All Kids Healthcare

advertisement
Parents,
The All Kids program offers many Illinois children
comprehensive healthcare that includes doctors visits,
hospital stays, prescription drugs, vision care, dental care
and medical devices like eyeglasses and asthma inhalers.
Some families pay monthly premiums for the coverage, but
rates for middle-income families are significantly lower than
they are on the private market. For instance, a family of four
that earns between $50,700 and $77,112 a year pays a $40
monthly premium per child, and a $10 co-pay per physician visit. Fill out the “All Kids
Application today.
http://www.allkids.com/
All Kids Hotline 1-866-ALL-KIDS (1-866-255-5437)
TTY: 1-877-204-1012 All Kids Income Standards & Cost Sharing Chart
All Kids Premiums, Rebate and Out-of-Pocket Costs Vary by Monthly Income and
Family Size. To find out how much All Kids may cost you, follow these simple steps:
1. Look only at your family size row. Read across that row to the box where your family's
total monthly gross income falls.
2. Read down that column to the cost box below. The cost box shows the Monthly
Premium per child, along with the maximum Monthly Premium for your family, and the
Maximum Co-Payments per child, per year.
The income levels in this chart only apply to children. Please see
the www.familycareillinois.com/income for coverage available to parents and caretaker
relatives.
INCOME BOX
Family Size
All Kids Assist
All Kids Share
All Kids Premium
Level 1
All Kids Premium
Level 2
1
Up to $1,442 per month
$1,443 - 1,540 per month $1,541 - 2,050 per month
$2,051 - 3,119 per month
2
Up to $1,951 per month
$1,952 - 2,084 per month $2,085 - 2,774 per month
$2,775 - 4,221 per month
3
Up to $2,461 per month
$2,462 - 2,682 per month $2,629 - 3,499 per month
$3,500 - 5,324 per month
4
Up to $2,971 per month
$2,972 - 3,173 per month $3,174 - 4,224 per month
$4,225 - 6,426 per month
5
Up to $3,480 per month
$3,481 - 3,717 per month $3,718 - 4,948 per month
$4,949 - 7,529 per month
COST BOX
All Kids Assist
All Kids Share
All Kids Premium
Level 1
All Kids Premium Level 2
Monthly
Premium per
child
None
None
1 child $15
2 children $25
Each add'l child: $5
$40 per child
Max Monthly
Premium
N/A
N/A
$40 for 5 or more
children
$80 for 2 or more children
Max
Co-Payments
per year
No
co-payments
$100
per family for all
services
$100
per family for all
services
$500
per child for hospital services
Download