Health Care Benefits: Illinois

Federal law and guidance on this subject should be reviewed together with this section.

Author: Jayne Zanglein, Western Carolina University

Summary

• Illinois chose to establish a state-federal partnership Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Same-sex marriage is legal nationwide. Illinois also recognizes civil unions. See Same-Sex Partner Benefits.
• Illinois mandates apply to group health insurance plans and health maintenance organizations (HMOs), for employers covering more than two employees. See Scope of Mandates.
• Group health plans that allow dependents to enroll must also include coverage for newborn and adopted children. See Dependent Coverage.
• Group health plans must provide basic health care for children. See Basic Health Care Services - Children.
• Group health plans must cover certain women's health benefits. See Women's Health Care Benefits.
• Group health plans must cover prostate cancer screening for men. See Prostate Cancer Screening.
• Group health plans must cover annual skin cancer screenings. See Skin Cancer Screening.
• Group health plans must cover pancreatic cancer screenings. See Pancreatic Cancer Screening.
• Group health plans must cover colonoscopies. See Colonoscopy Coverage.
• Group health plans must provide mental health benefits and parity. See Mental Health Benefits and Parity.
• Group health plans must provide coverage for diabetes. See Diabetes-Related Services and Supplies.
• Group health plans must provide coverage for certain specified health providers. See Coverage for Specified Providers.
• An employer must comply with certain notice and disclosure requirements. See Notice and Disclosure Requirements.