Key Facts for Illinois
- ✓Illinois expanded Medicaid in 2014
- ✓Apply through the ABE (Application for Benefits Eligibility) portal
- ✓Illinois has one of the broader covered services packages
- ✓Undocumented immigrants 65+ may qualify for limited benefits
What Illinois Medicaid Covers
Who Qualifies in Illinois?
About Illinois Medicaid
Illinois Medicaid — known as the Illinois Medical Assistance Program — covers over 3.5 million Illinoisans and is one of the more comprehensive Medicaid programs in the Midwest. Illinois expanded Medicaid in 2014, extending coverage to adults earning up to 138% of the Federal Poverty Level. Illinois offers broad covered services including dental, vision, mental health, and substance use treatment, and has been a leader in Medicaid managed care innovation. The state's ABE (Application for Benefits Eligibility) portal allows residents to apply online for Medicaid alongside other benefits programs.
How to Apply for Illinois Medicaid: Step by Step
Documents You Need to Apply
- ☐Social Security number for each person applying
- ☐Illinois driver's license or state ID
- ☐Proof of Illinois residency (utility bill, lease, or bank statement)
- ☐Proof of income (last 30 days of pay stubs or most recent tax return)
- ☐Birth certificates for any children applying
- ☐Immigration documents if not a U.S. citizen
How Long Does Approval Take?
Illinois Medicaid applications are typically processed within 45 days. Pregnant women may receive faster decisions through expedited processing. Illinois has a presumptive eligibility program where certain qualified entities (such as hospitals and health clinics) can provide temporary immediate coverage while your full application is reviewed. Retroactive coverage of up to 3 months prior to application is available if you had qualifying medical expenses.
Illinois Medicaid FAQs
What is the income limit for Medicaid in Illinois?
For most adults, the Illinois Medicaid income limit is 138% of the Federal Poverty Level — about $1,732 per month for a single person or $3,575 per month for a family of four. Children, pregnant women, and seniors may qualify at higher income levels.
How do I apply for Medicaid in Illinois?
Apply online at abe.illinois.gov, by calling 1-800-843-6154, in person at your local DHS office, or through a community organization. The online ABE portal is the fastest option and available 24/7.
Does Illinois Medicaid cover dental?
Yes. Illinois Medicaid includes dental coverage for adults including preventive care, fillings, extractions, and dentures. This is more comprehensive than many other states and is a significant benefit of Illinois Medicaid.
What managed care plans are available in Illinois Medicaid?
Illinois Medicaid is delivered through managed care organizations (MCOs). Depending on your county, available plans include Aetna Better Health of Illinois, Blue Cross Community Health Plans, CountyCare, Molina Healthcare of Illinois, and others. Your plan affects which doctors and hospitals are in-network.
Can immigrants qualify for Illinois Medicaid?
Lawfully present immigrants generally qualify for Illinois Medicaid after meeting income requirements. Undocumented immigrants age 65 and older may qualify for limited benefits under a state-funded program. Emergency Medicaid is available to undocumented individuals for urgent medical situations.
How long does Illinois Medicaid take to approve?
Most standard applications are approved within 45 days. Illinois has a presumptive eligibility program that allows temporary immediate coverage at participating health clinics while your application is under review. Retroactive coverage of up to 3 months may be available.
Check your eligibility
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Check eligibility →Apply directly in Illinois
You can also apply directly through the state portal — though our enrollment specialists can help you navigate the process for free.
Apply at state portal →Illinois expanded Medicaid under the ACA, covering more low-income adults.