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The latest useful materials on how health reform is affecting Illinois, to help you navigate the changing landscape.


RESOURCES FOR YOU

 Q:   From Coverage to Care: Using your Health Insurance This step-by-step guide from CMS walks patients through what having health insurance means, how to use your card, what to look for in a provider that works for you, and how to keep regular healthcare visits. The guide also includes a checklist to keep track of health care screens and visits.

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 Q:   Medical Referrals: What Patients Should Know This patient-information page from Tufts Health Plan explains the process and reasoning for a medical referral, starting with a visit to a primary care physician and ending with a consultation with a specialist. Although this information is provided from a specific health plan, it is applicable to a wide variety of health plans and referral processes.

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 Q:   The Premium Tax Credit The tax credit can help make purchasing health insurance coverage more affordable for people with moderate incomes who buy insurance coverage through the Health Insurance Marketplace. This guide from the IRS explains how to determine whether you are eligible, choosing whether to take the credit now or later, and how to claim the credit on your federal tax return.

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 Q:   The ACA and Worksite Wellness This June 2011 fact sheet, provided by the Public Health Law Center at the William Mitchell College of Law, answers some common questions regardin the ACA's impact on worksite wellness programs, including the effect on existing laws, new funding, and provisions for evaluation of wellness programs.

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 Q:   Need to Know: Provider Networks This fact sheet from CMS explains how provider networks work, how to find out if your doctor is in your network, what plans use provider networks, and the differences among various types of networks.

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 Q:   Illinois Medicaid Preferred Drug List This comprehensive chart from Illinois Medicaid lists specific categories of prescription medication (for example, antidepressants), alongside a list of both preferred and non-preferred drug options within the state of Illinois.

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 Q:   Immunization and the ACA Preventive care can improve health outcomes. This HHS fact sheet details expanding coverage of immunization and immunization recommendations for adults and children.

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 Q:   ACA Wellness Program Incentives at Work The ACA offers incentives to employers in order to create healthier work spaces. This fact sheet from the Department of Labor gives information on what both employers and consumers can do to promote wellness at work.

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 Q:   What is a Medicare Advantage Plan? This October 2010 information packet from CMS explains what an Advantage Plan is all about and provides information on coverage, eligibility, benefits, and Medigap policies.

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 Q:   ACA's Impact on Medicaid for People with Disabilities Medicaid is an important source of health insurance coverage for people with disabilities. This April 2014 issue brief from the Kaiser Family Foundation discusses how Medicaid eligibility, enrollment, and benefits are affected by the ACA.

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 Q:   Special Enrollment Periods Explained This IHM-original guide explains the opportunities people have to enroll in health coverage outside of open enrollment periods.

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 Q:   Preventive Health Benefits, What Are Those? Most health plans must cover a set of preventive services like shots and screening tests at no cost to you, even if you haven't met your yearly deductible. This fact sheet from HealthCare.gov lists exactly what those services are and who is eligible for each one, with links to more detailed materials.

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 Q:   How to Check the Status of Your Medicaid Application This fact sheet from Get Covered Illinois explains the process of checking the status of a Medicaid Application submitted through the call center or the ABE website within Illinois.

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 Q:   Creating a HealthCare.gov Account This short set of slides, intended to guide consumers through the process of setting up an account on the Health Insurance Marketplace, shows you what you need to have ready, and the simple steps it takes to create the account.

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 Q:   Getting and Using Health Plan Evidence of Coverage This fact sheet from the National Disability Navigator Resource Collaborative is intended to help Navigators answer specific questions that people with disabilities might ask about getting and using health plans’ Evidence of Coverage documents when purchasers are considering buying health insurance through the Marketplace.

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