More than 1.5 million people in Illinois who were uninsured in 2013 are now are guaranteed access to affordable, quality health insurance coverage. Consumers now need to understand how to navigate the healthcare system and the new health insurance marketplace in order to access coverage, and make use of the healthcare protections and benefits now available.
YOUR QUESTIONS ANSWERED
No. You will not have to pay a fine if you don’t already owe the IRS money and report the amount of premium tax credits owed in your 2014 tax return.You can file for an extension to pay back the IRS. This release from the IRS explains who will be waived from the penalty and this article from Forbes clarifies the information.
Yes. A person with SHOP coverage is the viewed the same as a person with an employer group health plan. The same enrollment rules apply. People must enroll in Medicare Part B within 8 months of retirement or their SHOP coverage ending, whatever comes first. This question and answer from Healthcare.gov addresses concerns Medicare beneficiaries may have about the marketplace.
RESOURCES FOR YOU
Prescription Assistance Programs
Prescription assistance programs help consumers reduce drug prices or find the best price for medications. This is a list of programs available to consumers. None of these programs are endorsed by Illinois Health Matters or Health & Disability Advocates.
Managed Long Term Services and Supports
Starting July, 2016 managed care organizations will be responsible for coordinating long-term services and supports for people who live in a nursing facility or receive home and community-based services through a Medicaid waiver program. This April 2016 fact sheet from Health & Disability Advocates informs consumers about the change.
Starting August 2016, hospitals are required to let people know if they are an outpatient on observation status. This April 2016 fact sheet from Health & Disability Advocates prepares patients for the changes.
Get the latest with this April 2016 brief from Health & Disability Advocates.