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Welcome to St. Mary’s Good Samaritan (SMGS) Health Insurance Plan, a medical benefit plan of SSM Health in Illinois. We are committed to providing quality care for our employees and their dependents as embodied in our mission statement:
To continue the healing ministry of Jesus Christ by improving and providing regional, cost effective quality health services for everyone, with a special concern for the poor and vulnerable.
SSM Health's plan in Illinois offers comprehensive health care services through the St. Mary’s Good Samaritan Health Insurance Plan extensive provider network, including SSM Health St. Mary’s Hospital - Centralia, SSM Health Good Samaritan Hospital - Mt. Vernon, and participating practitioners in Southern Illinois. Utilizing this quality network of providers results in more enhanced benefits and reduced premiums compared to traditional health plans.
For detailed information about your SSM Health benefits, see your Summary of Benefits and Coverage (SBC) You may also obtain a copy from your local Human Resources department. Employees can access all plan materials online through MyHR.
Present your member ID card and pay any applicable co-pay whenever you receive medical care. For replacement or additional ID cards, call CoreSource at 1-800-990-9058 or visit the CoreSource website.
Effective Jan. 1, 2015, Dean Health Plan (DHP) will provide Medical Management Services for all SSM Health sponsored medical plans, including SMGS.
In addition to inpatient hospital admissions, certain medical services require plan approval or “authorization” before you receive the service. Examples of services that require authorization are outpatient radiology (CT, MRI, PET scans), pain management treatment, outpatient rehab and injectable medications. View the complete list of services requiring authorization here or contact CoreSource customer service at 1-800-990-9058.
It’s the member’s responsibility to make sure there is authorization.
You must request the authorization at least seven (7) days in advance of the service. For emergency situations, notification is required within 48 hours or the first working day after admission or treatment, whichever is later.
The subscriber (the employee) must notify his/her local Human Resources Department when there is a change in family status that could affect their health insurance coverage like a marriage, birth, death, divorce or any other eligibility change. These events must be reported within 31 days. If not reported, coverage and claims may be denied.
To process claims accurately and in accordance with certain plan requirements, additional information may be needed. If you receive a request for information from CoreSource about an injury, accident, other liability or other insurance, it's easier than ever to provide this information. Just call CoreSource at 1-800-990-9058 or visit the CoreSource website.
If you don’t provide the requested information, your claims payment may be delayed and/or denied.
Also, SMGS plan members will be asked annually to provide information about their dependents, employment and other health care coverage.
See our Frequently Asked Questions page or call CoreSource at 1-800-990-9058 or contact your local Human Resources Department. Employees can find additional information on MyHR.