If you have insurance through your employer, you will fair better financially since they pay a portion of your premium than if you purchase a plan independently. But if you have no insurance, here’s some of the important things to consider when reviewing the insurance plans offered at the marketplace:
1. Are your physicians and hospitals in-network for the specific plan you are interested in?
2 . Will you be eligible for any subsidy?
3. Are the prescription medications you are on covered?
There are 4 main levels of plans and offer essential benefits but each will have a different level of coverage and out of pocket expenses. There is also a catastrophic plan available to those under 30 years of age or who have financial hardship. Here’s the breakdown on the 4 main plans:
- Platinum will cover about 90% of costs.
- Gold will cover about 80%.
- Silver will cover about 70%.
- Bronze will cover about 60%.
Things you need to have available when applying are:
1. employer information
2 . income information
3. social security number
4 . any current health insurance plan information
5. completed employer coverage tool form which can be downloaded at https://www.healthcare.gov/downloads/MarketplaceApp_Checklist_Generic.pdf
We recommend that you shop for insurance through a government website. To shop online, visit http://www.healthcare.gov (English and Spanish are available) or call 1-800-318-2596. Hearing impaired patients using TTY/TDD technology should call 855-889-4325.
To find in-person counseling, please visit: http://www2.illinois.gov/gov/healthcarereform/Pages/Assisters.aspx
Another site if you live in Dupage County is http://www.enrolldupage.org/
If you prefer to use an insurance broker, we suggest:James C. Pusateri
1501 East Woodfield Road
Schaumburg, Illinois 60173