McHenry County seniors who meet income guidelines may qualify for free or low-cost health insurance coverage through Illinois Medicaid, which is called Medical Assistance Program. This program is an entitlement, meaning that all eligible applicants will receive benefits, and it may cover home care services and adult day health care services. While Illinois Medicaid does not pay for services in assisted living establishments, shared housing establishments or sheltered care facilities, there are two waiver programs that may provide coverage for these services. These programs are outlined below.
To qualify for Illinois Medicaid, applicants must be:
- U.S. citizens or legal residents
- Residents of Illinois
- Individuals with a monthly income of no more than $1,041 and less than $2,000 in countable assets, or
- Couples with a monthly income up to $1,409 per month and less than $3,000 in countable assets
Those who do not meet the income and asset requirements may still qualify for Medicaid through a spend-down program called the
Medically Needy Pathway or through Medicaid planning, which is for those who are unable to afford their medical bills.
In addition to standard Medicaid coverage, applicants may be eligible to have their senior care services covered through two home and community-based waiver programs.
The
Supportive Living Program pays for services received in an assisted living facility by low-income individuals who qualify for nursing home level care. While this waiver does not pay for room and board in an assisted living facility, it does cover services, such as personal care assistance, social and health activities and medication management.
To receive financial assistance through Illinois Medicaid, seniors must apply through the
Department of Human Services website or call (800) 843-6154 and obtain a needs screening through the
Department on Aging.