Apply for Medicaid
Illinois Expanded the Medicaid Program
In January 2014, Illinois made the Medical Card available to more individuals and families. The health care law provides Illinois with additional funding to expand its Medicaid Program to cover adults under 65 who make up to 138% of the federal poverty level. This is known as Medicaid Expansion.
Do you qualify?
Your coverage options depend on your income, household size, and other factors. See the income limits for the Medical Card for different family sizes here.
Note: In most situations, pregnant women and children qualify for coverage in Illinois.
What you need to apply
- A valid State ID or Driver's License
- 1 month's worth of paystubs from all income sources
- Social Security Number or proof that you applied for one
If you are a lawfully residing immigrant you will additionally need:
Proof of Citizenship
- Permanent Resident Card or
- Certificate of Naturalization/Citizenship
Proof of Illinois Residency
- State ID or Driver's License or
- Utility Bill (i.e. gas bill, water bill, electric bill)
How to Apply
If you think you qualify for Medicaid we want to help you enroll! Remember you can apply for Medicaid at anytime throughout the year! Please call our Health Insurance Hotline at 872.588.3100 to speak with an Application Specialist to get started! We also take walk-ins at any of our convenient locations.
Already Applied For Medicaid
Once your application is submitted it takes 30-60 days to hear a response from the State. After your application is approved for Medicaid, you will have the option to choose a health insurance plan through the Client Enrollment Broker Choice process.
Client Enrollment Broker (CEB)
After you've been approved for Medicaid, the CEB will send an initial enrollment packet that will include a letter and "Your Health Plan Choices", a listing and description of every Health Plan offered within your area. There are three ways you can enroll in a health plan and choose a Primary Care Provider.
- By phone by calling the CEB at 1(877)912-8880
- By mail and filling out the paper enrollment form
- Or online by visiting enrollhfs.illinois.gov
CEB Enrollment Procedures
You have a 60 day enrollment period to pick a Health Plan and a PCP. If you do not select a Health Plan within the first 30 days of your enrollment period, Client Enrollment Services will mail you a second enrollment packet. This packet will identify and match you with a Health Plan along with a PCP. If you do not respond by the date given on the letter, the CEB will auto-assign a health plan and PCP for you. It is very important that when filling out the paper enrollment forms or selecting a plan over the phone, to please remember the following list of insurance plans that we accept.
Did you already choose a health plan?
You can change your health plan anytime in the first 90 days. After that, you are "locked in" and you cannot change health plans for a year. If you are considering changing health plans please remember the following list of insurance plans that we accept.
If you're not sure what type of Medicaid you have (FHP,ICP,MMAI, or ACA), give us a call and we'll help you figure it out! Our hotline number is 872-588-3100.
Open Enrollment 2016
The Health Insurance Marketplace, or more commonly known as "Obamacare" is a new way to find quality health coverage. You can compare plans based on price, benefits, and other features important to you side by side online! The Marketplace will also tell you if you qualify for free or low cost coverage. You can preview plans and estimate prices here.
You can generally buy Marketplace Health Insurance only during the annual Open Enrollment period. Upcoming dates to know:
- November 1, 2015: 2016 Open Enrollment Starts
- January 31, 2016: 2016 Open Enrollment Ends
To buy Marketplace insurance outside Open Enrollment, you must qualify for a special enrollment due to a qualifying life event, experienced complex issues relating to the marketplace, or loss of other health coverage
If you are in need of health insurance, you have options and we can help! We have Certified Application Counselors available to help you enroll. Please call us at 872-588-3100 today!
Apply with a Special Enrollment
You can still buy private insurance through the Marketplace if you have a qualifying life event or a complex situation related to applying in the Marketplace. You generally have 60 days following life events that involved a change in family status or loss of other health care coverage to apply.
What is a Qualifying Life Event?
- Moving from another state
- Having a baby
- Certain changes in income
What is a complex situation?
- Enrollment error
- Display errors on healthcare.gov
- Misconduct by an application assistor that resulted in not getting enrolled in a plan
- Unexpected circumstances that kept you from enrolling
Call our Health Insurance Hotline at 872-588-3100 for more information about Qualifying LIfe Events. Our Certified Application Counselors can help you enroll for a private plan if you qualify for a Special Enrollment!