Illinois Medicaid Eligibility


Illinois Medicaid Income Guidelines

Medicaid in Illinois is the state-funded health insurance program for low income residents who have no source of coverage. Especially targeting families, children, pregnant women, disabled, blind, and elderly individuals, Medicaid makes it possible for those with limited means or the need for care to have access to a broad range of health care. Under the Medical Assistance program, members can visit physicians for illnesses or injuries, seek preventive care such as child immunizations, and be admitted to hospitals. More services similar to a regular health policy are covered by Medicaid, making it a great program for those who qualify.

Eligibility for Medicaid in Illinois depends on your household income, as a measure of what the state allows surrounding the federal poverty level. In addition to financial criteria, applicants must live in the state of Illinois, and be able to prove U.S. citizenship or legal residency. Adults with children under the age of 19 who have a low income qualify, while if you have no children or children over 19 you are unable to receive benefits. Below are the income guidelines for groups that are eligible for Illinois Medicaid.


Group                                       Income (percent of FPL)

Infant                                                    133%

Child age 1-5                                        133%

Child age 6-19                                      100%

Parent (unemployed)                            133%

Parent (employed)                                133%

Pregnant Women                                  133%

Single Aged/Blind/Disabled                   100%

Aged/Blind/Disabled Couple                    SSI-based 100%


Other Eligible Groups

  • Temporary Assistance for Needy Families (TANF) beneficiaries
  • Supplemental Security Income (SSI) recipients
  • Disabled individuals who no longer qualify for SSI benefits due to their income
  • Medicare members with a low income
  • Qualified Medicare Beneficiaries (QMB): Medicaid covers your Medicare monthly premium, deductibles, and coinsurance if your income is under federal poverty level.
  • Specified Low-Income Medicare Beneficiaries (SLMB): Medicaid covers only your monthly premiums if your income is less than or equal to 120% FPL.
  • Medically Needy: those who have medical expenses high enough that when subtracted from household income, remaining funds make them eligible for Medicaid.


Federal Poverty Level 2012



Illinois Department of Human Services: Medicaid

DHS Help Line: 800-843-6154 or 800-447-6404 TTY

Application for Illinois Medical Assistance