Top 5 Carriers for Medicare Advantage in Illinois

Top 5 Carriers for Medicare Advantage in Illinois

Medicare Advantage plans in Illinois are offered by private companies and include additional benefits beyond Original Medicare. Here are the top 5 carriers providing these plans: UnitedHealthcare: Largest market share (33%) in Illinois with a 4.1 CMS Star Rating....
HIPAA Violations: Illinois Penalty Examples

HIPAA Violations: Illinois Penalty Examples

HIPAA violations in Illinois can lead to severe financial penalties, legal actions, and reputational damage for organizations handling protected health information (PHI). Penalties range from $100 to $50,000 per violation, with annual caps of $1.5 million. Common...
Coinsurance vs. Copay: Managing Costs in Claims

Coinsurance vs. Copay: Managing Costs in Claims

Coinsurance and copays are two important ways health insurance plans split costs between you and your provider, directly affecting your out-of-pocket expenses. Here’s a quick breakdown: Coinsurance: You pay a percentage of medical bills after meeting your...
Understanding Contribution Rules for SHOP Coverage

Understanding Contribution Rules for SHOP Coverage

SHOP (Small Business Health Options Program) helps small businesses provide health and dental insurance to their employees. It’s designed for businesses with 1-50 full-time equivalent (FTE) employees and offers year-round enrollment, tax credits, and plan flexibility....