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Affordable Health Insurance Is Here

The new law

The Affordable Care Act (ACA) requires everyone legally living in the U.S. to have health insurance beginning Jan. 1, 2014, or pay a tax penalty.
If you do not have health insurance, you need to sign up during open enrollment, which ends March 31, 2014. You can shop for plans by phone, through a broker, at on-site enrollment locations, or at the online Health Insurance Marketplace, where you can easily compare benefits and costs. If you choose not to enroll for insurance, the law states that you will face tax penalties. Help is available from Loyola University Health System and others in your community.

How to enroll

If you don’t have health insurance, there are several ways to sign up and learn about your options:
•    Online: Shop for coverage at GetCoveredIllinois.gov.
•    On the phone: You may call Loyola counselors at our Affordable Care Act information line, (800) 424-6309.
•    In person: You can meet with an expert in your community. Visit GetCoveredIllinois.gov/events or call (708) 240-4435.

Many options

The ACA gives millions of individuals with too little or no insurance access to health plans at different cost levels. The law also provides financial assistance to those who qualify based on family size and income. You can shop at a new online Health Insurance Marketplace, also known as a health insurance exchange, to find a plan that fits your budget and coverage needs. We’re here to help you learn about the law and how to select the right plan for you and your family. 

What will the plans cover?

Coverage will include doctor visits, hospital stays, wellness care, prescriptions, emergency services, maternal and newborn care, pediatric care and more. In fact, Ten Essential Health Benefits must be covered in every plan and certain Preventive Care services will be provided at no additional cost to patients. Also, patients cannot be turned away due to pre-existing conditions, as has been the case in the past.  

Financial assistance calculator

Starting in 2014, a large number of people will qualify for financial help to pay for insurance. For example, an individual earning up to $45,900 a year, or a family of four earning up to $94,200 a year, will qualify for a reduction of their monthly premiums, or a tax credit at the end of the year. This subsidy calculator and chart will give you a good idea of how much assistance will be available. Once you apply at the Health Insurance Marketplace, you will find out the exact amount of financial assistance for which you may be qualified.

The Health Insurance Marketplace

The Health Insurance Marketplace is available online, by phone, or through an approved insurance broker. You will be able to choose between different levels of health care plans, from a variety of approved insurance providers. Each will have different amounts of coverage and different monthly premiums. Only one simple application will be required.

The Health Insurance Marketplace is available online, by phone, or through an approved insurance broker. You will be able to choose between different levels of health care plans, from a variety of approved insurance providers. Each will have different amounts of coverage and different monthly premiums. Only one simple application is required.

When you compare plans, you will be able to see which hospitals are included in each. By choosing a plan that allows you to get care from Loyola physicians and hospitals, you will have the peace of mind that comes with choosing health care you know and trust. Loyola is affiliated with several plans offered through the insurance marketplace, including:

  • Land of Lincoln.
  • Blue Cross PPO.
  • Blue Cross Choice.
  • Blue Precision.
  • Humana Choice POS
  • Humana Chicago HMOx

 If you have additional questions, send us an email (LUMCHIXInfo@lumc.edu) or call us at (800) 424-6309.

Resources

  • GetCoveredIllinois.gov. This is the health insurance marketplace site for Illinois, where you can shop and sign up for insurance.
  • GetCoveredIllinois hotline, (888) 809-2796. This help desk answers questions about signing up and shopping for insurance in Illinois and Medicaid.
  • Healthcare.gov. This is the federal government website links to the health insurance exchanges offered across the country.
  • Loyola University Health System help desk, (800) 424-6309. Counselors will answer questions about signing up and shopping for insurance.
  • Cost and financial aid calculator.

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