Illinois Medicaid Eligibility

This page provides general guidelines for the Illinois Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Illinois Department of Healthcare and Family Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Illinois Medicaid office.


Illinois Medicaid Overview

Medicaid is a federal and state-funded program that serves low-income individuals and families who meet eligibility requirements and who lack adequate resources to pay for medical care.


Illinois Medicaid Eligibility Requirements - Non Income

Must be a U.S. citizen or qualified alien and live in Illinois. Non-citizens may be eligible for coverage of medical emergencies, including the birth of a child. Before Medicaid may be authorized, applicants must provide proof from a medical professional stating the treatment was due to an emergency condition.


Documents Needed For Illinois Medicaid Application


Illinois Medicaid Benefits

Covers medical, dental and vision, prescriptions, hospitalization and more depending on the program. There are programs for people with MS, nursing home needs, kidney dialysis, breast and cervical cancer, AIDS, TB, hyperalimentation, and pregnancy.


Illinois Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Illinois Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 142%
Age 1-5: 142%
Age 6-18: 142%
313% Medicaid: 208%
CHIP: N/A
133% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $1,381
Age 1-5: $1,381
Age 6-18: $1,381
$3,044 Medicaid: N/A
CHIP: N/A
$1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $1,861
Age 1-5: $1,861
Age 6-18: $1,861
$4,103 Medicaid: $2,727
CHIP: N/A
$1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,342
Age 1-5: $2,342
Age 6-18: $2,342
$5,162 Medicaid: $3,430
CHIP: N/A
$2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,822
Age 1-5: $2,822
Age 6-18: $2,822
$6,221 Medicaid: $4,134
CHIP: N/A
$2,643 $2,643