Medicaid is a health insurance program that covers low-income people, including seniors, children and pregnant women. Medicaid is available nationwide, and each state runs its own program. The Illinois Medicaid program provides coverage to nearly one-fifth of the state’s population.
Illinois Medicaid pays for many medical services, including doctor visits, hospital care, medical transportation, laboratory tests and foot care. Coverage usually starts the month a person applies, but in some cases, the program may pay for medical expenses incurred in the prior three months.
Seniors may qualify for this program if they:
- Live in Illinois
- Have U.S. citizenship or proof of immigration status
- Earn no more than $1,041 per month ($1,409 for married couples)
- Have $2,000 or less in assets ($3,000 for married couples)
People who earn too much or have too many assets may be able to qualify for coverage through the state’s
Medicaid Spend-down program, which works similar to an insurance deductible. The applicant is given a spend-down figure that must be paid toward their medical bills. Once they’ve reached their spend-down amount, Medicaid coverage kicks in. Seniors approved for the Spend-down program may also qualify for the Pay-in Spend-down option. This allows them to pay their full spend-down amount directly to Healthcare and Family Services.
To apply for coverage in person, visit the
DHS Family Community Resource Center located at 1550 Douglas Street in Charleston. You can also fax a
paper application to (217) 345-2190 or send it by mail.
For more information about Medicaid in Illinois, call the
HFS Health Benefits hotline at (800) 226-0768.
Illinois Supportive Living Program The
Illinois Supportive Living program may help low-income seniors pay for assisted living so they avoid nursing home placement. It’s available to seniors who need a nursing home level of care but can safely live in an assisted living setting. Seniors who participate pay their own room and board, but the program pays for personal care, meals, housekeeping, recreational programming, intermittent nursing care and other assisted living services.
Seniors must earn at least
$771 per month ($1,157 for couples) to participate in this program. They can keep $90 of their income for personal needs, but the rest must be paid to the assisted living facility.
The state maintains a database of facilities that accept SLP recipients. Interested seniors can contact one of the
two participating facilities in Effingham for help
arranging an assessment. Those enrolled in a Medicaid managed care organization can ask their care coordinator for a referral.
To learn more about this program, call the
Illinois DFS Bureau of Long-Term Care at (217) 782-0545.