Illinois Medicaid Eligibility Calculator 2025
Check if you qualify for Illinois Medicaid based on the latest 2025 guidelines
Eligibility Status
Please enter your information to check eligibility
Income Assessment
Monthly Income:
$0.00
Income Limit:
$0.00
Status:
Not calculated
Asset Assessment
Countable Assets:
$0.00
Asset Limit:
$0.00
Status:
Not calculated
Need More Information?
For detailed eligibility tests, asset planning strategies, and application guidance:
Illinois Medicaid Eligibility Guide 2025How to Use This Calculator
1
Enter Personal Information
Begin by entering your age and selecting your marital status. This helps determine which eligibility criteria apply to your situation.
2
Select Care Type
Choose the type of care you need - Nursing Home, Home and Community-Based Services, or Regular Medicaid. Each has different eligibility requirements.
3
Input Financial Details
Enter your monthly income and countable assets. For married couples, include spouse information when prompted.
4
Review Results
The calculator will instantly show your eligibility status, income and asset assessments, and any spend-down requirements you may need to meet.
Illinois Medicaid 2025 FAQs
What is the income limit for Illinois Medicaid in 2025?
The income limit varies by group. Adults aged 19-64 can earn up to 138% of the Federal Poverty Level (FPL), about $21,597 yearly for one person. Children qualify with family incomes up to 318% of FPL, and pregnant women up to 213% of FPL. Check specific limits at HFS.
What is the asset limit for Illinois Medicaid in 2025?
Most groups face no asset limit. Seniors and people with disabilities seeking long-term care have a $17,500 asset limit for a single applicant. Married couples may have higher limits. Learn more at Medicaid Planning.
How do I apply for Illinois Medicaid?
Apply online at ABE Illinois, call 1-800-843-6154, or visit a local IDHS office. The process is simple but requires accurate information. Follow up to ensure your application is processed.
What documents do I need to apply for Illinois Medicaid?
You need proof of identity, like a driver’s license, residency, such as a utility bill, income, like pay stubs, and assets, like bank statements, if applicable. Requirements vary by program. Contact HFS for details.
Who is eligible for Illinois Medicaid in 2025?
Low-income individuals, families, children, pregnant women, seniors, and people with disabilities may qualify. Eligibility depends on income, assets, and other factors. Visit Illinois Legal Aid for more information.
Can undocumented immigrants get Illinois Medicaid in 2025?
Undocumented immigrants may qualify for Health Benefits for Immigrant Adults (HBIA) or Seniors (HBIS) if they meet age and income rules. These programs are limited and debated. Check HFS for updates.
What is the age limit for Illinois Medicaid?
There is no age limit. Medicaid covers eligible children, adults, and seniors based on income and other criteria. Different programs apply to specific age groups.
Does Illinois Medicaid cover dental services in 2025?
Yes, it covers comprehensive dental care for children and restorative services for adults over 21. Contact DentaQuest to find a dentist.
How often do I need to renew my Illinois Medicaid eligibility?
You renew eligibility yearly. HFS sends a notice to update your information online, by phone, or in person. Respond promptly to avoid losing coverage.
Can I have both Illinois Medicaid and private insurance?
Yes, you can have both. Medicaid often covers costs not paid by private insurance. Coordinate benefits through your MCO or HFS.
What is the Illinois Medicaid spend-down program?
The spend-down program helps people with income above the limit qualify. They spend excess income on medical expenses to meet eligibility. Learn more at Medicaid Planning.
Are there work requirements for Illinois Medicaid in 2025?
No, Illinois does not require work for Medicaid eligibility in 2025. The state opposes such rules due to administrative burdens. See NPR Illinois.
What is All Kids in Illinois?
All Kids is Illinois’s Children’s Health Insurance Program (CHIP). It covers children in families with incomes too high for Medicaid. Visit HFS for details.
Can I qualify for Illinois Medicaid if I am unemployed?
Yes, unemployment may lower your income below the eligibility threshold. Apply to see if you qualify. Use ABE Illinois to start.
How does pregnancy affect Medicaid eligibility in Illinois?
Pregnant women qualify with incomes up to 213% of FPL. Coverage lasts up to 12 months after birth. Check Illinois Legal Aid.
What is the Illinois Medicaid redetermination process?
Redetermination reviews your eligibility yearly. Update your information as instructed in the notice from HFS. Missing deadlines may end coverage.
Can I appeal if my Illinois Medicaid application is denied?
Yes, you can request a hearing to appeal a denial. Follow instructions in the denial notice. Contact HFS for support.
Does Illinois Medicaid cover mental health services?
Yes, it covers therapy, counseling, and inpatient mental health care. Services vary by plan. Confirm with your MCO or HFS.
What is the Illinois Medicaid managed care program?
Managed care organizations (MCOs) coordinate Medicaid services. You choose an MCO for access to providers. Learn more at HFS.
How can I find a doctor who accepts Illinois Medicaid?
Search your MCO’s provider directory or contact DentaQuest for dental care. HFS offers a provider list at HFS.