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Your Benefit Rights and Eligibility Information Under Medicaid Print Single Individuals (2013) Depending on your assets and level of income each month, you may be eligible to receive assistance for your medical bills, including your care in the nursing home. This assistance program is call Medicaid, and is administered through the Illinois Department of Healthcare and Family Services. The eligibility requirements for a nursing home resident are different, depending on whether you are an individual, or whether you are married with a spouse living in the community. This notice explains the eligibility requirements for a single individual. If you are an individual, you may be eligible to receive assistance for your medical bills and nursing home care if your total assets do not exceed any of the following limits: · No more than $2,000 in cash, bank assets, stocks, bonds or securities · No more than $1,500 either for a revocable pre-paid burial plan or the cash value of your life insurance policy · No more than $6,050 specifically and irrevocably set aside for funeral expenses (burial space, mausoleums, urns, caskets, grave-markers, and opening and closing of the gravesite are also exempt from consideration as assets, either under the $1,500 revocable or the $6,050 irrevocable burial plans). Trusts set up after August 11, 1993 are considered to be assets. Assets distributed over the last 60 months for less than fair-market value are considered countable assets. To apply for medical financial assistance under Medicaid: You should contact your local Illinois Department of Healthcare and Family Services office. If you do not know where your local Human Services office is, or if you have further questions, you may call the Illinois Department of Healthcare and Family Services toll-free at 800-843-6154 or visit the website www.dhs.state.il.us. At the point that you request financial assistance from the local Healthcare and Family Services office, you will be required to fill out a financial statement listing your assets and income. The agency will also be asking you, or a person helping you, to provide verification of your financial statement and supporting documentation. The Illinois Department of Healthcare and Family Services will require the Applicant and/or Authorized Representative to provide copies of the following: · Last five years of SAVINGS ACCOUNT statements · Last five years of CHECKING ACCOUNT statements · An explanation of deposits and withdrawals from either of the above if over $500, excluding Social Security income · Social Security card · Medicare card · Blue Cross/Blue Shield, AARP or other Health Insurance cards · Proof (check, Benefit Letter, etc.) of Social Security income · Proof of Pension income · Proof of other income · Health and life insurance policies with a statement of cash value of life insurance and cost of health insurance · Any pre-paid burial plans, funeral arrangements or cemetery lots with an itemized statement of date of purchase and cash value · Stocks, bonds, other securities and safe deposit box receipts · Deeds and tax statements for property owned currently or sold in the last three years · Verification of any accounts closed in the last five years · Trusts and annuities Your Benefit Rights and Eligibility Information Under Medicaid Depending on your assets and level of income each month, you may be eligible to receive assistance for your medical bills, including your care in the nursing home. This assistance program is call Medicaid, and is administered through the Illinois Department of Healthcare and Family Services. The eligibility requirements for a nursing home resident are different, depending on whether you are an individual, or whether you are married with a spouse living in the community. This notice explains the eligibility requirements if you are married with a spouse living in the community. You may be eligible to receive assistance for your medical bills and nursing home care if your total assets do not exceed $109,560 and the combined monthly income for both the husband and the wife do not exceed $2,739 a month. In addition, when you go into a nursing home, your spouse may keep your home, your car and your household furnishings, and they are not counted toward the assets. Trusts set up after August 11, 1993 are considered to be assets. Assets distributed over the last 60 months for less than fair-market value are considered countable assets. To apply for medical financial assistance under Medicaid: You should contact your local Illinois Department of Healthcare and Family Services office. If you do not know where your local Healthcare and Family Services office is, or if you have further questions, you may call the Illinois Department of Healthcare and Family Services toll-free at 800-843-6154 or visit the website www.dhs.state.il.us. At the point that you request financial assistance from the local Healthcare and Family Services office, you will be required to fill out a financial statement listing your assets and income. The agency will also ask you, or a person helping you, to provide verification of your financial statement and supporting documentation. The Illinois Department of Healthcare and Family Services will require the Applicant and/or family to provide copies of the following for BOTH the husband and wife, indicating ownership: · Last five years of SAVINGS ACCOUNT statements · Last five years of CHECKING ACCOUNT statements · An explanation of deposits and withdrawals from either of the above if over $500, excluding Social Security income · Social Security card · Medicare card · Blue Cross/Blue Shield, AARP or other Health Insurance cards · Proof (check, Benefit Letter, etc.) of Social Security income · Proof of Pension income · Proof of other income (e.g., spouse’s income) · Health and life insurance policies with a statement of cash value of life insurance and cost of health insurance · Any pre-paid burial plans, funeral arrangements or cemetery lots with an itemized statement of date of purchase and cash value · Stocks, bonds, other securities and safe deposit box receipts · Deeds and tax statements for property owned currently or sold in the last three years · Verification of any accounts closed in the last five years · Trusts and annuities
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