Health Reform and Media and Policymakers

In order to enroll in CountyCare, an adult must be eligible and enroll in Medicaid for ACA Adults first (ages 19-64 and below 138% FPL). After successful enrollment into Medicaid through ABE or a local DHS office, that individual  will receive a letter with Medicaid health plans options. CountyCare, which started out as a pilot program, could be one of those options, depending on the area where the individual lives. The letter will instruct the individual to call the client enrollment broker to choose a Medicaid Health Plan. If CountyCare is an option for that individual, they may sign up through the client enrollment broker.

Yes, agents and brokers may sell (and receive commission on) Marketplace Qualified Health Plans using either the Marketplace website or individual issuer websites. To do this, they must be licensed in good standing in the state they wish to sell in, and are required to register with the federal Center for Medicare and Medicaid Services (CMS) in order to sell individual plans; CMS also encourages agents and brokers exclusively working in the small group (SHOP) market to register. The commission for the enrollments will be received directly from the issuer – enrollees will pay the same premium if they work with a broker, navigator or on their own. For more information about how agents and brokers can participate in the Illinois Marketplace (and other Federally Facilitated and State Partnership Marketplaces), visit “Resources for Agents and Brokers in the Marketplace” on CMS.gov.