Annual Illinois Health Insurance Market Update
The following contains information for our NAHP Alternative Health Plan Solutions and ACA/Obamacare plans for individuals and small businesses in the state of Illinois.
Illinois Alternative Health Plan Solutions Updates
IMPORTANT NOTE: All non-ACA/Obamacare alternative plans are available year-round. For both individuals and small groups. There is NO limited (open enrollment) period for these options.
Individual Alternative Plans
For those who don’t qualify for a tax credit subsidy to help pay for an ACA/Obamacare plan, we have a solid “health insurance buffet” of alternative plans in Illinois.
Our Primary Fixed Benefit lineup has improved. We now offer the following:
Manhattan Life – Their newest and best fixed benefit plan - Affordable Choice Enhanced Fixed Benefit Plan.
Philadelphia American – Their newest and best fixed benefit plan – Health Saver Plus Gold
As noted on our Illinois state page, our other Primary plan option - Short Term Medical (STM) plans are limited by state law to duration's of no more than 180 days per policy. Because of this we aren’t recommending that they be used in our alternative plan packages at this time. However, we do offer the following STM plan companies:
National General – Includes their best, updated STM plans with multiple deductible/coinsurance options. Includes the Aetna nationwide PPO networks.
IHC Group - Includes their best, updated STM plans with multiple deductible/coinsurance options.
United Healthcare – Also offers multiple STM plans.
Pivot Health – Includes their Classic STM plans that have unique “No Network” plans.
Our Supplemental Plan lineup has also expanded and improved:
REMINDER NOTE: All these supplemental plans pay in addition to ANY other coverage you have. So, they are NOT just for our alternative “buffet” plans. They can reduce/eliminate out of pocket costs (plus provide additional cash for bills and other costs) of ANY primary health plan (group, individual, Medicare, etc.)
Accident Plans – In addition to accident supplemental plans from all our Primary plan companies (above), we offer separate LifeSecure Accident plans.
Critical Illness Plans – Again, along with plans from all our Primary plan companies, we offer separate LifeSecure Critical Illness plans. NEW! From Manhattan Life we have a unique critical illness plan called Manhattan Life Critical Protection & Recovery Plans
Accident + Critical Illness Plans - NEW! We have a new plan from the IHC Group called Metal Gap 2. This is a guaranteed issue product that offers $2,500 to $10,000 of both Accident and Critical Illness coverage.
Cancer and Dread Disease Treatment – This is my favorite addition to our supplemental plans. Manhattan Life Cancer Care Plus Cancer and Dread Disease treatment plans. For those who choose one of Philadelphia American’s Fixed Benefit plans, their new Specified Disease plan is the preferred option for getting maximum coverage for Cancer and other Dread Diseases.
First Day Hospital Stay Protection – Along with plans from most of our Primary plan companies, Manhattan Life Out of Pocket Protection Plan is my favorite to include with whatever primary health plan YOU have. That includes employer group plans, Medicare, etc. NEW! We have a new plan from the IHC Group called Independence Hospital Insurance. This plan is a little more expensive than the Manhattan Life base plan but includes outpatient surgery coverage in addition to inpatient hospital coverage.
Hospitalization Buy-Up - NEW! We have a new plan from Enrollment First. When paired with their SelectMed Pro or Max plans (see below), this plan provides an extra $50,000 or $100,000 of inpatient hospital coverage. This can be a great addition to a Fixed Benefit plan as your primary coverage to provide extra protection for hospitalization.
Preventive Care Plus Plans – For those who want the MOST comprehensive coverage for preventive care plus other outpatient services, we offer the Enrollment First SelectMed plans.
Prescription Drug Plans For anyone who needs extra coverage for high cost prescriptions, we offer the SHA SCRIPTS program that includes their SHARx prescription drug plan. This plan works with our alternative plans and any employer plan with a high deductible for non-preferred brand and specialty prescriptions.
More information on all plans above can be found on each company’s page on our website and on our US Supplemental Coverage page.
NOTE: You can also combine one of the above Fixed Benefit plans OR STM plans together with Accident, Critical Illness, Cancer Treatment, Hospital Indemnity and Preventive Care (Plus) plans and create a comprehensive plan that will still be at least 15-20% LESS than a high deductible ACA/Obamacare plan!
Small Group Alternative Plans
In addition to the three companies we already have (National General, Allied National and Trustmark), we have added three new companies that offer as many as seven different plan administrators that provide cost-saving, level funded alternative group health plans. Level funded plans can be a BETTER option for many businesses than the “one size fits all” ACA/Obamacare small group health insurance plans.
If you own, or work for a business with 5 to 50 employees covered on a “traditional,” fully insured group health plan, and believe the covered group members to be reasonably healthy overall, then it might be time for your company to explore a level funded plan.
To get quotes on a level funded group health plan, please schedule a call with us to review your situation. We will also need you to fill out our Group Census spreadsheet and email it to: email@example.com.
Illinois 2021 ACA/Obamacare Health Insurance Market Updates
The following are some of the biggest updates/changes in the ACA/Obamacare individual market in Illinois.
Ambetter will also begin offering an off-exchange product portfolio specifically designed for your clients who do not qualify for a tax credit subsidy.
NOTE: For the first time in 2021 we are now appointed to write Ambetter plans in ALL states where we are licensed and they offer plans. Including Illinois!
Bright Health Plan will expand into DuPage County and add individual and family plans.
Cigna is introducing a second network option, Cigna Plus, partnered with Northwestern Medicine and available in Cook, Kane, DuPage, Lake and McHenry counties.
Small Group Plans
As with many states there is not much “new” to report with ACA/Obamacare small group plans in Illinois.
As noted in our Federal Market Update and in the rates changes below, ACA/Obamacare small group plans had mostly relatively small rate increases or decreases with one exception of rate increases over 10%.
Illinois 2021 ACA/Obamacare Rate review:
Illinois individual plan approved rate filings are as follows:
- Ambetter (Celtic) - Received an average increase of 2.45% varying by plan and network
- Blue Cross Blue Shield of IL – Received an average decrease of 0.12% varying by plan and network
- Cigna - Received an average increase of 0.89% varying by plan
- Health Alliance Medical - – Received an average increase of 0.63%varying by plan and network
- Quartz Health Plans - Received an average decrease of 10.05% varying by plan
Illinois small group market approved rate filings look like this:
- Aetna - Received an average increaseincrease range of 5.21% to 8.94% varying by plan and network
- Blue Cross Blue Shield of IL – Received an average increase of 4.31% varying by plan and network
- Health Alliance Medical - – Received an average increase of 1.27% varying by plan and network
- Humana - Received an average increase range of 6.94% to 7.58% varying by plan and network
- Medical Associates Health Plans – Received an average increase of 10.55% varying by plan and network
- MercyCare HMO - Received an average increase of 0.75% varying by plan and network
- United Healthcare - Received an averageincrease range of 8.53% to 8.73%varying by plan and network
- Quartz Health Plans - Received an average decrease of 6.58% varying by plan
US Healthcare Resources and Shopping Services
I invite you to go to my US Healthcare Resources page and spend some time going through all of the different tools, services and providers that are available to help you become a better health care consumer. I believe these resources can help you lower your overall health care costs no matter what primary health insurance you have.
U.S. Insurance Solutions is here to help
Remember, you are NOT in this alone…I am here to help! As your Personal Health Insurance Advisor, my goal is to make your life easier by taking the hassle out of finding the right health plan for your situation and needs.
To discuss your health insurance options and make sure you have the best possible health plan for your situation, please go to the link above with the image that says CALL ME and schedule a call with me on a day and time that works for you, and I will call you to review your options.