Low-income Americans with limited assets can receive free or low-cost health care services through Medicaid, the nationwide program that’s funded by the federal government in collaboration with each state.
The Illinois Department of Human Services administers the state Medicaid program known as Medical Assistance, which largely serves children, pregnant women, disabled and blind residents and the elderly. The program covers a range of essential services, including doctor and specialist care, hospital and emergency care, diagnostic tests, prescription medications and nursing home care.
Elmhurst residents seeking Medicaid coverage for long-term care must be U.S. citizens or legal residents and aged 64 or older or disabled or blind if younger. Applicants must also:
- Have a maximum monthly income of $1,041 for individuals and $1,409 for married couples applying jointly
- Have countable assets of $2,000 or less for single applicants and $3,000 or less for couples
Income from every source counts, but certain assets are disregarded, including a primary home and its furnishings, one automobile and the applicant’s personal belongings.
If a married person’s spouse isn’t applying, only the applicant’s income is counted. Up to $2,739 of their monthly income and $109,560 in joint assets can be set aside as allowances for the non-applicant spouse.
Applicants with too high a monthly income to qualify for MA may be approved for a spend down to reach the necessary threshold. To qualify through a spend down, an applicant’s excess income must be put toward approved expenses, such as doctor or hospital bills, medical treatments, supplies and prescriptions.
Elmhurst seniors can apply for MA online, in person at the Department of Human Services Resource Center located at 2701 West Lake St. in Melrose Park or by calling (708) 338-7600.
Supportive Living Waiver
Illinois Medicaid only covers institutional nursing home care as an entitlement, but it does offer a Supportive Living waiver to provide an alternative to nursing home placement. To qualify, Elmhurst applicants must:
- Be 65 years of age or older or disabled and aged 64 or younger
- Be assessed as requiring a nursing facility level of care but functionally able to live in the community
- Have a minimum monthly income of $771 if single or $1,157 if married
The above figures are the current benefit rates for Supplemental Security Income. This amount of income is required to ensure participants have the means to pay room and board, which isn’t covered by the waiver. The program only covers services provided by a state-licensed facility such as:
- Help with personal care and completing activities of daily living
- Round-the-clock supervision
- Assistance with medication administration
- Recreational and social programs
- Laundry and housekeeping services
- Intermittent skilled nursing care
- Transportation services
The SLW program is subject to a statewide enrollment cap and the number of participating facilities is limited, so qualified seniors may have to wait to receive services depending on availability.
For more information or to apply for the SLW program, Elmhurst seniors can contact the Department of Healthcare and Family Services Bureau of Long-Term Care at (844) 528-8444.