State Government Insurance Programs Offered

Comprehensive Health Insurance Plan (CHIP)

www.chip.state.il.us Can be covered in 6 ways: 1) Federal Eligibility: Most recent coverage must have been group plan lasting 18+ months with no break of 90+ days, and lost coverage not due to fraud or non-payment of premium, and exhausted all COBRA coverage. Not eligible for any group plans; HCTC: are TAA or PBGC Certified with at least three months of prior creditable coverage; 2) HIPAA Plan: Must be both Federal- and HIPAA-eligible; 3) HCTC Plan: Must be both Federal- and HCTC- eligible; 4) Traditional Plan: Must be denied coverage due to pre-existing conditions or have a similar plan but costs them more than CHIP, has one of the covered pre-existing conditions; 5) Medicare Plan: Must be enrolled in Medicare parts A and B; 6) Presumptive Condition: Must prove having a qualified medical condition and be under 65 years old

Pre-Existing Condition Insurance Plan(IPXP)

www.insurance.illinois.gov/ipxp www.PCIP.gov – Must have been uninsured for at least 6 months prior to applying. Must prove being a U.S. citizen or legal U.S. resident, an Illinois resident, and having problems getting insurance due to a pre-existing condition

Medicaid

Medicaid: Different program variations covering Medical, Dental and Vision, Prescriptions, Hospitalization and more depending on program. Programs for people with either MS, nursing home needs, kidney dialysis, breast and cervical cancer, AIDS, TB, hyper-alimentation, pregnancy. Both: Must be U.S. citizens or qualified aliens and live in Illinois. Medicaid: Income limits: Children ages 1–18: 133% FPL. Pregnant women and infants: 200% FPL if the mother is enrolled in Medicaid at time of birth. If not, infants with family incomes of 133% FPL. Parents/caretakers living with children ages 0–18: 185% FPL. Aged, blind, disabled: 100% FPL. SSI recipients: 40% FPL. Medically-needy: 100% FPL.

FamilyCare

www.familycareillinois.com FamilyCare: Covers doctor visits, dental care, specialty medical services, hospital care, emergency services, prescription drugs and more.

ALL Kids

www.allkids.com – Doctor visits, Hospital stays, Prescription drugs, Vision care and eyeglasses, Dental care, Regular checkups, Immunization shots, Medical equipment, Speech and physical therapy for children who need them.

Illinois Breast & Cervical Cancer Program (IBCCP)

www.cancerscreening.illinois.Gov – Offers mammograms, breast and pelvic exams, and Pap tests. If enrolled in the BCCP and diagnosed with cancer through the program’s screenings, can be eligible to receive treatment.

Healthy Women

(Health Benefits Hotline) www.illinoishealthywomen.Com – Healthy Women: Covers family planning (birth control) and patient education. Certain services provided such as physical exams, Pap tests, lab tests for family planning, testing and medicine for STDs found during a family planning visit, and sterilization. Also covers mammograms, multivitamins and folic acid if they are ordered by the doctor during the family planning visit.

Medicare

www.medicare.gov – Medicare offers Part A, inpatient care in hospitals and rehabilitative centers; Part B, doctor and some preventive services and outpatient care; Part C allows Medicare benefits through private insurance (Medicare Advantage); Part C includes Parts A, B, and C not covered by Medicare. Part D covers prescription drugs.

Illinois Cares Rx

(Health Benefits Hotline) www.illinoiscaresrx.com – Provides state prescription drug assistance to people with and without Medicare.

Health Coverage Tax Credit

www.irs.gov (Search: HCTC)

VA Medical Benefits Package

www.va.gov – Comprehensive preventive and primary care, outpatient and inpatient services.