Health Insurance for Travel Nurses in Illinois
Most travel nurses in Illinois are paid in ways that leave them shopping for their own coverage, whether they work around Chicago or anywhere else in the state. Most of the ones I work with choose a private plan priced on their health, not their income, that can start any month if approved. Illinois Marketplace premiums are rising 14% to 14.1% on average for 2027, so the private option is worth pricing first.
Private health insurance in Illinois
Most travel nurses I help in Illinois end up on a private plan, not a Marketplace plan. Private, medically underwritten health insurance is priced on your age, zip code and health instead of your income, so a strong year never raises your premium and there is no tax credit to pay back in April.
Why people leave the Marketplace
- Premiums keep climbing. Illinois Marketplace premiums are rising 14% to 14.1% on average for 2027.
- The subsidy cliff. Above 400 percent of the poverty level ($63,840 for one person, $132,000 for a family of four) you pay full price.
- Surprise tax bills. Underestimate your income and you repay the tax credit in April.
- Narrow networks. Many plans are local HMOs or EPOs that need referrals and cover little outside the area.
- High out-of-pocket costs. 2027 out-of-pocket maximums reach $12,000 per person and $24,000 per family.
- One window a year. Outside open enrollment you need a qualifying life event to enroll or switch.
What a private plan does differently
- Start any month. If approved, coverage can begin the first of next month, with no wait for open enrollment.
- Networks that travel. Many private plans use national PPO networks, which can give you in-network doctors outside Illinois too. Networks vary by plan.
- Can cost less than full-price Marketplace plans for some healthy applicants above the subsidy line.
- Accident coverage the Marketplace does not offer. A private plan can be paired with accident coverage, a separate policy. What it includes varies by plan.
- Approval is based on health. You answer health questions, and acceptance is not guaranteed.
With a significant health condition, or income low enough for a large tax credit, a Marketplace plan can be the better fit, and I will tell you if it is. Either way you see both side by side.
Private plans are not ACA Marketplace plans. Benefits, exclusions and pre-existing condition rules differ by plan and by state, so review the plan details before you enroll.
Get a private plan quoteLearn more: coverage not based on income · how underwriting works · private vs Obamacare · PPO plans for individuals · switching from the Marketplace
Illinois health insurance in 2027
Illinois' finalized 2027 individual-market increase averages about 14 percent, close to the national average, while small-group plans rise faster at about 18 percent. Six insurers filed individual plans, which gives Illinois more choice than many states.
- Marketplace rates: up 14% to 14.1% on average for 2027 (final), with 6 insurers filing.
- Benchmark silver plan, age 40: $707 a month in 2027, up from $646 in 2026.
- The subsidy cliff in Illinois: earning $1 over $63,840 costs a single 60-year-old about $11,492 more a year for that plan, and $1 over $86,560 costs a 60-year-old couple about $27,187.
- Where to enroll: Get Covered Illinois, the state's own exchange, which sets its own 2027 enrollment dates.
More: Illinois 2027 rate changes · 2027 subsidy cliff by state. General information, not tax advice.
How travel nurses work in Illinois
Illinois licenses every nurse staffing agency through the Department of Labor under the Nurse Agency Licensing Act, and health care facilities may not use an unlicensed agency. Agencies must send each facility contract to the state within five business days, report average bill and pay rates by county every quarter, and pay nurses at least 100 percent of the stated hourly rate. For temporary assignments, noncompete clauses are void, and agencies cannot charge buyout or conversion fees when a facility hires the nurse. Between contracts, coverage tied to an agency can end, so travelers need a plan for the gap.
Illinois licensing for travel nurses
The Illinois Department of Financial and Professional Regulation licenses nurses, working with the state Board of Nursing. Illinois has not joined the Nurse Licensure Compact, so a multistate license from another state does not cover work here, and a 2026 bill to join, House Bill 4369, was sent back to the Rules Committee in March. Out-of-state nurses apply by endorsement, and while that is pending they can request a temporary permit, which state law says must be issued within 14 working days of a complete request. It lasts up to six months.
The Illinois market for travel nurses
In a 2023 law, the General Assembly found that Illinois has a growing shortage of nurses in its health care facilities and that it is most severe in Southern Illinois, where hospitals and long-term care homes cannot hire as many nurses as they need. The state counted about 200,600 registered nurse licenses in mid-2022, but many retired nurses keep renewing, so lawmakers ordered a required workforce survey to measure real supply by region and specialty. That gap keeps contract demand steady in downstate and rural facilities, not just in the Chicago area.
Illinois coverage rules that apply to you
- Leaving a job: Illinois requires insured group plans to offer up to 12 months of continuation after three months of coverage, and gives divorced or widowed spouses up to two years, or until Medicare if they are 55 or older.
- Short-term plans: Illinois banned new short-term health plans starting January 1, 2025.
- Where to enroll: Illinois uses its own exchange, Get Covered Illinois, which replaced HealthCare.gov for 2026. Get Covered Illinois sets its own open enrollment dates; check its site for 2027 deadlines. Private, medically underwritten plans can start the first of any month if approved.
- 2027 rates: individual plans 14% to 14.1% on average. See the Illinois 2027 rate page.
The gap between contracts
Agency health plans usually end when an assignment ends, sometimes on the last day of that week or month. If your next contract starts three weeks later, you are uninsured in between unless you plan for it. Losing agency coverage opens a 60-day Marketplace special enrollment period, and if approved, a private plan can start the first of any month, so either can bridge the gap. Many travelers keep their own plan year-round and decline agency coverage so they never face a gap.
Keeping your own plan across states
A nurse who changes states every 13 weeks needs a plan that works where the contract is. Nationwide PPO networks travel well. A Marketplace plan is tied to your tax home, so if you work far from home you may have only emergency coverage there. Check the network for each assignment city before you sign.
Per diem and 1099 nursing
Per diem and independent contract nurses buy their own coverage and pay self-employment tax. Estimate a full year of net income for the Marketplace, including stipends only if they are taxable. General information, not tax advice — confirm with your CPA based on your specific entity structure.
When the Marketplace still makes sense
The Marketplace fits travel nurses with a significant health condition, because acceptance is guaranteed, and households whose 2027 income stays under 400 percent of the poverty level ($63,840 for one person, $132,000 for a family of four), where a tax credit lowers the price. Above that line it costs full price. The full guide for travel nurses goes deeper.
Quote for a travel nurse in Illinois
Private plans priced first, with the Marketplace alongside when it fits. No fee.
Questions from Illinois travel nurses
What license do travel nurses need in Illinois?
The Illinois Department of Financial and Professional Regulation licenses nurses, working with the state Board of Nursing. Illinois has not joined the Nurse Licensure Compact, so a multistate license from another state does not cover work here, and a 2026 bill to join, House Bill 4369, was sent back to the Rules Committee in March. Out-of-state nurses apply by endorsement, and while that is pending they can request a temporary permit, which state law says must be issued within 14 working days of a complete request. It lasts up to six months.
How much are Illinois health insurance premiums rising for 2027?
Individual-market premiums in Illinois are set to rise 14% to 14.1% on average for 2027. Households above 400 percent of the poverty level get no tax credit and pay the full increase.
What happens to my coverage if I leave a job in Illinois?
Illinois requires insured group plans to offer up to 12 months of continuation after three months of coverage, and gives divorced or widowed spouses up to two years, or until Medicare if they are 55 or older. Losing employer coverage also opens a 60-day Marketplace special enrollment period, and if approved, a private plan can start the first of any month.
Should a travel nurse take the agency's health plan?
It can work for back-to-back contracts, but coverage usually ends with the assignment. Nurses with gaps between contracts often keep their own plan instead.
Can a travel nurse buy a plan that works in every state?
Some private plans and some Marketplace plans use national PPO networks. Many Marketplace plans are local HMOs or EPOs, so check the network before you choose.
Sources: ilga.gov, ilga.gov, ilga.gov, www.nursecompact.com. Facts checked October 2026. See all Illinois health insurance rules.
Travel Nurses in other states
Written by Frank Caballero, licensed health insurance agent in Illinois and 30 other states, NPN 21032307.