Insurance Company Did Not Cover Baby Sick Doctor Visit

What is All Kids?

All Kids is Illinois' program for children who need comprehensive, affordable, wellness insurance, regardless of immigration status or health condition. Every child deserves the take chances to grow up healthy. With All Kids, your children will exist able to get the care they need, when they need it. Information technology means you can take your child to the md for a regular check-upwardly, to the dentist to fill up a cavity, or to the middle physician to get a prescription for glasses.

To date, there are over 1.vi million Illinois children enrolled in All Kids. If your family, similar many hardworking families, cannot beget individual health insurance, All Kids may be the answer for you.

What does All Kids Cover?

All Kids is complete health insurance for your child. All Kids covers doctor visits, hospital stays, prescription drugs, vision intendance, dental intendance, and eyeglasses. All Kids covers regular check-ups and immunizations (shots). All Kids also covers special services similar medical equipment, speech therapy, and concrete therapy for children who need them.

Who tin can become All Kids?

Children tin can get All Kids health insurance if:

1. They live in Illinois.

2. They are age xviii or younger.

3. They meet the insurance requirements for All Kids.

4. Their family unit'south income meets the All Kids Income Limit.

What is the income limit for All Kids?

See the All Kids Income Standards & Cost Sharing Chart for the limits. The income limits may increase each year based on the federal poverty level.

My kids live with their mother. Can I use for All Kids?

No. The custodial parent must exist the person filing the All Kids application. We take into business relationship the size and family income of the custodial parent.

What about health insurance for parents?

Illinois FamilyCare health insurance covers parents, but in that location is a limit to how much income parents can take to get FamilyCare. Parents and children can apply on the aforementioned awarding. For more information, check out the FamilyCare Spider web site.

A pregnant woman may be eligible for Moms & Babies. If she is, nosotros tin enroll her newborn into All Kids as soon as she delivers. For more information nigh Moms & Babies, visit the Moms & Babies Web site.

How do I find a dr. who accepts All Kids?

Well-nigh enrollees have to pick a health plan and primary care provider (PCP) for their medical home. The Illinois Client Enrollment Banker will contact you when it is time to cull. Until you lot have a health plan, you lot can call Illinois Wellness Connect at one-877-912-1999 (TTY:1-866-565-8577) for help.

How long volition my child have All Kids coverage?

A child who that is found eligible for All Kids Assist, Share, or Premium Levels 1 and 2 has 12 months of guaranteed coverage, unless they move out of Illinois, or turn 19. We will transport a observe 10 months afterwards All Kids coverage starts for the family to renew for some other yr. At that fourth dimension, some families may have to switch from All Kids.

How does immigration status affect my child's ability to become All Kids?

Equally long as children meet the other requirements, they can get All Kids regardless of clearing status. They must live in Illinois. If children come to Illinois but to get medical care, they will not qualify for All Kids.

My son is not a citizen of the U.Southward. If he uses All Kids, will it keep him from becoming a permanent resident because he volition be a public charge?

All Kids wellness insurance will not touch your child's clearing status as long as your kid does not receive long term care in a nursing home or mental health facility. For more information well-nigh public accuse, see Questions and Answers about Immigration and Public Charge in HFS 3863.

If undocumented children apply for All Kids, volition yous report them to the Usa government?

No. Nosotros will only check the immigration status of children who are not citizens if they give us their Alien Registration Numbers.

My son was born in the United States. Why does the All Kids application inquire for proof that he is a citizen?

Illinois has to ask all citizens for proof because of a federal law.

Insurance Requirements for All Kids

Children can qualify for All Kids Assist Share and Premium Level one even if they have insurance. To qualify for All Kids Premium Level two, a kid must take been uninsured for 3 months, accept lost insurance considering a job concluded, the employer stopped offer insurance, the insurance was COBRA, the premium for the child was more than than 5% of the household income, the price of the family coverage including the child was more than nine.five % of the household income, the kid has special health intendance needs, or the child lost benefits nether another All Kids program or the Health Insurance Market place. The annual income amounts for All Kids Premium Level 2 are shown below.

Family Size	Income
2 person family:	$33,948 to $51,648 per year
Three person family:	$42,684 to $64,932 per yr
4 person family unit:	$51,432 to $78,228 per year
Five person family:	$60,168 to $91,524 per year

The income limit is college for larger families.

Income guidelines are updated each year. Check the All Kids Web site for updates.

I am a unmarried mom with ii kids. I earn $30,000 a year. I get health insurance from my job for my kids but it does not comprehend dental care. Can my children get All Kids?

Yes. Considering of your income, your children tin can get All Kids even if they have other wellness insurance. The wellness insurance from your job would be your children's primary insurance. All Kids would be the secondary insurance to apply for services that the principal insurance does not cover, such every bit dental care.

My kid has wellness insurance now but information technology costs too much each month. Can I drop it and get All Kids?

If you lot driblet your childs health insurance, you will take to await 3 months earlier your kid tin can go All Kids, unless your income is lower than the amounts shown above for All Kids Premium Level 2, or your premium for the child exceeds v% of your household income.

My child's health insurance ended when my task ended. Tin can my child get All Kids?

Yes. Your child tin qualify. Even if you are paying your former employer for insurance under a COBRA plan, your kid can get All Kids.

My child's health insurance just covers hospital stays. Tin can my child go All Kids?

Yes. Health insurance that covers only one service or i medical condition does not count when nosotros determine if your child can get All Kids. For example, insurance that just covers vision, dental, cancer, infirmary stays, or school-based health insurance does non count.

My child has a pre-existing medical status. Can my child get All Kids?

Yes. Children who have a pre-existing medical condition can get All Kids. As function of national health intendance reform, no insurance visitor tin can exclude or delay new coverage for a child based on a pre-existing condition.

All Kids Costs

Some families become All Kids for gratuitous. Some families have to pay premiums and co-payments for All Kids health insurance. What you pay will depend on your income.

Monthly Premiums - You may have to pay a monthly premium for your children to get All Kids. A premium is a monthly corporeality that some families must pay fifty-fifty if they do not utilize any health intendance that month.

Co-Payments - Yous may also have to pay a part of the cost of the healthcare your child gets from a dr., dentist or infirmary. You may accept to pay function of the toll of prescription drugs. These costs are called co-payments.

Yous volition never have to pay a co-payment when your kid gets a regular check-up or shots. These are chosen well-child visits and they are free for all children enrolled in All Kids.

The amount of premiums and co-payments you will have to pay depends on your income, the size of your family unit and how many of your children go All Kids.

What will All Kids premiums and co-payments cost an average family?

Here are some examples of what All Kids will cost. If you apply for All Kids and qualify, we will send you a find telling you how much All Kids will cost your family. Nosotros will ship you a bill every month if you have to pay a premium.

Example - A family of four that makes up to *$36,168 of gross income each twelvemonth does non have to pay any premiums or co-payments for their children.

Example - A family unit of four that makes well-nigh *$36,180 to $38,628 of gross income each year does non have to pay any premiums. A family like this pays a $3.ninety co-payment for each doctor visit, and $two or $3.90 for each prescription. This family would pay a maximum of $100 in full co-payments in a year.

Example - A family of four that makes about *$38,640 to $51,420 of gross income each year pays premiums of $fifteen per month for one child, $25 for 2 children or $30 for iii children. A family like this pays co-payments of $v for a visit to a doctor, and $3 or $5 for each prescription drug. This family would pay a maximum of $100 in full co-payments in a year.

Case - A family of four that makes about *$51,432 to $78,228 of gross income a yr pays a premium of $twoscore per month for one child and $80 a month for two children. A family unit like this would pay $10 for each doctor visit, and $3 or $7 for each prescription drug. This family would pay $100 if a child was hospitalized and 5 percent of the cost of whatever hospital outpatient service.

Remember, no family ever has to pay for their children'southward regular check-ups and immunizations.

*The income standards may increase each year. For more than detailed data about All Kids costs see the Income Standards & Price Sharing Chart.

Do I take to pay my showtime premium to kickoff All Kids coverage?

Coverage for new families enrolled in All Kids Premium Levels one and 2 may start earlier you pay the first month's premium. If you get an approval letter and do not desire the coverage, you lot must contact i-866-255-5437 correct away to cancel the coverage. If yous practice not cancel the coverage, you may still owe money for premiums fifty-fifty if you don't use the All Kids bill of fare.

What happens if I exercise not pay my All Kids premiums?

If you lot exercise non pay All Kids premiums that you owe, we will cancel your child's All Kids health insurance. You will still owe premiums for the time your child was covered past All Kids fifty-fifty if yous do non use the card. If y'all decide later that yous want All Kids for your kid, yous volition have to reapply and pay any premiums you owe. Withal, even if you owe premiums, you may reapply at whatever time.

What happens if I do non pay my All Kids co-payments?

If you do non pay your co-payments, your md may reject to care for your child, and pharmacies will non fill your prescriptions. If yous owe a co-payment, doctors and hospitals have the right to collect it from you.

How do I Apply for All Kids?

The easiest way to employ is using the Internet. You can fill in and submit an ABE Application online.

Y'all tin can as well download and print a copy of the application from the Web site.

In that location are All Kids Application Agents all over Illinois that can help you employ. To find an application agent near you, visit the All Kids Application Agents Web site or call the number below.

Nosotros can likewise ship you an application in the mail. But phone call 1-866-All-Kids (1-866-255-5437). If y'all use a TTY, call 1-877-204-1012. The hotline has translation services available.

What Happens After I Apply?

All Kids will notify y'all by mail when a conclusion has been made. If your kid qualifies for All Kids, we volition send y'all an All Kids member handbook to explain how it works. We will as well send you an HFS Medical Card.

All Kids Hotline one-866-ALL-KIDS (1-866-255-5437)

TTY: 1-877-204-1012

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Source: https://www2.illinois.gov/hfs/MedicalPrograms/AllKids/Pages/about.aspx