Jane Dotson
If you are no longer eligible for Medicaid in Illinois, it is important to act quickly to get other health insurance. You will usually have 60 days to enroll in a new plan, which is known as a special enrollment period. There are several options for purchasing alternative health care coverage, including through your employer or through the official Affordable Care Act Health Insurance Marketplace for the state of Illinois, GetCoveredIllinois.gov. This offers free enrollment assistance and can help you find out if you qualify for financial help.
| Characteristics | Values |
|---|---|
| What to do when Medicaid ends in Illinois | If you are no longer eligible for Medicaid, it is important to get other health insurance. You have 60 days to enroll in a new plan, which is called a "special enrollment period." |
| Who is eligible for Medicaid in Illinois | Medicaid is available to people who are low-income adults aged 19 to 64 years, over 65 years, disabled, blind, pregnant women, and young adults under 26 who were formerly in foster care. |
| How to enroll in Medicaid in Illinois | You can apply online, apply in person at the Department of Human Services (DHS), apply by mail or fax, or call 1-800-843-6154 to enroll. |
| Impact of the COVID-19 pandemic on Medicaid enrollment in Illinois | The COVID-19 pandemic pushed Medicaid enrollment higher, with nearly 906,000 people covered under Medicaid expansion in Illinois by July 2023. |
| Address updates for Medicaid in Illinois | It is important to update your address with Illinois Medicaid to avoid surprises and get updates about your insurance. You can update your address online at medicaid.illinois.gov or by calling 877-805-5312. |
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What You'll Learn
Enrolling in a new plan within 60 days
If your Medicaid coverage has ended, you will need to get other health insurance. You usually have 60 days to enrol in a new plan, which is called a "special enrolment period".
You can ask your employer about health insurance options, or you can visit the official Affordable Care Act marketplace for Illinois at GetCoveredIllinois.gov. This offers free enrolment assistance and can help you find out if you qualify for financial help. You can also call Illinois HFS Client Enrollment Services at 877-912-8880.
If your Medicaid coverage was cancelled due to a change in your income, you can visit GetCoveredIllinois.gov or call 866-311-1119 to find out what other health insurance options are available to you. Health navigators are available to help answer your questions and help you apply for other low-cost insurance options.
If you are no longer eligible for Illinois Medicaid, you will receive a letter informing you of your options for purchasing other health care coverage. You can also call the Health Benefits Hotline during normal business hours (Monday–Friday, 8:00 AM–4:30 PM) at 1-800-843-6154.
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Purchasing low-cost insurance with financial assistance
If you are no longer eligible for Medicaid in Illinois, it is important to get other health insurance. You have 60 days to enroll in a new plan, which is called a "special enrollment period".
If you cannot get Medicaid because of your immigration status, you may be able to buy low-cost insurance with financial assistance through the Get Covered Illinois Marketplace. The official Affordable Care Act Health Insurance Marketplace for the state of Illinois offers free enrollment assistance and can help you find out if you may qualify for financial help. Most people find a plan for $10 or less per month after tax credits.
Medicaid is available to people who are low-income adults aged 19 to 64 years, over 65 years, disabled, blind, or pregnant women. Each group has a different set of income and asset requirements. Adults with income up to 138% of the federal poverty level are eligible for Medicaid. Children who live in households with an income of up to 318% of the federal poverty level are eligible for coverage, and women who have recently given birth with incomes up to 213% of the federal poverty level are eligible for coverage for up to 12 months after giving birth.
If you are no longer eligible for Medicaid, you can ask your employer about health insurance or visit GetCoveredIllinois.gov to explore your options.
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Eligibility requirements for Medicaid
In Illinois, Medicaid is available to people who fall under specific coverage groups. These groups include:
- All Kids: Health coverage for children from newborn to age 18.
- Family Care: Health coverage for parents or caretaker relatives of dependent children. Children are considered dependent if they are under the age of 18 and live with their parents or caretakers.
- ACA Adults: Health coverage for adults aged 19 to 64 who do not have dependent children under the age of 18 living with them and do not have Medicare.
- Moms and Babies: Health coverage for pregnant women and women who have recently given birth.
- Former Foster Care: Health coverage for young adults under the age of 26 who were formerly in foster care.
- AABD Medical: Health coverage for adults who are disabled or blind, or aged 65 or older.
Each group has different income and asset rules. For instance, adults with income up to 138% of the federal poverty level are eligible for Medicaid. Children and pregnant women have higher income limits. Children who live in households with an income of up to 318% of the federal poverty level are eligible for Medicaid coverage. Women who have recently given birth with incomes up to 213% of the federal poverty level are eligible for Medicaid coverage for up to 12 months after giving birth. Adults who are disabled, blind, or aged 65 or older have different income limit rules.
In addition to income requirements, eligibility for Medicaid in Illinois also depends on immigration status. While those who are not eligible for Medicaid due to their immigration status may be able to purchase low-cost insurance with financial assistance through the Get Covered Illinois Marketplace, other immigrants with special status, such as refugees and asylees, may be eligible for Medicaid.
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Applying for Medicaid
In Illinois, Medicaid is available to people who are in need of help with healthcare costs. This includes low-income adults aged 19 to 64, those over 65, disabled people, pregnant women, blind people, and young adults under 26 who were formerly in foster care. Each category has a different set of income and asset requirements. For instance, adults with income up to 138% of the federal poverty level are eligible for Medicaid, while children and pregnant women have higher income limits.
To apply for Medicaid in Illinois, you can use any of the following options:
- Apply online using the Illinois website or Healthcare.gov (for non-disabled adults under 65).
- Apply in person and get help from the Department of Human Services (DHS). Find the nearest Family Community Resource Center.
- Apply by mail or fax, or call 1-800-843-6154 (TTY 1-800-447-6404) and ask DHS to mail you an application. Complete the application and mail or fax it back to the nearest Family Community Resource Center.
The online application can be found at https://ABE.illinois.gov, where you can also apply for the Supplemental Nutrition Assistance Program (SNAP), Cash Assistance (TANF, Refugee Cash Assistance), and the Medicare Savings Program. The online application will take around 30 to 45 minutes to complete. You will be asked to create a secure account, and you must keep your login information safe. Make sure that the information on your application is truthful to the best of your knowledge, as there are serious penalties for submitting false information.
If you need help with your application, you can call the toll-free ABE Helpline at (800) 843-6154 (Voice) or (800) 324-5553, 711 (TTY). You can also receive information about your eligibility for Medicaid and other health insurance benefits through your Illinois income tax return. Professionals at your local medical center or hospital can also help you apply for Medicaid.
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Updating your address with Illinois Medicaid
To update your address with Illinois Medicaid, you can do so online or by calling the Medicaid hotline.
Online
To update your address online, visit the website www2.illinois.gov/hfs/address or medicaid.illinois.gov and fill out the address change web form.
By Phone
To update your address by phone, call the Medicaid hotline at 1-877-805-5312 and select Option 8 to report an address change. If you use a TTY, call 1-877-204-1012.
It is important to keep your address up-to-date with Illinois Medicaid to ensure that you continue to receive important paperwork and maintain your Medicaid coverage. Due to changes made by Congress to help people deal with the COVID-19 pandemic, Medicaid customers have not been asked to update their information for three years. Now that continuous coverage is ending, it is crucial to update your address so that Illinois Medicaid can send you your renewal forms and other necessary paperwork.
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Frequently asked questions
If your Medicaid coverage has been cancelled, you can call Illinois Medicaid at 800.843.6154 and ask for more time to return the form, or ask for a new form if you do not have the old one. If your coverage was cancelled due to a change in your income, visit getcoveredillinois.gov or call 866.311.1119 to find out what other health insurance options are available to you.
You can explore the official Affordable Care Act Health Insurance Marketplace for the state of Illinois at GetCoveredIllinois.gov, which offers free enrollment assistance and can help you find out if you may qualify for financial help. You can also ask your employer about health insurance options.
You usually have 60 days to enroll in a new plan after your Medicaid coverage ends. This period is called a "special enrollment period".
