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  3. Affordable Care Act

Affordable Care Act 

Illinois Healthcare Reform under the Affordable Care Act

As part of the Affordable Care Act (ACA), uninsured Illinoisans have new options for health coverage either through the state’s Medicaid program or through the new Illinois Health Insurance Marketplace (the Marketplace). These options make it more affordable to get health coverage and meet the federal requirement that all individuals have health coverage.

The next open enrollment period for the Federal Health Insurance Marketplace is November 15, 2014 – February 15, 2015.  If you are uninsured or are currently enrolled in a Marketplace plan, Open Enrollment is the time to explore your options to decide on a health plan for 2015.  For more information on applying for health coverage in Illinois, renewing your Marketplace plan and to find out what health care option may be right for you, visit GetCoveredIllinois.gov.

GetCoveredIllinois The Official Health Marketplace

Affordable Care Act Enrollment Data

Monthly data on the number of clients who enrolled in Illinois Medicaid as a result of the ACA eligibility expansion.

Illinois Expands Medicaid

Now, thanks to the ACA and IL Public Act 98-104 (pdf), more adults are eligible for Medicaid in Illinois and the public is able to apply for Medicaid through a new, online application called the Application for Benefits Eligibility (ABE).

Today, all Illinois residents between 19 and 64 years of age, who are U.S. citizens or who have legal status, and who have monthly income less than $1,342 for an individual or $1,809 for a couple, are eligible for Medicaid through the “ACA Adult” category. This means Illinois Medicaid now provides health coverage for low income individuals who are seniors, persons with disabilities, parents/caretakers of dependent children, “ACA adults,” pregnant women and children (under the All Kids program).

ABE – Application for Benefits Eligibility

Illinois now has a  multi-benefit, web-based application system known as the Application for Benefits Eligibility (ABE). Through ABE, applicants can apply online for Medicaid, SNAP and Cash Assistance. ABE replaced the DHS web application and the All Kids Online Application. HFS has developed a Guide as an introduction to the new web portal. For community partners, including Illinois Assisters, there is a separate Guide that has the basic information on completing an application as well as instructions on how to register in ABE as a community partner.

Healthcare Reform Implementation Efforts in Illinois

Alert Regarding Health Insurance Marketplace Precautions

Illinois Health Insurance Marketplace

For those who are uninsured and do not qualify for Medicaid, the Illinois Health Insurance Marketplace (The Marketplace) is an online shopping website where you can compare health insurance plans side-by-side, and receive financial help from the government to help pay insurance costs. The next Open Enrollment Period for the Marketplace will be November 15, 2014 – February 15, 2015. After that date, only people who qualify for a Special Enrollment Period will be able to buy coverage. To see if you qualify to buy coverage on the Marketplace, or to find out more about the Federal Health Insurance Marketplace in Illinois, go to www.getcoveredillinois.gov

To learn more about the Affordable Care Act and the Health Insurance Marketplace, check out the following:

Long Term Care