Illinois Medicaid System Overview

The state of Illinois is above the pack when it comes to low or no cost medical coverage for its citizens. There are a variety of programs in the state of Illinois to help individuals seeking medical coverage, including the state and federally run Medicaid program. If you are interested in applying for Medicaid coverage, you will need to contact the Illinois Department of Healthcare and Family Services. There are certain eligibility requirements that will need to be met before you are able to get Medicaid coverage.

For example, your income must be under a certain amount before you can be considered eligible. In many states, it is easier for people with special needs to get Medicaid coverage. For example, many pregnant women, and the babies they give birth to, are often granted Medicaid coverage for an extended period of time. Foster or adopted children, children from low income households, disabled persons, the elderly and other special needs groups are examples of those who can often qualify for this type of assistance.

In addition to Illinois Medicaid, the state also offers an All Kids program that helps families that may not qualify for Medicaid but still cannot afford medical care. The All Kids program can be applied for through the Department of Healthcare and Family Services, or even online on their web site. There is another program called Illinois Covered that helps families who are unable to obtain Medicaid or health insurance. This program has several different options at different rates.

If you are unsure about the first steps to take, definitely contact the DHFS near you or your local Department of Social Services. There are case workers available who can counsel you on the best possible choices for your needs and walk you through every step of the application procedure. They can answer all your questions about what is covered and what is not. The good news is that the state of Illinois truly does offer a great deal of assistance for its residents in need of medical assistance.

7 Responses to Illinois Medicaid System Overview


    My mother has tried to get Medicaid two different times and had two hearings, but Lawrence County’s health department either denies getting her paperwork from her physicians or does’t get her paperwork to the state level. There should be some way to counter this incompetence at the county level.

  • rod e COOLEY says:

    how long on medicade before i can switch to medicare?

  • Karen Cecil says:

    When can providers submit with out having to have legacy provider number attached to electronic claims. Is this being done for each individual provider or all?

  • Bonnie Buttron says:

    directed to rod cooley: you have to be on medicaid for two years when it will automatically go to medicare if you are on social security disability. When you do get medicate ask at your local Dept of Human Services for Qualified Medicare Beneficiary form.
    This will pay for your premiums; you should then receive a card covering you under medicare and medicaid from the state. If the idiots in Dept. of Human Services gives you their usual blank stare contact Social Security for the form.
    Directed to Tracey: Contact Social Security direct; then make a copy of the paperwork is sent directly to the Illinois Dept. of Human Services in Spring field, Illinois, the politicians give jobs to idiots in the local levels who don’t know or want to know anything about how to assit you

  • Sharman says:

    I looking for a center that except take Il, medicaid for Bariatric surgery.

  • mari friedly says:

    I need help for getting a discription on what a medicaid card in Illinois looks like. I work with seniors over the phone to improve their health care benefits, and need to be able to prove exactly what they have, so i can narrow down the types of programs that would be beneficial to them. THANK YOU in advance and if there is anyone that can give me a discription for any other states, that would be really helpful.

  • Marilyn Pessina says:

    I am presently living with my daughter in Nevada. I hope to move back to Illinois (my home state) during the next year.
    I am 63, income is 989.00 a month thru my husbands widows pension.
    I am on a state social service program here for low income people.

    What and how can I get medical care and help when I return to Illinois.

    This is very important to me in making my decision to returning “home”.

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