Shawnee Health Service wants to help you Get Covered!
Shawnee Health Service Navigators are available at the locations listed below.
Our ACA Navigators can help you go through the online system as well as answer questions you might have about the Marketplace. While on-line you will be able to compare insurance options and find out if you might be eligible, based on your income, for financial assistance to lower your costs.
ACA Navigators can help you understand things like Essential Health Benefits and how these will help improve your health. Navigators are available during clinic hours and special event times. You do not need to be a patient of Shawnee Health Service to receive assistance at no cost!
|Household Size||You are Eligible for an Illinois Medical Card if your Monthly Household Income is less than:||You are Eligible for an Illinois Medical Card if your Annual Household Income is less than:|
|1||$ 1,366||$ 16,394|
|2||$ 1,842||$ 22,108|
|3||$ 2,318||$ 27,821|
|4||$ 2,795||$ 33,534|
|5||$ 3,271||$ 39,247|
|6||$ 3,747||$ 44,960|
Medicaid applications can be submitted at any time.
Shawnee Health Care
AGING AND DISABILITY RESOURCE CENTERS:
Shawnee Alliance, Carterville – (618) 985-8322
The Place-University Mall, Carbondale – (618) 457-5200, ext. 67832
We help with enrolling in Moms & Babies Medicaid
|Moms & Babies:||Income up to:
$2828 / month for 2
$3566 / month for 3
Birth to 18 Years
|All Kids:||Income up to:
$4221 / month for 2
$5324 / month for 3
19 to 64 Years
|Medicaid:||Income up to:
$1354 / month for 1
$1832 / month for 2
Seniors and Disabled:
65+ Years or anyone on Medicare
Medicare Drug Plans:
Programs to Help with Medicare Costs:
Income up to:
Minimum Essential Coverage
This is the type of coverage an individual needs to have to meet the individual responsibility requirement under the Affordable Care Act. This includes commercial insurance policies, job-based coverage, Medicare, Medicaid, CHIP, TRICARE and certain other coverage. Since January 2014, individuals that do not maintain Minimum Essential Coverage could be subject to a fine.
Financial Assistance through Healthcare.gov
Private insurance plans can be purchased through the federal marketplace. There are 2 types of financial assistance available to those who qualify.
- Individuals and families whose incomes are at or below 400% of the Federal Poverty Level (FPL) ($47,080/Individual, $97,000/Family of 4) can receive financial assistance on the Federal Marketplace. This financial assistance is known as Premium Tax Credits and can be redeemed either at tax filing or taken in advance to assist with the cost of monthly insurance premiums.
- Individuals and families whose incomes are at or below 250% FPL ($29,425/Individual, $60,625/Family of 4) can receive additional financial assistance known as Cost-Sharing Assistance. Cost-Sharing Assistance provides financial assistance in the form of lower out-of-pocket costs; such as lower deductibles and annual out-of-pocket maximums.
10 Essential Health Benefits
The Affordable Care Act ensures health plans offered in the individual and small group markets, both inside and outside of the Health Insurance Marketplace, offer a comprehensive package of items and services, known as essential health benefits.
- Ambulatory patient services
- Emergency services
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services, including oral and vision care