AUTHORITY: Implementing and authorized by the State Employees Group Insurance Act of 1971 [5 ILCS 375].DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
a) The TRAIL Program shall provide coverage for services covered by Medicare. Coverage will be provided only for services considered to be medically necessary.
b) The Director may establish reasonable controls, including but not limited to coinsurance, copayments, and deductibles for covered services to the extent permitted by the Centers for Medicare and Medicaid Services.
c) The TRAIL Program shall include coverage for prescription drugs. The Director shall design such coverage to comply with coverage requirements established by the Centers for Medicare and Medicaid Services for Medicare Part D plans (see 42 CFR 423.100).