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. Illinois imposes a $36,000 dollar cap on the amount of ABA that must be provided each year by state-regulated health plans. The ACA, however, prohibits annual dollar limits on essential health benefits, and under federal Mental Health Parity law insurers in Illinois are further prohibited from converting the state dollar caps into limits on visits, such as 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 expanded its Medicaid program to cover households with incomes up to 133 percent of the federal poverty level. For 2015, that works out to about $16,105 a year for individuals or $32,913 for a family of four. Learn more here about your options.