Illinois Marketplace Health Insurance: 2026 Plans and In-Network Doctors

7 insurers sell 96 medical plans through Get Covered Illinois in Illinois for 2026, and 36 dental plans are also available. Blue Cross and Blue Shield of Illinois offers the most, 31 plans. Oscar Health has the largest network, with 27,038 Illinois doctors, practices and hospitals. Individual deductibles run from $0 to $10,600, and 2 insurers offer $0-deductible plans.

7 insurers 96 medical plans Deductibles $0 to $10,600 47,834 doctors and facilities in a network

Source: CMS Marketplace plan files for plan year 2026 and insurer provider directories. Updated November 8, 2026.

NPI Profile does not sell insurance or enroll anyone in a plan. This free tool uses public files from CMS and insurers to help you compare plans and check whether your doctor is in a plan's network.

Are your doctors in these plans?

Add up to 3 doctors and every plan below shows whether they are in network.

All 96 plans

Monthly premiums are not shown: they depend on your age, county, household size and income. Get Covered Illinois lists them for your household.

Deductible: what you pay for covered care before the plan starts to pay. Out-of-pocket max: the most you pay in a year for covered in-network care. After that, the plan pays 100%.
UnitedHealthcare

UHC Gold Copay Focus

GoldHMO
Deductible$0$0 family
Out-of-pocket max$7,000$14,000 family
Having a baby$1,960CMS example
No Referrals
Plan ID 42529IL0070027Sold in 31 Illinois counties45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Copay Focus

SilverHMO
Deductible$0$0 family
Out-of-pocket max$10,400$20,800 family
Having a baby$3,460CMS example
No Referrals
Plan ID 42529IL0070013Sold in 31 Illinois counties30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Copay Focus+

SilverHMO
Deductible$0$0 family
Out-of-pocket max$10,400$20,800 family
Having a baby$3,460CMS example
Dental + Vision, No Referrals
Plan ID 42529IL0080007Sold in 31 Illinois counties30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Oscar Health

Bronze Elite + PCP Saver Plus Rx

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$4,200CMS example
Choice
Plan ID 11574IL0010055Sold in 5 Illinois counties50% coinsuranceReferral needed for specialists
Network: Individual Illinois Choice
Details
Oscar Health

Bronze Elite + PCP Saver Plus Rx

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$4,200CMS example
Select
Plan ID 11574IL0020055Sold in Cook County50% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
UnitedHealthcare

UHC Bronze Copay Focus

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,660CMS example
No Referrals
Plan ID 42529IL0070023Sold in 31 Illinois counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Copay Focus+

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,660CMS example
Dental + Vision, No Referrals
Plan ID 42529IL0080006Sold in 31 Illinois counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Gold 910

GoldPOS
Deductible$250$500 family
Out-of-pocket max$7,000$14,000 family
Having a baby$5,210CMS example
Plan ID 36096IL1380004Sold in 5 Illinois counties40% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
Deductible$500$1,000 family
Out-of-pocket max$9,500$19,000 family
Having a baby$5,600CMS example
Select
Plan ID 11574IL0020030Sold in Cook County50% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
Cigna Healthcare

Connect myHeartCare Gold

GoldHMO
Deductible$750$1,500 family
Out-of-pocket max$9,950$19,900 family
Having a baby$3,220CMS example
Plan ID 53882IL0040052Sold in 7 Illinois counties20% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Gold HMO 207

GoldHMO
Deductible$750$1,500 family
Out-of-pocket max$10,150$20,300 family
Having a baby$3,510CMS example
Plan ID 36096IL0810080Sold in 18 Illinois counties30% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Ambetter Health

Everyday Gold

GoldHMO
Deductible$800$1,600 family
Out-of-pocket max$7,250$14,500 family
Having a baby$4,160CMS example
Plan ID 27833IL0140064Sold in 25 Illinois counties35% coinsuranceNo referral needed
Network: Premier
Details
Deductible$800$1,600 family
Out-of-pocket max$7,250$14,500 family
Having a baby$4,160CMS example
Plan ID 27833IL0150059Sold in 25 Illinois counties35% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Central Gold

GoldHMO
Deductible$1,000$2,000 family
Out-of-pocket max$5,500$11,000 family
Having a baby$4,700CMS example
Plan ID 27833IL0140071Sold in 25 Illinois counties40% coinsuranceNo referral needed
Network: Premier
Details
Deductible$1,000$2,000 family
Out-of-pocket max$5,500$11,000 family
Having a baby$4,700CMS example
Plan ID 27833IL0150071Sold in 25 Illinois counties40% coinsuranceNo referral needed
Network: Premier
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Gold 909

GoldPOS
Deductible$1,000$2,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$4,860CMS example
Plan ID 36096IL1380007Sold in 5 Illinois counties30% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Gold PPO 204

GoldPPO
Deductible$1,200$2,400 family
Out-of-pocket max$10,600$21,200 family
Having a baby$4,580CMS example
Plan ID 36096IL0990122Sold statewide30% coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Deductible$1,500$3,000 family
Out-of-pocket max$7,800$15,600 family
Having a baby$3,770CMS example
Plan ID 53882IL0040061Sold in 7 Illinois counties20% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Bronze 912

Expanded BronzePOSHSA
Deductible$1,500$3,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,560CMS example
Plan ID 36096IL1380005Sold in 5 Illinois counties50% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Silver PPO 203

SilverPPO
Deductible$1,500$3,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$6,870CMS example
Plan ID 36096IL0990123Sold statewide50% coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Gold HMO 703

GoldHMO
Deductible$1,600$3,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$4,060CMS example
Plan ID 36096IL0810121Sold in 18 Illinois counties30% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Molina Healthcare

Molina Core Gold 1640

GoldHMO
Deductible$1,640$3,280 family
Out-of-pocket max$8,100$16,200 family
Having a baby$4,400CMS example
Plan ID 32355IL0010001Sold in 5 Illinois counties25% coinsuranceNo referral needed
Network: Molina Marketplace
Details
Deductible$1,640$3,280 family
Out-of-pocket max$8,100$16,200 family
Having a baby$4,400CMS example
Plan ID 32355IL0020001Sold in 5 Illinois counties25% coinsuranceNo referral needed
Network: Molina Marketplace
Details
UnitedHealthcare

UHC Gold Advantage

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$3,860CMS example
No Referrals
Plan ID 42529IL0070034Sold in 31 Illinois counties20% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Advantage+

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$3,860CMS example
Dental + Vision, No Referrals
Plan ID 42529IL0080008Sold in 31 Illinois counties20% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Gold PPO Standard - Rx Copays

GoldPPO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,700CMS example
Plan ID 36096IL0990279Sold statewide25% coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Gold HMO Standard - Rx Copays

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$3,700CMS example
Plan ID 36096IL0810139Sold in 18 Illinois counties25% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Blue Cross and Blue Shield of Illinois

BlueCare Direct Gold Standard - Rx Copays with Advocate

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$3,700CMS example
Plan ID 36096IL0810193Sold in 4 Illinois counties25% coinsuranceReferral needed for specialists
Network: BlueCare Direct HMO
Details
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,670CMS example
Plan ID 53882IL0040048Sold in 7 Illinois counties25% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
Oscar Health

Gold Classic Standard

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,320CMS example
Choice
Plan ID 11574IL0010053Sold in 6 Illinois counties25% coinsuranceReferral needed for specialists
Network: Individual Illinois Choice
Details
Oscar Health

Gold Classic Standard

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,320CMS example
Select
Plan ID 11574IL0020053Sold in Cook County25% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
MercyCare

MercyCare Gold Standard

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,370CMS example
Plan ID 54322IL0090010Sold in 3 Illinois counties25% coinsuranceReferral needed for specialists
Network: HMO
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Gold Standard - Rx Copays

GoldPOS
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,700CMS example
Plan ID 36096IL1380008Sold in 5 Illinois counties25% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
Ambetter Health

Standard Gold

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,100CMS example
Plan ID 27833IL0140075Sold in 25 Illinois counties25% coinsuranceNo referral needed
Network: Premier
Details
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,100CMS example
Plan ID 27833IL0150074Sold in 25 Illinois counties25% coinsuranceNo referral needed
Network: Premier
Details
UnitedHealthcare

UHC Gold Standard

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,360CMS example
Rx Copay, No Referrals
Plan ID 42529IL0070012Sold in 31 Illinois counties25% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Gold PPO 901

GoldPPO
Deductible$2,000$4,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$5,070CMS example
Plan ID 36096IL0990374Sold statewide30% coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Deductible$2,250$4,500 family
Out-of-pocket max$9,450$18,900 family
Having a baby$4,920CMS example
Plan ID 53882IL0040062Sold in 7 Illinois counties25% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
Cigna Healthcare

Connect Bronze 2250 Indiv Med Deductible

Expanded BronzeHMOHSA
Deductible$2,250$4,500 family
Out-of-pocket max$10,150$20,300 family
Having a baby$9,010CMS example
Plan ID 53882IL0040009Sold in 7 Illinois counties50% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
MercyCare

MercyCare Silver 2500

SilverHMO
Deductible$2,500$5,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,570CMS example
3 Free PCP Visits
Plan ID 54322IL0090004Sold in 3 Illinois counties50% coinsuranceReferral needed for specialists
Network: HMO
Details
UnitedHealthcare

UHC Silver Advantage

SilverHMO
Deductible$2,500$5,000 family
Out-of-pocket max$10,200$20,400 family
Having a baby$5,100CMS example
Rx Copay, No Referrals
Plan ID 42529IL0070025Sold in 31 Illinois counties30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Advantage+

SilverHMO
Deductible$2,500$5,000 family
Out-of-pocket max$10,200$20,400 family
Having a baby$5,100CMS example
Rx Copay, Dental + Vision, No Referrals
Plan ID 42529IL0080001Sold in 31 Illinois counties30% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Silver 906

SilverPOS
Deductible$3,000$6,000 family
Out-of-pocket max$10,100$20,200 family
Having a baby$6,890CMS example
Plan ID 36096IL1380003Sold in 5 Illinois counties40% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Silver HMO 206

SilverHMO
Deductible$3,000$6,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$5,960CMS example
Plan ID 36096IL0810081Sold in 18 Illinois counties50% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Deductible$3,200$6,400 family
Out-of-pocket max$9,500$19,000 family
Having a baby$7,970CMS example
Plan ID 53882IL0040006Sold in 7 Illinois counties50% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
Oscar Health

Gold Simple

GoldHMO
Deductible$3,300$6,600 family
Out-of-pocket max$9,950$19,900 family
Having a baby$5,100CMS example
Choice
Plan ID 11574IL0010057Sold in 5 Illinois counties20% coinsuranceReferral needed for specialists
Network: Individual Illinois Choice
Details
Oscar Health

Gold Simple

GoldHMO
Deductible$3,300$6,600 family
Out-of-pocket max$9,950$19,900 family
Having a baby$5,100CMS example
Select
Plan ID 11574IL0020059Sold in Cook County20% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Bronze 903

Expanded BronzePOSHSA
Deductible$4,000$8,000 family
Out-of-pocket max$9,500$19,000 family
Having a baby$8,380CMS example
Plan ID 36096IL1380001Sold in 5 Illinois counties50% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Silver PPO 801

SilverPPO
Deductible$4,300$8,600 family
Out-of-pocket max$10,150$20,300 family
Having a baby$7,700CMS example
Plan ID 36096IL0990361Sold statewide40% coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Oscar Health

Buena Salud Plateado 4360

SilverHMO
Deductible$4,360$8,720 family
Out-of-pocket max$9,700$19,400 family
Having a baby$7,060CMS example
Select
Plan ID 11574IL0020057Sold in Cook County40% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Bronze HMO 701

Expanded BronzeHMOHSA
Deductible$4,500$9,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$7,060CMS example
Plan ID 36096IL0810123Sold in 18 Illinois counties50% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Silver 905

SilverPOS
Deductible$5,000$10,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$8,060CMS example
Plan ID 36096IL1380006Sold in 5 Illinois counties50% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
Cigna Healthcare

Connect Bronze 5200 Indiv Med Deductible - Rx Copay

Expanded BronzeHMOHSA
Deductible$5,200$10,400 family
Out-of-pocket max$10,150$20,300 family
Having a baby$8,970CMS example
Plan ID 53882IL0040002Sold in 7 Illinois counties50% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
MercyCare

MercyCare Silver Health Savings

SilverHMOHSA
Deductible$5,400$10,800 family
Out-of-pocket max$5,400$10,800 family
Having a baby$5,460CMS example
Plan ID 54322IL0090006Sold in 3 Illinois countiesNo coinsuranceReferral needed for specialists
Network: HMO
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Silver HMO Standard - Select Rx Copays

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$7,110CMS example
Plan ID 36096IL0810140Sold in 18 Illinois counties40% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Cigna Healthcare

Connect Silver CMS Standard

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,670CMS example
Plan ID 53882IL0040046Sold in 7 Illinois counties40% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
MercyCare

MercyCare Silver Standard

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,670CMS example
Plan ID 54322IL0090011Sold in 3 Illinois counties40% coinsuranceReferral needed for specialists
Network: HMO
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Silver Standard - Select Rx Copays

SilverPOS
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,710CMS example
Plan ID 36096IL1380009Sold in 5 Illinois counties40% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
Oscar Health

Silver Classic Standard

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,120CMS example
Choice
Plan ID 11574IL0010052Sold in 6 Illinois counties40% coinsuranceReferral needed for specialists
Network: Individual Illinois Choice
Details
Oscar Health

Silver Classic Standard

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,120CMS example
Select
Plan ID 11574IL0020052Sold in Cook County40% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
Ambetter Health

Standard Silver

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$7,710CMS example
Plan ID 27833IL0140074Sold in 25 Illinois counties40% coinsuranceNo referral needed
Network: Premier
Details
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$7,710CMS example
Plan ID 27833IL0150073Sold in 25 Illinois counties40% coinsuranceNo referral needed
Network: Premier
Details
UnitedHealthcare

UHC Silver Standard

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,160CMS example
No Referrals
Plan ID 42529IL0070017Sold in 31 Illinois counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Standard+

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,900$17,800 family
Having a baby$8,160CMS example
Dental + Vision, No Referrals
Plan ID 42529IL0080004Sold in 31 Illinois counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Molina Healthcare

Molina Core Silver

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$8,990$17,980 family
Having a baby$8,900CMS example
Plan ID 32355IL0010002Sold in 5 Illinois counties40% coinsuranceNo referral needed
Network: Molina Marketplace
Details
Deductible$6,000$12,000 family
Out-of-pocket max$8,990$17,980 family
Having a baby$8,900CMS example
Plan ID 32355IL0020002Sold in 5 Illinois counties40% coinsuranceNo referral needed
Network: Molina Marketplace
Details
Ambetter Health

Focused Silver

SilverHMO
Deductible$6,300$12,600 family
Out-of-pocket max$8,400$16,800 family
Having a baby$8,260CMS example
Plan ID 27833IL0140063Sold in 25 Illinois counties50% coinsuranceNo referral needed
Network: Premier
Details
Deductible$6,300$12,600 family
Out-of-pocket max$8,400$16,800 family
Having a baby$8,260CMS example
Plan ID 27833IL0150058Sold in 25 Illinois counties50% coinsuranceNo referral needed
Network: Premier
Details
Deductible$6,500$13,000 family
Out-of-pocket max$9,500$19,000 family
Having a baby$8,970CMS example
Plan ID 53882IL0040060Sold in 7 Illinois counties40% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
Oscar Health

Silver Simple Diabetes

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,600CMS example
Choice
Plan ID 11574IL0010045Sold in 5 Illinois counties50% coinsuranceReferral needed for specialists
Network: Individual Illinois Choice
Details
Oscar Health

Silver Simple Diabetes

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,600CMS example
Select
Plan ID 11574IL0020060Sold in Cook County50% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
Ambetter Health

Clear Silver

SilverHMO
Deductible$7,000$14,000 family
Out-of-pocket max$7,000$14,000 family
Having a baby$7,060CMS example
Plan ID 27833IL0140061Sold in 25 Illinois countiesNo coinsuranceNo referral needed
Network: Premier
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Silver HMO 704

SilverHMO
Deductible$7,000$14,000 family
Out-of-pocket max$8,200$16,400 family
Having a baby$8,090CMS example
Plan ID 36096IL0810122Sold in 18 Illinois counties50% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Bronze PPO 201

Expanded BronzePPOHSA
Deductible$7,000$14,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$9,920CMS example
Plan ID 36096IL0990127Sold statewide50% coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Deductible$7,000$14,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$9,260CMS example
Plan ID 32355IL0010011Sold in 5 Illinois counties20% coinsuranceNo referral needed
Network: Molina Marketplace
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Bronze HMO 205

Expanded BronzeHMOHSA
Deductible$7,400$14,800 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,160CMS example
Plan ID 36096IL0810083Sold in 18 Illinois counties50% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Bronze PPO Standard - Select Rx Copays

Expanded BronzePPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$10,110CMS example
Plan ID 36096IL0990306Sold statewide50% coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Blue Cross and Blue Shield of Illinois

Blue Precision Bronze HMO Standard - Select Rx Copays

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,120CMS example
Plan ID 36096IL0810172Sold in 18 Illinois counties50% coinsuranceReferral needed for specialists
Network: Blue Precision HMO
Details
Blue Cross and Blue Shield of Illinois

BlueCare Direct Bronze Standard - Select Rx Copays with Advocate

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,120CMS example
Plan ID 36096IL0810195Sold in 4 Illinois counties50% coinsuranceReferral needed for specialists
Network: BlueCare Direct HMO
Details
Oscar Health

Bronze Classic Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$9,320CMS example
Choice
Plan ID 11574IL0010050Sold in 6 Illinois counties50% coinsuranceReferral needed for specialists
Network: Individual Illinois Choice
Details
Oscar Health

Bronze Classic Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$9,320CMS example
Select
Plan ID 11574IL0020050Sold in Cook County50% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
Cigna Healthcare

Connect Bronze CMS Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$10,070CMS example
Plan ID 53882IL0040044Sold in 7 Illinois counties50% coinsuranceReferral needed for specialists
Network: Illinois Connect Network
Details
Blue Cross and Blue Shield of Illinois

MyBlue Plus Bronze Standard - Select Rx Copays

Expanded BronzePOSHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$10,110CMS example
Plan ID 36096IL1380010Sold in 5 Illinois counties50% coinsuranceReferral needed for specialists
Network: MyBlue Plus
Details
UnitedHealthcare

UHC Bronze Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$9,360CMS example
No Referrals
Plan ID 42529IL0070021Sold in 31 Illinois counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Value

Expanded BronzeHMOHSA
Deductible$7,850$15,700 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,910CMS example
Rx Copay, No Referrals
Plan ID 42529IL0070018Sold in 31 Illinois counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Value+

Expanded BronzeHMOHSA
Deductible$7,850$15,700 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,910CMS example
Rx Copay, Dental + Vision, No Referrals
Plan ID 42529IL0080003Sold in 31 Illinois counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Bronze PPO 701

Expanded BronzePPOHSA
Deductible$8,600$17,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,670CMS example
Plan ID 36096IL0990265Sold statewide50% coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Oscar Health

Bronze Simple

Expanded BronzeHMOHSA
Deductible$9,000$18,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$9,900CMS example
Choice
Plan ID 11574IL0010056Sold in 5 Illinois counties40% coinsuranceReferral needed for specialists
Network: Individual Illinois Choice
Details
Oscar Health

Bronze Simple

Expanded BronzeHMOHSA
Deductible$9,000$18,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$9,900CMS example
Select
Plan ID 11574IL0020058Sold in Cook County40% coinsuranceReferral needed for specialists
Network: Individual Illinois Select
Details
Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Security PPO 200

CatastrophicPPOHSA
Deductible$10,600$21,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,660CMS example
Plan ID 36096IL0990126Sold statewideNo coinsuranceNo referral needed
Network: Blue Choice Preferred PPO
Details
Oscar Health

Secure

CatastrophicHMOHSA
Deductible$10,600$21,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,600CMS example
Choice
Plan ID 11574IL0010011Sold in 6 Illinois countiesNo coinsuranceReferral needed for specialists
Network: Individual Illinois Choice
Details
UnitedHealthcare

UHC Bronze Essential

BronzeHMOHSA
Deductible$10,600$21,200 family
Out-of-pocket max$10,600$21,200 family
Having a baby$10,660CMS example
No Referrals
Plan ID 42529IL0070030Sold in 31 Illinois countiesNo coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details

Insurers selling Illinois Marketplace plans

Select an insurer to see only its plans.

InsurerPlansDeductiblesOut-of-pocket maxDoctors in networkDirectory updatedAction
Blue Cross and Blue Shield of Illinois 31 $250 to $10,600 $7,000 to $10,600 Not published n/a See plans
Oscar Health 17 $0 to $10,600 $8,200 to $10,600 27,038 Nov 5, 2026 See plans
UnitedHealthcare 16 $0 to $10,600 $7,000 to $10,600 4,635 Nov 5, 2026 See plans
Ambetter Health 11 $800 to $7,000 $5,500 to $8,900 23,396 Nov 4, 2026 See plans
Cigna Healthcare 10 $750 to $7,500 $7,800 to $10,150 Not published n/a See plans
Molina Healthcare 7 $1,640 to $7,000 $8,100 to $10,150 Not published n/a See plans
MercyCare 4 $2,000 to $6,000 $5,400 to $10,000 1,427 Nov 6, 2026 See plans

Dental-only insurers

7 insurers sell stand-alone dental plans in Illinois but no medical plans.

InsurerDental plansDentists in network
Delta Dental of Illinois6Not published
Dominion National62,942
Best Life43,303
Companion Life41,268
Guardian42,449
Humana35,228
First Commonwealth1158

Where the in-network doctors are

Doctors and facilities in Illinois listed by at least one Marketplace insurer, by city and by primary specialty.

Top cities

Chicago12,904
Naperville1,127
Rockford918
Oak Lawn874
Maywood793
Aurora788
Park Ridge748
Evanston738
Arlington Heights559
Skokie551
Oak Park523
Downers Grove494

Top specialties

Dentist6,413
Nurse Practitioner5,037
Counselor4,210
Social Worker3,996
Internal Medicine3,824
Optometrist2,367
Pharmacy2,037
Family Medicine1,941
Clinic/Center1,739
Physical Therapist1,666
Physician Assistant1,485
Psychologist1,152

Questions about Illinois Marketplace plans

Which insurers sell Marketplace plans in Illinois?
7 insurers sell medical plans for 2026: Blue Cross and Blue Shield of Illinois, Oscar Health, UnitedHealthcare, Ambetter Health, Cigna Healthcare, Molina Healthcare, and MercyCare. 7 more insurers sell dental plans only.
When can I enroll in a Illinois Marketplace plan for 2027?
Open enrollment for 2027 coverage runs Nov 1, 2026 to Jan 15, 2027 on Get Covered Illinois. Outside those dates you need a qualifying life event, such as losing other coverage, moving or having a baby.
Which insurer has the most doctors in Illinois?
Oscar Health lists 27,038 Illinois doctors, practices and hospitals, 23,308 of them accepting new patients. Directories can be out of date, so call the office to confirm before you enroll.
What is the lowest deductible on a Illinois Marketplace plan?
7 plans have a $0 individual deductible. Deductibles run from $0 to $10,600. A lower deductible usually means a higher monthly premium, so compare the out-of-pocket maximum too.
Which plan year does this page cover?
These are Illinois's 2026 plans, the latest available. Illinois's 2027 plan details are not public yet, so prices, benefits and doctors may be different for 2027. Check Get Covered Illinois before you enroll. The doctor lists already include doctors that insurers list for 2027. This page will be updated when the 2027 details come out.
Are all Illinois plans sold in every county?
No. 86 plans are sold only in some counties, and 10 plans are sold statewide. Choose your county above the plan list to see only the plans sold where you live.
Why are there no monthly premiums on this page?
Premiums depend on your age, county, household size and income, and most enrollees get a subsidy, so a single price would mislead. Prices are listed on Get Covered Illinois. This page compares what the plans cover: deductibles, out-of-pocket maximums, coinsurance and networks.

About this data

NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on Get Covered Illinois.

SourceWhat it provides hereSource date
CMS public use files for Get Covered IllinoisPlans, deductibles, out-of-pocket maximums and coverage examples, and the counties where each plan is soldPlan year 2026
Insurer provider directoriesWhich doctors, practices and hospitals each insurer lists in its networks. Only providers with an address in Illinois are counted.Updated November 8, 2026
NPPES NPI registryProvider names, practice addresses and primary specialtiesMatched November 8, 2026
  • Only individual-market plans sold on Get Covered Illinois are included; small-business (SHOP) and off-exchange plans are left out. A plan an insurer files once per region is shown once.
  • Doctors listed for 2026 or 2027 plans are counted, because insurer directories already list 2027 networks and most plan IDs carry over.
  • Deductibles, out-of-pocket maximums and coinsurance are for one person, in network, for the standard version of each plan. Coverage examples (having a baby, managing type 2 diabetes, a simple fracture) are what CMS's standard scenarios cost under each plan.
  • Directories can be out of date. Call the doctor's office and the insurer to confirm before you enroll.