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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

    • 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...

  2. 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. You may also be eligible for financial help from the federal government to help lower the cost of coverage. Your answers to the information listed above will help determine your eligibility for subsidies/financial help.

  4. Do you qualify for cost-sharing reductions? Check if your income estimate falls in the range for cost-sharing reductions. If it does fall in the range, the amount you'll save on out-of-pocket costs depends on your specific income estimate.

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  6. 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.

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