When I buy my individual or small group policy, including through Illinois' health insurance marketplace, will applied behavior analysis (ABA) be covered?
Yes. Insurers that offer new coverage to individuals and small businesses are expected to cover ABA beginning in 2014. Illinois imposes a $36,000 dollar cap on the amount of ABA that must be provided each year. Because the ACA prohibits annual dollar limits on essential health benefits, insurers may be able to convert these into non-dollar limits (such as a cap on the number of sessions of applied behavior analysis each year).
Where can I learn more about Illinois' health insurance marketplace?
The federal government iis managing the Illinois marketplace through healthcare.gov. Learn more here.
Did Illinois choose to expand its Medicaid program?
Yes. Illinois will expand its Medicaid program in 2014 to cover households with incomes up to 133 percent of the federal poverty level. That works out to about $15,800 a year for individuals or $32,500 for a family of four. Learn more here about your options.