Receiving Your Benefits

Filing a Claim

HMOs

HMOs do not require you to file claim forms since most services are covered in full or for a small Copayment. However, you may need to file a claim to get reimbursed for emergency care that you receive at a non-HMO facility. Claims for emergency care received at a non-HMO facility should be sent to:

UCHP	Humana Premier HMO	HMO Illinois
180 N. Harvester Dr. Suite 110 Burr Ridge, IL 60527	Humana Claims Office P.O. Box 14601 Lexington, KY 40512-4601	300 East Randolph Chicago, IL 60601-5099

While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.