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  1. Do you have an illness or see the doctor often? If so, what costs are you comfortable paying out-of-pocket? Through Healthcare.gov, most Illinois residents will qualify for financial help to lower monthly premium costs or reduce cost-sharing.

  2. getcovered.illinois.gov › resources › financial-helpFinancial Help - Illinois

    Cost sharing reductions, also known as healthcare discounts, is financial help applied automatically when you go to the doctor or fill a prescription. They will also lower your: Out-of-pocket maximum; Deductible; Copays for seeing a doctor; Copays for drugs; Coinsurance for hospitalization

  3. Cost sharing reductions, also known as healthcare discounts, is financial help applied automatically when you go to the doctor or fill a prescription. They will also lower your: Out-of-pocket maximum. Deductible. Copays for seeing a doctor. Copays for drugs. Coinsurance for hospitalization.

  4. How do I qualify for financial assistance (also known as subsidies) through the ACA Marketplace? On the Marketplace, premiums are dependent on household income. On Marketplace coverage individuals may be eligible for financial help based on their income.

    • Applying For Extra Help
    • Extra Help Benefits For People Who Have to Apply
    • Eligibility For Extra Help

    If you are not automatically eligible, you must apply. You may apply: 1. Through a Social Security Administration office 2. Through an Illinois Department of Human Services (DHS) office, or 3. Online. There is an advantage to applying through DHS. You can ask DHS to review your eligibility for Medicaid or other programs that help you pay other Medi...

    There are different levels of Extra Help available. They depend on your income and assets. People with a lower income and fewer assets get more help with their Medicare drug plan costs. Learn more about the benefits of both Full Extra Help and Partial Extra Help. Nobody receiving Extra Help has to worry about the donut hole. Income and asset limits...

    By law, SSA is required to review a beneficiary's eligibility for Extra Help periodically. When it is time for your review, the SSA will send you a form called "Social Security Review of Your Eligibility for Extra Help" or the SSA-2016 form. You have 30 days to complete and return this form. Any changes to your Extra Help will start in January of t...

  5. Eligibility for financial help, such as premium tax credits and cost-sharing reductions, is based on criteria including: your household size, income, whether you have access to affordable comprehensive coverage through another source (for example, Medicaid or an employer), and the cost of Marketplace coverage for your family.

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  7. All plans will cover Essential Health Benefits such as preventive care, doctor visit prescription drugs, maternity care, emergency services, hospital stays and more. Consumers may qualify for financial help