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. 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.


YOUR QUESTIONS ANSWERED

 Q:   I underestimated my 2014 income for premium tax credits. I'm not able to pay the IRS back by April 15. Will I have an additional penalty?

 A:   No.  You will not have to pay a fine if you don't already owe the IRS money and report the amount of premium tax credits owed in your 2014 tax return.You can file for an extension to pay back the IRS. This release from the IRS explains who will be waived from the penalty and this article from Forbes clarifies the information.

 Q:   Can people with SHOP coverage delay Medicare Part B enrollment without the penalty?

 A:   Yes. A person with SHOP coverage is the viewed the same as a person with an employer group health plan. The same enrollment rules apply. People must enroll in Medicare Part B within 8 months of retirement or their SHOP coverage ending, whatever comes first. This question and answer from Healthcare.gov addresses concerns Medicare beneficiaries may have about the marketplace.

More questions answered - Ask your own question


RESOURCES FOR YOU

Roundup of OE2 Q’s

The Georgetown University Centers For Children and Families and Health Insurance Reforms compiled a list of common questions raised during the second open enrollment period. The February 2015 FAQ covers tax-filing issues, counting household income and employer coverage.

Different Tax Docs

State refor(u)m updated this chart in February 2015 to outline the new forms tax-filers must fill out because of the ACA. The chart identifies the purpose of the forms and who are required to complete them.

Appealing a Denied Insurance Claim

The Wall Street Journal explains how to file an appeal if an insurer refuses to pay for treatments or medication.

Income Rules for Medicaid and the Marketplace

This October 2014 question and answer from the Center on Policy and Budget Priorities discusses the new income measure called MAGI. The measure determines eligibility for marketplace tax credits and Medicaid.


More resources