Skip to Main Content

Member Handbook and important forms

Get answers about your YouthCare health insurance

You can find benefits information in your Member Handbook. The important documents on this page can also help you understand your plan and get the care you need. You can always call Member Services at 844-289-2264 (TTY: 711) for paper copies of these documents.

Quick jump:

YouthCare Member Handbook

Member Handbook

Your Member Handbook is a great resource if you have any questions or just want to learn more about the plan’s coverage. It explains the medical, mental health, dental, vision, and pharmacy services that are covered. It also explains how to find care and how to earn rewards.

Download the Member Handbook in your preferred language. Want a paper copy? Visit your Member Portal or call Member Services.

Clipboard icon

Personal Wellness Assessment

The Personal Wellness Assessment is sometimes also called a Health Risk Screening. This short form asks about the member’s health conditions, recent hospital visits, medications, and more. With this information, we can connect members with the care that’s right for them.

The assessment is usually completed within the first 30 days of placement. It’s updated once a year afterwards.

There are a few ways to complete this form.

  • With the assigned GuidedCare Care Coordinator during onboarding
  • In the digital version that’s included in your onboarding email
  • Through the Member Portal

Baby carriage icon

Notification of Pregnancy form

The YouthCare MomCare program is designed to support members during and after pregnancy. By filling out the Notification of Pregnancy form, a member can connect to additional services and support through Start Smart for Your Baby®. This program offers resources, benefits, and much more.

Members can work with their care coordinators or with the Start Smart for Your Baby team to fill out the Notification of Pregnancy form.

Pin icon

Address update

If your address changes, let us know. We need to be able to send you important information in the mail. Just call Member Services with your new address.

gavel icon

Grievances & appeals

We want all members to be happy with services they get from YouthCare and our providers. If you have a concern, you can file a grievance or appeal.

Grievances

The grievance form can help if you have a complaint about a provider or about the quality of care or services a member received. When you go to file, you’ll want to write when and where the incident took place, and what happened.

For more information or to file a grievance, call Member Services. You can also find more information in the Member Handbook.

Medical appeal form

An appeal is a way for you to ask for a review of our actions. For example, we may not approve a provider’s request for a certain drug. You can make an appeal if you disagree with our decision. Download the form and file by mail.

Medical appeal form

If you want help with filing a grievance or appeal, or have other concerns, you can call the Department of Children and Family Services (DCFS) Advocacy office at 800-232-3798 or email DCFS.HealthPlan@illinois.gov.