Who is Eligible for Medicaid in Illinois

Individuals who qualify for Medicaid in Illinois include pregnant women, children up to age 19, people with disabilities, the elderly, and low-income families. Eligibility is based on income and household size, with specific criteria varying depending on the category. Proof of income and other relevant documentation is typically required to determine eligibility. Application processes can be done online, by mail, or in person through local agencies or offices. Medicaid provides access to a wide range of healthcare services, including doctor visits, hospital stays, prescription drugs, and mental health services.

Medicaid Eligibility in Illinois: Income and Asset Limits

Medicaid is a government-sponsored health insurance program that provides coverage for low-income individuals and families. Eligibility for Medicaid in Illinois is based on several factors, including income and assets. To qualify for Medicaid in Illinois, individuals must meet both income and asset limits.

Income Limits:

  • For individuals, the income limit is 138% of the Federal Poverty Level (FPL).
  • For families, the income limit is 138% of the FPL for the family size.

Asset Limits:

For individuals, the asset limit is $2,000. For couples, the asset limit is $3,000. This limit does not include the following assets:

  • The value of a person’s primary residence is not counted.
  • Resources used for business purposes.
  • Resources such as household items, a car, and burial expenses.
IndividualFamily
Income Limit: 138% FPLIncome Limit: 138% FPL for family size
Asset Limit: $2,000Asset Limit: $3,000

Note: The income and asset limits are subject to change. Please visit the Illinois Department of Healthcare and Family Services website for the most up-to-date information.

Age and Disability Requirements

To be eligible for Medicaid in Illinois, you must meet certain age and disability requirements. These requirements are based on federal guidelines and state regulations.

  • Age:
    • You must be under 19 years old.
    • Or, you must be 65 years old or older.
  • Disability:
    • You must have a disability that prevents you from working.
    • Your disability must be expected to last for at least 12 months.
    • Or, your disability must be expected to result in death.

Special Eligibility for Pregnant Women and Children:

  • Pregnant women may be eligible for Medicaid regardless of their age or income.
  • Children under the age of 19 may be eligible for Medicaid regardless of their family’s income.
Age and Disability Eligibility Summary
AgeDisabilityEligible
Under 19N/AYes
19 or olderDisability expected to last 12 months or moreYes
65 or olderN/AYes

Note: These are just the age and disability requirements for Medicaid eligibility in Illinois. There are other eligibility requirements that you must also meet, such as income and asset limits. For more information, please visit the Illinois Department of Healthcare and Family Services website.

Residency Status

To be eligible for Medicaid in Illinois, you must be a resident of the state. This means you must live in Illinois and intend to make it your permanent home. You do not need to be a U.S. citizen or legal permanent resident to qualify for Medicaid in Illinois.

  • To prove residency, you will need to provide documentation such as a driver’s license, state ID card, or utility bill with your name and Illinois address.
  • If you are homeless, you can still be eligible for Medicaid in Illinois. You will need to provide documentation that you are homeless, such as a letter from a shelter or a statement from a social worker.
Income and Asset Limits
Income LimitAsset Limit
Individuals138% of the federal poverty level$2,000
Families of 2200% of the federal poverty level$3,000
Families of 3250% of the federal poverty level$4,000
Families of 4300% of the federal poverty level$5,000
Each additional family member50% of the federal poverty level$1,000

The income and asset limits for Medicaid in Illinois are based on the federal poverty level. The federal poverty level is a measure of income and resources that is used to determine eligibility for many government programs.

If you meet the residency and income requirements, you may be eligible for Medicaid in Illinois. To apply for Medicaid, you can contact the Illinois Department of Healthcare and Family Services (HFS) or visit their website.

Citizenship and Immigration Status

To be eligible for Medicaid in Illinois, you must be a citizen or a qualified immigrant. Qualified immigrants include:

  • Permanent residents
  • Refugees
  • Asylees
  • Cuban/Haitian entrants
  • Amerasian immigrants
  • Legal Temporary Residents with more than five years of continuous residence in the United States
  • Children of qualified immigrants

Pregnant women and children under 19 years of age are eligible for Medicaid regardless of their immigration status.

Income and Asset Limits for Medicaid in Illinois
Family SizeIncome LimitAsset Limit
1$2,685$2,500
2$3,565$5,000
3$4,445$7,500
4$5,325$10,000
5$6,205$12,500
6$7,085$15,000
7$7,965$17,500
8$8,845$20,000

To learn more about Medicaid eligibility in Illinois, please visit the Illinois Department of Healthcare and Family Services website.

Alright guys, that’s a wrap on who’s eligible for Medicaid in Illinois. I know it can be a lot to take in, but I hope you got the gist of it. If you still have questions, be sure to check out the Illinois Department of Human Services website or give them a call. And remember, the eligibility criteria can change from time to time, so it’s always a good idea to check back every once in a while to make sure you’re still covered. Thanks for reading, and I’ll catch you next time with more exciting updates. Peace out!