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This mission is accomplished through HFS Medical Programs that pay for a wide range of health services, provided by thousands of medical providers throughout Illinois, to about two million Illinoisans each year. The primary medical programs are:. Necessary medical benefits, as well as preventive care for children, are covered for eligible persons when provided by a healthcare provider enrolled with HFS. Eligibility requirements vary by program. Most people who enroll are covered for comprehensive services, including, but not limited to; doctor visits and dental care, well-child care, immunizations for children, mental health and substance abuse services, hospital care, emergency services, prescription drugs and medical equipment and supplies.
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Some programs, however, cover a limited set of services. Federal matching funds are available under Medicaid for these individuals. More information on how to apply for these programs may be found on the Department of Human Services Website. Federal matching funds are available under Medicaid for nearly all of these children.
This group is eligible for Medicaid regardless of income. Coverage for Immigrant Seniors -- For seniors 65 years and older who are not eligible for Medicaid due to their immigration status. Covered services include doctor and hospital care, lab tests, rehabilitative services such as physical and occupational therapy, home health, mental health and substance use disorder services, dental and vision services, and prescription drugs.
Learn more at the Coverage for Immigrant Seniors resource. Children are eligible through 18 years of age. Adults must be either a parent or caretaker relative with under 18 years of age living in their home, or be a pregnant woman.
For all plans, non-pregnant adults must live in Illinois and be U. Children and pregnant women must live in Illinois and are eligible regardless of citizenship or immigration status. The All Kids Web site is maintained to provide easily accessible and current information about the program. Families may apply online through both an English and Spanish Web-based application. Both English and Spanish applications are also available for download by persons who want to apply for All Kids by mail.
Those using the Website may also ask questions about the program. To be eligible, children must live in families with countable family income within percent of the federal poverty level FPL. Children covered under All Kids Assist have no co-payments or premiums. FamilyCare Assist parents have a co-payment per medical service or prescription received.
All Kids Share provides a full range of health benefits to eligible children. To be eligible children must have countable family income over percent and at or below percent of the FPL. There are no co-payments for well-child visits and immunizations.
Families with members who are American Indians or Alaska Natives do not pay premiums or co-payments. All Kids Premium Level 1 provides a full range of health benefits to eligible children. For children to be eligible, families must have countable income over percent and at or below percent of the FPL. Families eligible for All Kids Premium Level 1 pay monthly premiums based upon the of children covered ranging from one child to five or more.
Families with children who are American Indians or Alaska Natives do not pay premiums or co-payments. All Kids Premium Level 2 provides a full range of health benefits to eligible children in families with income above percent and at or below percent of the FPL. Monthly premiums are paid for one child and for two or more children. Co-payments vary by service. Moms and Babies provides a full range of health benefits to eligible pregnant women and their babies up to one year of age. To be eligible, pregnant women must have countable family income at or below percent of the FPL. Moms and Babies enrollees have no co-payments or premiums and must live in Illinois.
Federal matching funds, at the enhanced rate of 65 percent, are available under Medicaid for women with income up to percent of the FPL. HFS administers the treatment portion of the program. Retirement s and medical savings s are exempt. Federal matching funds are available under Medicaid for these benefits. Comprehensive program information, as well as a downloadable application can be found on the HBWD Website.
The federal government shares in the cost of this coverage.
State Hemophilia Program provides assistance to eligible patients to obtain antihemophilic factor, annual comprehensive visits and other outpatient medical expenses related to the disease. This program does not cover a comprehensive array of health services. Participants must complete a financial application each fiscal year. Some participants may be responsible for paying a participation fee prior to the program paying for eligible medications. The program is always the payer of last resort, meaning that it only pays after other third party payers, such as private insurance or Medicare, have made a benefit determination.
The program is available to any non-Medicaid eligible resident of Illinois with a bleeding or clotting disorder. Questions regarding applications or the eligibility of participants in the State Hemophilia Program should be directed to the HFS, Bureau of Comprehensive Health Services at State Renal Dialysis Program covers the cost of renal dialysis services for eligible persons who have chronic renal failure and are not eligible for coverage under Medicaid or Medicare.
Eligibility for the program is reviewed and determined on an annual basis.
Participants must be a resident of Illinois, and meet citizenship requirements. The program covers treatment in a dialysis facility, treatment in an outpatient hospital setting and home dialysis, including patients residing in a long-term care facility.
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Individuals determined eligible for the program may be responsible for paying a monthly participation fee based on family income, medical expenses and liabilities, family members, and other contributing factors. All participation fees are paid directly to the dialysis center that provided the treatment. These benefits are financed entirely with state funds. Individuals may learn more or download an application at State Renal Dialysis Program.
State Sexual Assault Survivors Emergency Treatment Program pays emergency outpatient medical expenses and 90 days of related follow-up medical care for survivors of sexual assault. HFS maintains an online registry for hospitals to register the sexual assault survivor in order to produce a voucher that allows the survivor to obtain needed follow-up care outside of an Illinois hospital. Participants currently eligible for Medicaid are not eligible to receive benefits under this program.
Veterans Care provides comprehensive healthcare to uninsured veterans under age 65 who were not dishonorably discharged from the military, are income eligible, and are not eligible for federal healthcare through the U. S Veterans Administration. Veterans may apply for Veterans Care by either downloading an application from the Web site, or by going to their local Illinois Department of Veterans Affairs Office. The Department of Healthcare and Family Services determines eligibility, notifies the Veteran and handles the premium payments.
Individuals may learn more about this program on the Illinois Veterans Care Web site. Medical Assistance for Asylum Applicants and Torture Victims provides up to 24 months coverage for persons who are not qualified immigrants but who are applicants for asylum in the U. Such person must meet all other eligibility criteria. HFS Home Illinois. Medical Programs. Content. Individuals may learn more or download an application at State Renal Dialysis Program State Sexual Assault Survivors Emergency Treatment Program pays emergency outpatient medical expenses and 90 days of related follow-up medical care for survivors of sexual assault.
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