|The Illinois Department of Public Health hereby announces intent to award a contract to Pool Administrators, Inc. (PAI). PAI has been selected for award because the technical evaluation revealed that they are very well qualified. In addition, their fair and reasonable price is the lowest. |
PAI will act as a premium payment agent for eligible persons with HIV/AIDS to ensure timely payment of their health insurance premiums up to the maximum allowable cap established under the Ryan White Program Part B, which is $750 per month/per client. In addition, PAI will coordinate medical deductible/copayment costs as a Medical Benefit Manager (MBM), act on behalf of the Department as a liaison between the client and the insurance provider, monitor the client’s insurance MBM services and health insurance coverage and notify the Department if clients experience insurance termination or MBM complications.
Federal funding is provided to ensure the continuation of health insurance for eligible persons participating in the Continuation of Health Insurance Coverage for Persons with HIV/AIDS program. Persons with HIV/AIDS who currently are enrolled in health insurance plans will be able to retain their coverage and remain employed. When HIV positive clients are in regular medical care, their viral loads are lowered, decreasing the infectivity of the virus and helping to protect the health and safety of the citizens of Illinois.