MercyCare HMO, Inc. offers this marketplace plan (Plan ID 54322IL0090003). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.
Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Illinois). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
Finalize plan switches before the window closes.
Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
Enter accurate income to maximize Advanced Premium Tax Credits.
Silver-tier CSR plans lower deductibles for households ≤250% FPL.
Thinking about switching?
Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.
Match provider networks so ongoing care isn’t disrupted.
Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 17 Mar 2026 06:25 GMT).
All providers in Illinois1264
PCPs in Illinois103
Telehealth supportData pending
Nationwide providers3311
1,264 doctors statewide103 PCPs7 OB/GYN
Provider network(s)
PREFERRED
Providers
Illinois
All US states
All
1264
3311
PCP
103
236
Allergy
1
1
OB/GYN
7
17
Dentists
N/A
3
Drug coverage overview
4,616 drugs tracked
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Tier
Covered drugs
NON-PREFERRED-GENERIC
2,465
NON-PREFERRED-BRAND
1,315
MEDICAL-SERVICE-DRUGS
635
SPECIALTY-DRUGS
201
Prior authorization
Drugs
Required
847
Not Required
3,769
Step therapy
Drugs
Required
0
Not Required
4,616
Quantity limits
Drugs
Has Limit
661
No Limit
3,955
Customer highlights
What stands out for members
Issuer: MercyCare HMO, Inc. · Plan ID 54322IL0090003 · 2026 filing.
MercyCare Gold Health Savings (54322IL0090003) is a marketplace plan from MercyCare HMO, Inc. in Illinois for the 2026 coverage year.
Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.
Does MercyCare Gold Health Savings support telehealth or virtual urgent care?
The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.
Is MercyCare Gold Health Savings HSA-eligible and does it include dental or vision coverage?
HSA eligibility is not published; check the Summary of Benefits or ask the issuer.
Dental coverage is not listed for this plan.
Vision coverage is not listed for this plan.
Does MercyCare Gold Health Savings support mail-order prescriptions?
Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.
How do I enroll in or manage payments for MercyCare Gold Health Savings?
Use the issuer portal https://www.mercycarehealthplans.com to pay premiums or start enrollment, then return to HealthPorta for benefit comparisons.
Disclaimer: Based on the Tue, 17 Mar 2026 06:25 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
