Medicaid is a government-funded health insurance program that provides health coverage to many groups of eligible Americans, including low-income adults, pregnant women, people with disabilities and senior citizens. Each state runs its own Medicaid program, so the services that are covered by Medicaid will vary depending on a senior’s location. Iowa Medicaid covers a wide variety of health care services, including emergency services, doctor visits, vision care, physical therapy and medical equipment.
Seniors in Chicago may be eligible for Illinois Medicaid if they are U.S. nationals, U.S. citizens or permanent residents. They must also meet the state’s financial requirements. Single seniors may be eligible for Medicaid if they have an annual pretax income of less than $16,643. For couples, the income limit is $22,411 per year.
To apply for Medicaid coverage, seniors can visit Illinois’ Application for Benefits Eligibility (ABE) website. They can also apply over the phone by calling the ABE Customer Call Center at (800) 843-6154.
Seniors who earn more than the state’s income limits for Medicaid coverage but have high medical bills may qualify for coverage through the Illinois Medicaid Spend-Down program. Seniors pay for their own medical bills until they reach their spend-down amount; when they reach it, they become eligible for Medicaid coverage. Seniors who are enrolled in this program may also be permitted to pay their spend-down amount directly to Healthcare and Family Services (HFS). The spend-down amount is determined based on a senior’s income and assets. To learn more about this program, seniors can call the HFS Health Benefits Hotline at (800) 226-0768.
Seniors who need help paying for assisted living care in Chicago may be eligible for the Illinois Supportive Living Program (SLP). This Medicaid waiver program doesn’t cover the costs of room and board in assisted living facilities, but it may help seniors pay for the personal care services they receive in these facilities. The services that are covered by this waiver include intermittent nursing care, personal care, medication monitoring, housekeeping and laundry.
This program is an entitlement, and it’s open to anyone who meets the eligibility requirements. To be eligible for this waiver program, seniors must have a medical need for a nursing facility level of care. Medical need is determined based on a preadmission screening. Seniors’ income is required to be no less than the maximum allowable amount of Supplemental Security Income (SSI). This amount is currently $771 for a single senior and $1,157 for a couple. In addition, seniors who are currently participating in any other waiver programs are not eligible for the SLP.
To apply for coverage through SLP or to learn more about the waiver program, seniors can contact the Department of Healthcare and Family Services at (217) 782-0545.