How to Get the Most Out of the Affordable Care Act


From Phyllis Diller

Cleaning your house while your kids are still growing up is like
shoveling the sidewalk before it stops snowing.

The reason women don’t play football is because 11 of them would never
wear the same outfit in public.

I want my children to have all the things I couldn’t afford. Then I
want to move in with them.

The only time I ever enjoyed ironing was the day I accidentally put
gin in the steam iron.


How to Get the Most out of the Affordable Care Act

Since 2014 the Affordable Care Act (ACA) has governed health insurance for people under 65 who do not get group benefits from an employer or union; entrepreneurs, sole-practitioners, part-time and W2 workers. The focus of our practice.

Here are 4 tips for getting the most out of the ACA.

  1. Use all the benefits the law makes insurers offer you.

Apply for insurance even if you have a pre-existing condition, even if you’re pregnant. You will be insured without paying more than someone in good health. Get your free annual wellness visit. Get the free inoculations and dentist check-ups for your children. IVF is covered. Once your maximum out-of-pocket is reached, the insurer must pay 100% of medical care, no limit. Do all the things you and your health care provider feel are necessary for your health.

  1. Apply on time.

Get your insurance during the enrollment periods the ACA sets. You cannot buy or change whenever you want. You must apply between November 1 and December 15 to have health insurance in 2019. If you don’t, you will not be able to buy major medical health insurance except for specific life events like turning 26, losing group benefits, getting married or divorce, moving.

  1. Make sure your doctor and hospital accept the plan you enroll in.

There is no one insurance card individuals/families who have ACA insurance can use at all area and hospitals. Unfortunately, the government resources at the Exchange still don’t understand what plans cover what health care in our area. Use a qualified agent.

  1. Get Premium Assistance and Cost Sharing when you’re eligible.

Based on projected income (not assets), the government will pay part of your premium and even share the cost of your deductible and out-of-pocket maximum. If you’re in job transition, have your own business, just want to know if you qualify, please call us.

Jerry S. Pearlstein Insurance was awarded the 2018 Elite Certificate of Recognition for getting hundreds of individuals/families into the right plan with savings of thousands of dollars.

Small group health insurance offers ACA benefits, too. And more access to care than individual/family plans. Ask us how small a group can be.

Don’t wait. You have until December 15th. Call 847.362.8888 today to find out how to get the most out of your health insurance.




New Health Insurance Options Coming

It was New Year’s Eve in the local pub when Bridget stood up and said, “It’s time to get ready. At the stroke of midnight, I want every husband to be standing next to the one person who makes his life worth living.”
Well, it was kind of embarrassing.

As the clock struck twelve, the bartender was almost crushed to death.


The Affordable Care Act has required all individuals and families to buy ACA compliant health insurance. Now, the tax penalty for those who do not is repealed effective January 1, 2019. With no penalty, the door is open to other options.

Remember, before the ACA there was health insurance available to those who buy their own. The plans asked for medical history and could refuse coverage. They were considerably less expensive than today’s ACA plans. We see a reappearance of these plans from providers who stopped selling individual health insurance in Illinois because they didn’t want to meet the universal coverage required by the ACA.

All insurance providers filed their plans and prices for 2019 with the Illinois Department of Insurance last month. IDOI will announce approval in August-September.
We’ll be fully licensed and accredited to find the best coverage for you in 2019 whether you can take advantage of non-ACA plans, need ACA plans, want premium assistance, want small group coverage.

Online quoting and purchase has proven to be unreliable and really difficult to correct. Remember the Pearlstein Principle: “Never buy insurance alone.”
If you’re receiving this information, you’re already on our mailing list. You can also tell us now what your situation will be for 2019 and we’ll specially flag you for the insurance answers you need. Call us for more information at 847.362.8888.

Is COBRA the Right Insurance for You?

Funny notes from the choir.

At the evening service tonight, the sermon topic will be ‘What Is Hell?’ Come early and listen to our choir practice.

Eight new choir robes are currently needed due to the addition of several new members and to the deterioration of some older ones.

Miss Charlene Mason sang ‘I will not pass this way again,’ giving obvious pleasure to the congregation.

A bean supper will be held on Tuesday evening in the church hall. Music will follow.

Is COBRA the Right Insurance For You?

Every month Rebecca Bloomfield, partner in Jerry S, Pearlstein Insurance Ltd., gives “COBRA and Alternatives” seminars to the clients of outplacement services. Download more info COBRA_10ThingsYouShouldKnow_JerrySPearlsteinInsuranceLtd.

If you are let go from a company with 50 employees or more, the federal government requires them to keep you in the company’s group health insurance plan for 18 months. This program is called COBRA.

Why do people want to choose their own health insurance instead of taking COBRA?
•The employee must now pay the whole premium for their group plan plus a 2% administration fee. This might be costlier than individual health insurance.
•The government offers assistance to pay premiums and out-of-pocket costs like deductibles for people whose incomes are within certain ranges when they buy an
Affordable Care Act approved private health insurance plan. We are very successful in getting this help for people suddenly without an income,

Why may it be better to take COBRA?
•You may have met your annual deductible and out-of-pocket maximum in your group plan. You will have to meet them again with individual health insurance.
•You can use the money in a Health Savings Account (HSA) to pay COBRA premiums. You cannot use HSA funds to pay premiums for private health insurance.
•Private health insurance might not cover the doctors and hospitals you use.

When do you have to decide between COBRA and alternative major medical health insurance?
•You have 60 days from the end of your benefits as an employee to make your choice.
•You can leave COBRA when the Affordable Care Act offers Open Enrollment November 1 – December 15.
•COBRA is not extendable. You must put an alternative major medical health insurance policy in place to begin when COBRA ends.

Call us if you’re in transition. We’ll be happy to use our expertise to explain your options and get you the health insurance you need.
Free. No obligation. 847.362.8888.