4 Best Health Insurance Options In Illinois For This Year • Benzinga

Do you have health insurance? Otherwise, you could be playing with your physical and financial health. We have created a comprehensive Illinois health insurance guide to help you get the coverage you need.

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The best Illinois health insurance:

What is health insurance?

Health insurance is a type of protection that helps you pay for medical care. Your health insurance can help cover a percentage of the cost of hospital treatments, specialist visits, prescription drugs and laboratory tests you need. You will no longer be subject to a tax penalty for not having health insurance coverage, but it is generally not a good idea to remain unprotected for too long. An accident or illness can happen at any time – and if you don’t have insurance, you’ll have to cover 100% of the bill.

Most people get their health insurance through their employer or through a government program like Medicare or Medicaid. If you do not qualify for government sponsored health insurance or insurance from your employer, you can purchase an independent health insurance plan through the Affordable Care Act (ACA) Marketplace. You can access Marketplace by creating an account at Healthcare.gov.

When you start buying insurance, you may notice a number of prices listed for each plan. Let’s take a closer look at a few cost terms that you need to know before buying a plan:

  • Premium: Your premium is a monthly bill that you pay to your insurer in exchange for your health insurance coverage. You have to pay your premium every month, even if you don’t see a doctor in a given month.
  • Deductible: Your deductible is a fixed amount that you must spend on your own insurance expenses before your insurance begins to cover your bill. For example, if you have a deductible of $ 1,000 and you receive a hospital bill of $ 2,000, your insurance will not start paying until you pay $ 1,000 of your bill.
  • coinsurance: Once you have reached your deductible, you only have to pay your coinsurance percentage of any medical bill you receive. Your insurer covers the rest of your bill. For example, let’s say you have a plan with a 20% coinsurance rate and receive a medical bill of $ 1,000. You would pay 20% of this invoice ($ 200) and your insurance would cover the remaining 80%.
  • Maximum to pay: Your maximum outlay is the maximum amount you will spend on health care in any given year. Once you reach your maximum, your insurance covers 100% of all other medical care costs you accumulate.

Average cost of health insurance in Illinois

The average Illinois resident pays about $ 536 per month for their health insurance plan. However, you may be eligible for a grant to help pay the monthly cost of your premium. Start by creating an account on the official federal government website for the ACA market. After answering a few questions about your income, you will see the federal grants for which you are eligible.

Types of health coverage

When shopping for health insurance, you may notice several types of plans available from a single insurance company. Let’s take a look at some of the most common types of insurance plans that you might see in the market place.

  • Health Maintenance Organization (HMO): When you sign up for an HMO plan, you will receive information about local doctors and medical specialists who accept your insurance. You should choose a primary care provider from this list and you should stick to the hospitals and specialists in your network. The only exception is in an immediate emergency. If you leave your plan network at another time, you cannot use your benefits. You will also need a referral from your primary care provider before you can see a specialist. HMOs are the most affordable health insurance option, but they give you the least amount of freedom to choose your insurance.
  • Preferred Supplier Organization (PPO): PPO plans allow you to consult any doctor or specialist you want, whether in your network or not. They also allow you to consult a specialist without having to be referred by your doctor. PPO plans are more expensive than HMOs but can be worth it if you have a doctor you want to continue seeing.
  • Point of Service (POS) plans. POS plans work as a combination of an HMO and a PPO. On a POS plan, you can see the doctor of your choice, but you can save money by staying in your network. You also usually need a referral before you can see a specialist.

What does health insurance cover?

The ACA has established a number of essential benefits that each health insurance provider must cover. When shopping for a long-term insurance plan, you can be assured that every choice on the market offers at least some form of coverage for the following medical treatments:

  • Ambulatory Patient Services include care and services you receive outside of a hospital.
  • Hospitalization includes overnight stays in hospital and surgery.
  • Prescription drugs for all major categories of prescription drugs – your coverage does not need to cover all drugs in all categories.
  • Emergency services at any hospital in the United States, whether or not they belong to your network.
  • Rehabilitation and empowerment services include the services and devices you need to regain mental and physical capacity after an accident.
  • Mental health services include both inpatient and outpatient treatment for mental illness and substance use disorders.
  • Laboratory services include specialized tests that you receive to diagnose specific conditions.
  • Preventive care includes routine laboratory tests, annual checkups and other types of preventive care.
  • Maternity services include the care and treatment you need before, during and after pregnancy. It also includes breastfeeding support.
  • Pediatric services must cover all of the above services and treatments for all children in your plan, as well as vision and dental coverage.

Your insurer should also cover birth control if you buy your plan on the ACA market. This coverage should include hormonal methods, physical methods and emergency methods of birth control.

What does health insurance not cover?

The best health insurance plans don’t cover everything. Here are some of the most common exclusions you will likely see on your insurance plan.

  • Vision and dental care services for adults: Under the ACA, your health insurance provider only needs to cover these services for the children in your plan. If you want adult coverage, you will usually need to purchase a separate vision and dental plan.
  • Male birth control: ACA only requires that female methods of birth control be covered.
  • Plastic surgery: Your insurance will only cover reconstructive surgery if it is deemed medically necessary.
  • Travel vaccines: Your health insurance must cover the CDC’s standard vaccination schedule. If you need another vaccine to travel, you will usually need to pay for it out of your pocket.
  • Weight loss surgery: No federal mandate requires insurance companies to cover bariatric surgery, even if deemed medically necessary.

Best Health Insurers in Illinois

Now that you understand how to get health insurance and what your insurance will cover, it’s time to choose a plan. Let’s take a look at some of the best health insurance companies that you will see in the ACA market in Illinois.

1. Blue Cross Blue Shield

Blue Cross Blue Shield offers a wide range of health insurance plans throughout Illinois. It offers PPO and HMO coverage and multiple levels of each plan to help you balance coverage and costs.

Its website clearly lists each of the prescription drugs included in each plan and you can search for drugs by plan to make sure your prescriptions are covered. With statewide coverage and a multitude of plan choices, Blue Cross Blue Shield is our first choice for Illinois coverage.

2. HealthAlliance

Are you looking for the most affordable way to protect your health? Make sure to consider a HealthAlliance insurance plan. His choices for the most affordable plans start at around $ 333 a month for non-smokers – more than $ 200 less than the average Illinois plan. HealthAlliance offers HMO and POS plans and many POS plans include 0% co-insurance percentages for the most common health services you may need.

The plans are available in most parts of Illinois, so it is likely that you can find inexpensive coverage near you. Get a quote from HealthAlliance if you’re looking for a way to get coverage without breaking the bank.

3. Ambetter

Ambetter offers a selection of HMO plans throughout Illinois. Getting coverage through Ambetter is incredibly simple. All you need to get started is your Social Security number, income information, current health insurance information and some information about your employer.

Its online doctor search tool allows you to quickly find primary care providers and specialists near you who accept your Ambetter plan. Many plans even include $ 0 co-payments and co-insurance rates for preventive care.

4. Cigna

Cigna coverage is only available in a few select counties in Illinois. However, its HMO coverage options are affordable and many plans include $ 0 preventative care. Cigna says that 4 out of 5 people who join a plan receive a waiver to help them cover premium expenses.

Cigna also offers exceptionally affordable dental coverage, so it’s easy to add a dental insurance option to your health insurance in just a few clicks. Cigna also offers 24/7 customer service, which can be an extra layer of comfort if it’s the first time you’ve bought an HMO insurance plan.

Find the right health insurance for you

Getting health insurance can be confusing. Before signing up for a plan or choosing a plan provider, be sure to create an account at Healthcare.gov. You may be eligible for a waiver to help you pay for insurance, and you can view and compare all of your plan options on its site.

Frequently asked questions

1) Q: Is health insurance required?

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1) Q: Is health insurance required?

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Sarah Horvath

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The federal mandate requiring health insurance has been lifted, but some states have enacted state-level mandates requiring residents to have health insurance. Even when not required, health insurance can protect your family from catastrophic healthcare costs and help make everyday medical expenses more predictable. Get the most affordable quote thanks to our best suppliers today.

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Benzinga

2) Q: What does health insurance cover?

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2) Q: What does health insurance cover?

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Sarah Horvath

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Most health insurance plans provide the 10 essential health benefits that were part of Obamacare’s requirements. Coverage includes prevention and wellness services, prescription drug coverage, emergency services, ambulatory services, laboratory services, pediatric services, etc. Many plans cover a wider range of health expenses, but may cost more than basic plans or may have higher reimbursable fees for certain services. personalized health insurance quote to cover you and your family today.

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Benzinga

3) Q: How can I save money on health insurance?

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3) Q: How can I save money on health insurance?

asked

Sarah Horvath

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For health care plans that comply with the Affordable Care Act, only a few scoring factors affect your premium. These include age and location, at least one of which cannot be changed. Smokers will pay more in most cases, and your choice of plan level can also affect premiums. Choosing a high deductible health insurance plan can reduce the cost of premiums. These plans can be combined with a health savings account to take advantage of tax-free savings for health expenses. Get the cheapest health insurance premium from the best suppliers.

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