/tobacco/quit_smoking/how_to_quit/index.htm

Youth Tobacco Prevention
http://www.cdc.gov/tobacco/basic_information/youth/

Guide to Healthy Living
http://www.healthfinder.gov/

Prevention
http://www.hhs.gov/safety/

Health Care Reform

Click here to view the details of the Health Care Reform/Patient Protection Affordable Care Act (PPACA) that were passed into law March 23, 2010.

Call Toll-Free 1-800-322-0160