Silver
- Silver Option A Limited Cost Share 54322IL0090004-03
- Silver Standard Limited Cost Share 54322IL0090011-03
- Silver HDHP Limited Cost Share 54322IL0090006-03
Must reside in Boone or Winnebago Counties to be eligible.
Gold
Silver
Bronze
Summaries of benefits and coverage: Only available on Exchange
Gold
Silver
Bronze
Summaries of benefits and coverage: Only available on Exchange
Gold
Silver
Bronze
2022 individual/family booklet
2022 Certificate of Coverage: HSA
2022 Certificate of Coverage: Non HSA
2022 claims payment policies and other information
Gold
Silver
Bronze
Summaries of benefits and coverage: Only available on Exchange
Gold
Silver
Bronze
Summaries of benefits and coverage: Only available on Exchange
Gold
Silver
Bronze
2021 individual/family booklet
2021 claims payment policies and other information
2021 Illinois individual/family enrollment application (fillable)
Voluntary discontinuation of coverage (fillable)
Our HMO network includes Mercyhealth providers and contracted providers. Please see map for details.