The All Kids program (the state’s Children’s Health Insurance Program) provides many uninsured children in Illinois with a variety of medical services for free or a very low cost. The program is available to any children age 18 or younger in Illinois who do not have insurance, regardless of their immigration status, or health condition. There are currently 1.6 million children throughout Illinois who are covered by All Kids. Various income levels are accepted, though must meet the criteria for eligibility.
All Kids covers everything that Medicaid or a private health plan would, including doctor’s office visits, dental care, vision services, prescriptions, and hospital care, among other types of services. Once approved for coverage, members have twelve month of guaranteed coverage, unless the child moves outside the state or turns 19. It is necessary for each member to apply for renewal each year before their coverage expires. Based on household income, children who qualify will be placed in different categories, which include All Kids Assist, All Kids Share, All Kids Rebate, and All Kids Premium Levels 1 and 2.
Note: Program funding was cut by 10 percent in July 2012, and income levels eligible for Premium Level 3 – 8 are no longer accepted for coverage.
All Kids Eligibility
Resident children under age 19 in Illinois may qualify for All Kids if they meet the insurance and income requirements. Children can be eligible for All Kids Assist Share and Premium Level 1 if they have been insured within the last 12 months. Premium Level 2 requires that a child must be uninsured for at least 12 months or lost insurance due to a job ending or having COBRA coverage.
The income guidelines for each types of All Kids coverage is listed below according to family size and earnings on a monthly basis. The benefits remain the same for each income level, though higher incomes will be required to pay for certain services, while the lower income groups have no mandatory expenses or a limited amount they must pay.
All Kids Costs
Depending on the category of All Kids your family income assigns you to, different payments rules apply. Those who earn very little and qualify for All Kids Assist have no payments to meet, and all health care services are covered by the state. All Kids Share members have no monthly premiums, though they will need to provide a copay for some services. Children insured through All Kids Share and Premium Level 1 have an annual maximum of $100 of copayments before the state starts paying for care.
Higher income levels are required to pay a premium each month, depending on the number of children in the family, and also have copay limits. Those covered through All Kids Rebate are subject to the conditions of the health plan given by a private insurer or an employer.
Out-of-pocket costs also vary based on the program in which you are enrolled. Illinois All Kids members will pay higher costs for monthly premiums as well as copays for services if they are in Premium Level 1 or 2. The following chart indicates what each group should expect to pay for medical care and monthly rates.
All Kids Benefits
Some of the services covered by Illinois All Kids include the following:
- Doctor services
- Clinic services
- Dental services
- Emergency room services
- Hospital services: inpatient and outpatient
- Maternity care
- Lab and X-ray services
- Mental health treatment (inpatient and outpatient)
- Substance abuse treatment (inpatient and outpatient)
- Family planning services and supplies
- Medical supplies and equipment
- Transportation for emergency medical care
- Home health services
- Early intervention services
- Audiologist services
- Eye glasses
- Optometrist services
- Podiatric services
- Chiropractic services
- Intermediate care for people who are developmentally disabled
- Care in skilled pediatric nursing facilities
- Nursing home care
- Regular checkups and shots for children
- Kidney dialysis
- Nursing care
- Physical therapy, occupational therapy, speech therapy
- Hospice care
- Respiratory equipment and supplies
Program Hotline: 866-ALL-KIDS (866-255-5437)