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      • Through Healthcare.gov, most Illinois residents will qualify for financial help to lower monthly premium costs or reduce cost-sharing. Only Silver plans are eligible for financial help with cost-sharing, and sometimes this financial help makes the cost-sharing on the Silver plans lower than Gold or Platinum plans.
      getcovered.illinois.gov/shop-enroll/choosing-a-healthplan.html
  1. 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

  2. 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.

  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. Customers currently covered in the Health Benefits for Immigrant Adults (HBIA) program have been covered under Fee-for-Service, administered by HFS. As of Jan. 1, 2024, most of those covered under HBIA will move to managed care. Only those with private insurance (TPL) are excluded from managed care.

  5. First, check out HealthCare.gov and see if you qualify for cost assistance or Medicaid based on your projected Modified Adjusted Gross Income (MAGI). You can use the Kaiser Family Foundation’s coverage calculator to figure out if you qualify for assistance and how much your monthly premium will cost before and after assistance.

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  7. 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.