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Central Illinois Health Plan Choices (2017)

Accessible PDFs: Click here if you need an Coventry PDF that is accessible to people with disabilities. If you provide the title or web address (URL) of the document, we will send you an accessible replacement.

Coventry is withdrawing from the Individual health insurance market in Illinois at the end of 2017. We will not offer Individual plans in 2018.  New and existing CoventryOne members will need to shop for a new 2018 plan with a different carrier during the upcoming 2018 open enrollment period beginning on November 1, 2017.



Special Enrollment Period

Thank you for your interest in Coventry individual health benefits products. The 2017 Annual Open Enrollment Period in the individual market ended on January 31, 2017.

If you have a Qualifying Life Event (e.g. marriage, birth, adoption), you may be eligible to enroll through a Special Enrollment Period. For information about Qualifying Life Events you may go to HealthCare.gov. You may also call the Health Insurance Marketplace at 1-800-318-2596 for more information and help applying for coverage through the federal exchange. Note that income-based premium and cost-sharing subsidies are only available with coverage purchased through the Marketplace.

If you are looking for a subsidized plan through the Marketplace, please note that Coventry will not be participating in the Marketplace in 2017. Click here to be connected with an online collaborator who can assist you with Marketplace plans or visit HealthCare.gov. Savings on monthly premiums (through a tax credit or subsidy) is available only with Marketplace plans.

If you have had a Qualifying Life Event and want to apply for Coventry coverage, please follow the instructions below.


Overview of the CoventryOne Health Plan Available in Central Illinois


Explore Our Plan

We want to help you understand your CoventryOne plan choice. Our plan brochure is a good place to start. It shows the details and features of the plan.

(PDF) Plan Brochure Central Illinois Off-Exchange 2017

NOTE: We may not offer products in all counties in state. Please see our rate sheets for a full list of counties in our service area.


Summary Of Benefits and Coverage

You can also compare the plan using a document called the Summary of Benefits and Coverage (SBC). It provides an overview of the medical plan in a standard format, in easy-to-understand language. The SBC document for the plan available in Central Illinois is listed below.

Central Illinois Off-Exchange Plan (Silver)


About The Metallic Levels

Health benefits plans under the Affordable Care Act are assigned a metallic level (Bronze, Silver, Gold). The metallic level is based on how much of the total health care cost the plan pays versus what a member will pay out of pocket.


Metal Level Descriptions

Bronze LevelFor Bronze level plans, the plan will pay about 60 percent of covered health care costs. Bronze plans tend to have lower monthly premiums, but have higher out-of-pocket costs for deductibles, copayments and coinsurance for covered health care services.
Silver LevelFor Silver level plans, the plan will pay about 70 percent of covered health care costs. Silver level plans tend to have higher monthly premiums compared to Bronze plans, but out-of-pocket costs for health care services are lower compared to Bronze plans.
Gold LevelFor Gold level plans, the plan will pay about 80 percent of covered health care costs. Gold level plans tend to have lower out-of-pocket costs for deductibles, copayments and coinsurance for health care services, but have higher monthly premiums.
CatastrophicCatastrophic plans generally have lower monthly payments and recommended preventive services are covered at 100 percent. Catastrophic plans are only available to individuals not yet age 30, or individuals for whom insurance is determined to be unaffordable as evidenced by a hardship exemption
 


Picking the plan that's right for you

It's important to choose a plan that will meet your needs. The information below can help you narrow your choices:

1.Check our online directory to find out if your doctor and pharmacy are in our network.

Find a Doctor

2. Check our online formulary to determine prescription drug coverage.

Formulary Search

3. Review rates for the Central Illlinois health plan. The link below will open a PDF file in which you will find the rate sheets listed by county.

2017 Central Illinois Off Exchange Rate Sheets


Ready To Enroll

1.Download and complete the following application:

2017 Illinois Application Form

2.Mail your completed application to the following address (be sure to include the first months payment with the completed, signed application):

CoventryOne Individual Plans
P.O. Box 31217
Tampa, FL 33631-3217


Coventry Disclaimer

This managed care plan may not cover all of your health care expenses. Read your contract carefully to determine which health care services are covered. To contact the plan if you are a member, call the number on your ID card; all others, call 1-866-364-5663

This material is for information only. Health benefits plans contain exclusions and limitations. Information is believed to be accurate as of the production date; however, it is subject to change.