Patients & Visitors
Health Insurance Marketplace
Beginning January 1, 2014 all residents of the United States are required by law to have health insurance. The Health Insurance Marketplace is a new way to find affordable health insurance plans for those who are currently uninsured or underinsured. To learn more about the Marketplace, to compare plans and begin the health insurance enrollment process, visit www.healthcare.gov.
Questions about the Insurance Marketplace in Illinois
When do I enroll? What if I don’t have coverage?
Enrollment in health coverage through the Affordable Care Act health insurance exchange program begins October 1, 2013. If you enroll before December 23, your coverage kicks in Jan. 1, 2014.
If by March 31 you have no health insurance through the exchanges or your employer, you face a fine of 1 percent of your yearly income or $95 per person -- whichever is higher. The fee increases every year, rising to 2.5 percent of your yearly income in 2016 or $695 per person. That's on top of any health care costs.
What are the different types of health insurance?
All of the available health insurance plans offer "essential health benefits" for emergency services, maternity, neonatal and pediatric care, outpatient and rehabilitation services, counseling and therapy, preventive and wellness services and prescription drugs. Children can be covered by their parents' health insurance plan until they turn 26.
Certain plans may offer additional coverage. You can compare plans in terms of coverage and cost on HealthCare.gov.
Which plans include Presence Health hospitals and doctors?
Many of the Illinois plans being offered include access to Presence Health hospitals and physicians. Currently, Blue Cross-Blue Shield (Silver), Health Alliance (Silver), Coventry (Silver), Aetna (Bronze, Silver and Gold), Illinicare (Silver) and Land of Lincoln (Silver), provide access to Presence Health as part of their networks.
What if I am unemployed?
Your coverage options depend on your household income, not your employment status.
Depending on your income, you might qualify for Medicaid or the Children's Health Insurance Program. You might also qualify for lower monthly premiums and out-of-pocket costs through the health insurance exchange program. Check HealthCare.gov to find out.
What if I miss the March 31 deadline?
You have six months to choose the health insurance plan that's best for you and your family. If you miss the March 31 deadline, you could face a fine of 1 percent of your yearly income or $95 per person, whichever is higher.
But some life events, like the loss of a job, birth or a divorce, qualify you for a special enrollment period outside the October-to-March window.