HSHS Insurance Plans

Uninsured Americans are now able to use new “Health Insurance Marketplaces” to find insurance that is affordable and meets their unique health care needs.

 

For Illinois Residents

Sign up by visiting www.GetCoveredIllinois.gov or calling 1-866-311-1119.

 

For Wisconsin Residents

Sign up by visiting www.healthcare.gov or calling 1-800-318-2596.

The Insurance Marketplaces will allow people to compare prices and shop for health insurance—online or by phone. The information about each insurance plan will be provided in easy-to-understand language. All insurance plans will have to show the costs and what is covered in simple language with no fine print.

Financial assistance will be available to help many Americans afford quality health coverage.

 

For Illinois Residents

The amount of financial assistance a consumer qualifies for is based on their income and family size. For example, an individual making less than $15,900, and a family of four earning less than $32,500, will qualify for free or low-cost Medicaid coverage. An individual making between $15,900 and $47,000, and a family of four earning between $32,500 and $94,000 will qualify on a sliding scale for financial assistance to help buy private insurance in the Marketplaces. For those who qualify, the average annual tax credit for an individual will be $5,290.

 

For Wisconsin Residents

The amount of financial assistance a consumer qualifies for is based on their income and family size. For example, an individual making less than $11,450, and a family of four earning less than $23,550, will qualify for free or low-cost Medicaid coverage. An individual making between $11,450 and $47,000, and a family of four earning between $23,550 and $94,000 will qualify on a sliding scale for financial assistance to help buy private insurance in the Marketplaces. For those who qualify, the average annual tax credit for an individual will be $5,290.

To determine how much assistance you may qualify for, here is a subsidy calculator from Kaiser Family Foundation.

Please click here for more facts about the Health Insurance Marketplace.

In an effort to keep our patients informed we want to make you aware of why one visit may result in two charges.

Patients have two primary reasons for visiting their provider - a general visit to maintain health (preventive/wellness care), or a specific health concern that needs addressed, such as an illness or injury (problem-related care).

For the convenience of our patients, our providers are happy to care for these two types of needs in one visit as time allows.  However, insurance often views these as two separate items.  You may have additional co-pay and/or your bill may show two charges: one for preventive/wellness care and one for problem-related care.

If you have any additional questions, please contact your insurance company regarding coverage and/or benefits.

• Treatment for a new health problem
• Follow up care for exisiting illness/condition such as diabetes, high blood pressure, high cholesterol, joint pain, sore throat, etc.
• Examples: Review history of new or exisiting problem, exam and/or discussion concerning problem, lab or other test related to new existing problem, prescription for new or existing problems

• Evaluate & maintain your general health
• Regular screening tests
• Evaluate risk of future problems
• Catch a problem early
• Examples: review health history, discussion with provider regarding preventative measures, screening tests (cholesterol test, colonoscopy, prostate screening, pap test)