Questions

Health plans can be confusing. We are here to help. If you have questions, call 1-844-807-9734 from 8am to 5pm, or if you’re hearing impaired, Illinois Relay 711. Ask a question here.

Who runs NextLevel Health?Show

An Executive Team and Board of Directors manage us. They have years of experience and understand health care. Click here to learn more about them.

What communities does NextLevel Health serve?Show

We help people on Medicaid, but not Medicare, who live in Cook County.

What is a Provider?Show

A Provider is a doctor or health care professional we work with.

What is a PCP?Show

PCP stands for “Primary Care Provider”. This person is your main doctor or clinic.

What is a Care Coordinator?Show

A Care Coordinator is someone who can:

  • meet you in person
  • make doctor appointments
  • arrange transportation to and from appointments
  • provide other health care resources

What is the Affordable Care Act (ACA)?Show

The Affordable Care Act is also known as “Obamacare”. Millions of people can now get Medicaid benefits and access to health care. Learn more about the Affordable Care Act here. Learn more about Medicaid benefits and access to health care here.

How much will a NextLevel Health plan cost?Show

All of covered services are FREE. NextLevel Health members pay nothing to receive covered health care services. NextLevel Health has no copays. Click here for our list of benefits.

What is NextLevel Health?Show

We are a Medicaid managed care health plan for people on Medicaid, but not Medicare, who live in Cook County. We are hired by the Illinois Department of Healthcare and Family Services. Visit About Us.

Is there a copay?Show

No. NextLevel Health does not have any copays.

How do I become a NextLevel Health Member?Show

You must live in Cook County and be on Medicaid, but not Medicare. Choose us as your health plan. Contact Client Enrollment Services.

Online:
Go to enrollhfs.illinois.gov. to sign up. Choose a health plan and a doctor, also known as a Primary Care Provider(PCP). You’ll need your Medicaid Recipient Identification Number (RIN) and the last four digits of your Social Security Number.

By Mail:
Fill out the enrollment form and send it back to us in the envelope provided.

Top three reasons to choose NextLevel Health:

Experienced. We have years of experience. We understand you, your neighborhood, and the services and benefits that will work best for you.

Community-­based. Our Care Management Teams can be found in your neighborhood. When you need us, we’re there.

Dedicated. We want you to have the right health care right where you live. Our medical providers are nearby, which makes it even easier for you. Click here for more information.

Do I have to pick a Primary Care Provider (PCP)?Show

Yes. You must choose a PCP who is in our network. He or she leads your Care Management Team. Click here to choose a PCP or here to see our Provider Directory. Call 1-844-807-9734 for help. If you’re hearing impaired, call Illinois Relay 711.

How can I change my PCP?Show

Call 1-844-807-9734. For hearing impaired call Illinois Relay 711. We will help you choose a new PCP. If you have one in mind, make sure he or she is in our Provider Directory. Click here to get started.
You’ll need:

  • Your date of birth
  • Medicaid Recipient Identification Number (RIN)
  • Last four digits of your Social Security Number

I have a question about my benefits. Who can I call?Show

Call 1-844-807-9734. For hearing impaired call Illinois Relay 711.

I need to see a mental health or behavioral health professional. Do I need a referral?Show

No. Check our Provider Directory here. Call 1-844-807-9734 or Illinois Relay 711 if you’re hearing impaired. We can help you make your first appointment.

What if I have a complaint?Show

See page 27 of your Member Handbook.