Benchmark $646/mo · +28.8% approved · Get Covered Illinois
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old dentist in Illinois faces a benchmark premium of $646/month for 2026, up from $474 in 2025. That is 3% above the national benchmark of $625. Carriers were approved for an average increase of +28.8%.
There is no CMS plan-level file for Illinois, because Illinois operates Get Covered Illinois instead of healthcare.gov and its issuers file with the state rather than through the federal platform. That is a real gap in the public data, and it is the reason this page leads with approved rate changes and market concentration rather than a county premium grid.
Illinois launched its own exchange for plan year 2026, making it the most recent state to leave healthcare.gov. Several carriers revised filings upward after the initial submission: Celtic went from a requested 18.7% to an approved 38.6%.
| Illinois — 2026 | Figure |
|---|---|
| Benchmark premium, age 40 (2026) | $646 |
| Benchmark premium, age 40 (2025) | $474 |
| Year-over-year change | +36.3% |
| Approved average rate increase | +28.8% |
| Versus the national benchmark ($625) | +3% |
| Rank among your 21 licensed states | 15 of 21 |
| Counties | 102 |
| Carriers on the exchange | 6 |
| Exchange | Get Covered Illinois (state-run since 2026) |
| Carrier | Network | Members | 2026 approved |
|---|---|---|---|
| Ambetter (Celtic) | — | — | +38.6% |
| Molina Healthcare | — | — | +21.5% |
| UnitedHealthcare | — | — | +20.8% |
| Oscar | — | — | +10.4% |
Three carriers left the Illinois individual market for 2026 — Aetna, Health Alliance Medical Plans and Quartz Health — so the county-level choice set narrowed in much of the state.
Sources: Illinois Department of Insurance 2026 rate approvals, finalized September 8, 2025. KFF, “Marketplace Average Benchmark Premiums,” 2026. Benchmark is the second-lowest-cost Silver plan for a 40-year-old, weighted by plan selections.
Steady, predictable utilization means copay design and network breadth drive annual cost more than the sticker premium.
Occupational context: Chronic neck and back strain; repetitive hand injury; aerosol exposure.
To be clear about what this does and does not affect: a Illinois carrier cannot ask your occupation, cannot charge a dentist more than anyone else of the same age in the same ZIP, and cannot exclude a condition you already have. Occupation only tells you which plan structure to shop for.
Ranked on the benchmark premium, the one measure published on the same basis for every state. Cheaper: North Carolina ($638), Utah ($640), Alabama ($645). More expensive: South Dakota ($655), Texas ($661), Kansas ($670).
You buy where you live, not where you work, so treat this as context rather than a shopping list. A genuine move does open a special enrollment period.
Expense categories that typically apply to this trade: Malpractice insurance, chair and equipment, lab fees, licensing. Health premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or a spouse. The deduction lowers your AGI, and AGI sets your premium tax credit, so the two calculate against each other — worth raising with your CPA before you enroll rather than after.
6 carriers offer individual plans on Get Covered Illinois for 2026: Blue Cross Blue Shield of Illinois, Ambetter (Celtic), MercyCare, Molina Healthcare, Oscar, UnitedHealthcare. Availability varies by county.
The 2026 benchmark premium in Illinois is $646 per month for a 40-year-old, up from $474 in 2025. That is full price before premium tax credits; most buyers pay less after subsidies.
Carriers in Illinois were approved for an average increase of 28.8%. Filings across the country cited the expiry of the enhanced federal premium tax credits at the end of 2025, rising medical and drug costs, and expectations that healthier people would drop coverage.
No. Exchange plans are guaranteed issue and community rated. Price varies only by age, ZIP code, tobacco use and household size. Occupation is not a rating factor.
No. Illinois runs its own exchange, Get Covered Illinois, state-operated since 2026. You enrolll there rather than on healthcare.gov.
This page compares states. For Illinois specifically — county-level carriers and enrollment help — I publish that on Coverage by County, including a page written for Dentists in Illinois and a blog covering deductibles, subsidies and special enrollment.