Illinois Opens 2027 Health Coverage Enrollment
Residents can now shop for 2027 health plans through the state-run Get Covered Illinois marketplace as open enrollment begins.
Updated on Nov. 1, 2026 in Insurance
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Get Covered Illinois opened open enrollment for 2027 health coverage on November 1, 2026, with enrollment running through January 15, 2027. The announcement comes as more than 9,000 lawfully present immigrants lost Medicaid coverage last month.
Why it matters
Federal changes under H.R. 1 are affecting some Illinois residents' Medicaid and marketplace eligibility, making the marketplace a key option for people who need new or renewed coverage. Enrollment deadlines determine when coverage begins.
Get Covered Illinois reports that people who compared plans last year saved an average of $150 a month on premiums. The state has not indicated how many people will enroll this year or whether savings will be similar.
The players
Get Covered Illinois
Get Covered Illinois is the state-run health insurance marketplace where Illinois residents shop for, compare, and enroll in coverage plans and apply for federal tax credits.
The details
Illinois residents can compare plans, premiums, deductibles, prescription coverage, and network status on the Get Covered Illinois website. Licensed brokers and certified navigators offer free help comparing plans and completing applications in person, online, or by phone.
Timeline
October 2026: More than 9,000 lawfully present immigrants lost Medicaid coverage.
November 1, 2026: Open enrollment for 2027 coverage opens through Get Covered Illinois.
December 15, 2026: Enrollees who sign up by this date have coverage starting January 1, 2027.
January 1, 2027: Premium tax credits for affected immigrants end.
January 15, 2027: Open enrollment closes; enrollees signing up by this date have coverage starting February 1, 2027.
Market Landscape
Federal changes under H.R. 1 have narrowed Medicaid and marketplace eligibility for some lawfully present immigrants, shifting more residents toward state-run marketplaces like Get Covered Illinois. The state's open enrollment window now serves as the main path for those seeking coverage for 2027.
Residents who enroll by December 15, 2026 will have coverage starting January 1, 2027, while those enrolling by January 15 will have coverage starting February 1. Free navigator and broker help is available to compare plans and apply.
The takeaway
Compare plans on Get Covered Illinois before the December 15 deadline to have coverage starting January 1, 2027, and use free navigator help if you need assistance.
What happens next
Open enrollment closes January 15, 2027, and premium tax credits for affected immigrants end January 1, 2027.
Further reading
Explore more on Insurance for context on how marketplace plans and coverage rules work.
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