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Individuals &
Families

More than 1.5 million people in Illinois who were uninsured in 2013 are now are guaranteed access to affordable, quality health insurance coverage. This includes people with special healthcare needs and pre-existing conditions, low-income childless adults, seniors, young adults and self-employed individuals. As of 2010, all Illinois residents are protected by a “Patient’s Bill of Rights,” which puts an end to some of the most extreme health insurance abuses and put consumers in greater control of their health care.

Consumers now need to understand how to navigate the healthcare system and the new health insurance marketplace in order to access coverage, and make use of the healthcare protections and benefits now available. We provide the information necessary to make that connection.

Some key resources:

 


 

YOUR QUESTIONS ANSWERED

 

 Q:   Why am I receiving letters saying I have to choose a plan and a primary care physician?

 A:     Illinois state law requires that 50% of Medicaid beneficiaries are enrolled into coordinated care by 2015. This means that a managed care organization (health insurance company) or provider group will be coordinating your physical and behavioral healthcare. A primary care physician will refer you to appropriate services and will typically be the first person you go to for healthcare. If you plan to enroll and have received letters in the mail you should go to http://enrollhfs.illinois.gov/ or call the client enrollment broker at 1-877-912-8880 to pick a plan. If you want to learn more about coordinated care in Illinois please visit our Medicaid Care Coordination section.

More questions answered


Do you have questions about issues like how health care reform impacts people with disabilities or children with pre-existing conditions? Learn from the experiences of others—or, submit your question here.

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Individual & Family Resources

 

How to Find the Right Doctor

Now that you have new health insurance, it is time to choose a doctor to help you get the most of your benefits. Be Covered helps explain multiple factors to make an effective healthcare provider choice in this tip sheet.

Take Advantage of Preventive Care Services

New health insurance covers many preventive health services for your family. Preventive check-ups and screenings can help end illnesses and medical problems early — and improve the health of you and everyone in your family. Be Covered Illinois provides information on what preventive screenings you can access with no out-of-pocket costs even before you meet your deductible.

7 Things to Know About Reporting a Life Change

Once you have Marketplace coverage, it’s important to report life changes. This information may change the coverage or savings you’re eligible for. It’s important to report life changes to the Marketplace right away. This July 2014 fact sheet from HealthCare.gov gives you all the details.


More resources

 

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