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.
2023 Plan information
2023 Individual/family plan summaries of benefits and coverage: Illinois
Gold
- 2023 Individual/family booklet
- 2023 Formulary
- 2023 Certificate of Coverage
- 2023 Claims payment policies and other information
2022 Plan information
2022 Individual/family plan summaries of benefits and coverage: Illinois
Gold
- Gold Option A 54322IL0090001-00—54322IL0090001-01
- Gold Option B 54322IL0090002-00—54322IL0090002-01
- Gold Option C 54322IL0090003-00—54322IL0090003-01
Silver
- Silver Option A 54322IL0090004-00—54322IL0090004-01
- Silver Option B 54322IL0090005-00—54322IL0090005-01
- Silver Option C IL INDV 54322IL0090006-00—54322IL0090006-01
Bronze
Summaries of benefits and coverage: Only available on Exchange
Gold
- Gold Option A Limited Cost Sharing Plan 54322IL0090001-03
- Gold Option B Limited Cost Sharing Plan 54322IL0090002-03
- Gold Option C Limited Cost Sharing Plan 54322IL0090003-03
Silver
- Silver Option A Limited Cost Sharing Plan 54322IL0090004-03
- Silver Option B Limited Cost Sharing Plan 54322IL0090005-03
- Silver Option C Limited Cost Sharing Plan 54322IL0090006-03
Bronze
Summaries of benefits and coverage: Only available on Exchange
Gold
- Gold Option A Zero Cost Sharing Plan 54322IL0090001-02
- Gold Option B Zero Cost Sharing Plan 54322IL0090002-02
- Gold Option C Zero Cost Sharing Plan 54322IL0090003-02
Silver
- Silver Option A Zero Cost Sharing Plan 54322IL0090004-02
- Silver Option B Zero Cost Sharing Plan 54322IL0090005-02
- Silver Option C Zero Cost Sharing Plan 54322IL0090006-02
Bronze
Additional documents
Voluntary discontinuation of coverage (fillable)
MercyCare HMO Network (health maintenance organization)
Our HMO network includes Mercyhealth providers and contracted providers. Please see map for details.
- Contracted providers: MercyCare contracts with Fort Healthcare, Watertown Regional Medical Center and others to provide healthcare to our members.