Low-income state seniors may qualify for comprehensive medical benefits through Illinois Medicaid, which is commonly known as the Medical Assistance Program. Medicaid covers most essential health care needs, including physician visits, emergency room and urgent care services, and long-term residential care, such as assisted living. While there is no level-of-care requirement when applying for Medicaid for the aged, blind or disabled, the program has strict income limits. A single applicant must make no more than $1,041 monthly. For married couples with both spouses applying, the monthly income limit is $1,409. Eligibility guidelines also set an asset limit of $2,000 for single applicants, but, currently, there is no specified asset limit for married couples with both spouses applying.
For seniors who may not meet the program’s stringent eligibility requirements, the state provides multiple pathways to Medicaid eligibility. Individuals who have high medical bills but exceed the program’s income cap may benefit from the state’s medically needy pathway. Also known as the Medical Spend-down Program, this option allows individuals to spend down their income on medical bills until they fall within Medicaid limits. Expenses that may be applied toward the spend-down include physician visits, hospital stays and medical supplies. Once qualified applicants reach the spend-down, they receive a card to pay for additional medical expenses incurred that month.
Illinois also offers Medicaid planning services. For further information on Medicaid benefits, seniors should reach out to the Illinois Department of Healthcare and Family Services. An online application is available at ABE.
Seniors in need of long-term care may also benefit from several state Medicaid waivers.
Illinois Supportive Living Program
The Illinois SLP provides low-income seniors with funds to offset services such as skilled nursing, medication assistance and personal-care aides. Qualified individuals can receive these services at home or in an assisted living program as an alternative to nursing home care.
Potential applicants receive a preadmission screening to determine medical requirements. To qualify for the program, individuals must demonstrate the need for a nursing home level of care. In addition, the assessment must determine that SLP services can meet an individual’s functional requirements at home or in a community-based program. Applicants must be 65 or older, and SSI income guidelines apply, with a monthly limit of $771 for a single applicant or $1,157 for a married couple with both spouses applying. All income must be used to pay the care provider although $90 may be withheld each month as a personal allowance.
For further information or to apply, seniors may contact the Illinois Department of Healthcare and Family Services’ Bureau of Long-Term Care at (217) 782-0545.
Illinois Community Care Program
For seniors who require a nursing home level of care but want to maintain their independence, the state’s Community Care program funds a range of services, including emergency alert systems, medication dispensing services and personal aides to assist with activities of daily living. Services may be delivered at home or in an assisted living setting.
The program is open to Illinois residents aged 60 or older who demonstrate a need for long-term care. Applicants may not have more than $17,500 in assets, with certain exemptions, including a car, a house and any furnishings.
Will County residents can find out more about the Community Care program and its application process by phoning the state’s Senior Help Line at (800) 252-8966.