Tuesday, June 19, 2012

Visit these links to learn about changes to your HFS benefits

Beginning July 1, 2012, a new state law has made important changes to your medical benfits. Talk to your primary care provider at your medical home about these changes to understand more about how they will affect you. The Illinois Department of Healthcare and Family Services (HFS) will send notices in the mail to those who are affected.

  • Adults must pay $3.65 for most medical services, including doctor and clinic visits.
  • Children covered on All Kids Share now have a $3.65 co-payment for office visits.
  • Adults and children must pay $3.65 for using the emergency room when they do not have an emergency.
  • Adults must pay $2 for each generic prescription and $3.65 for each name-brand prescription.
  • If you need more than four prescriptions in a month, your doctor or pharmacist must get special approval to get them covered. This applies to adults and children. Some medications do not have a limit.
  • Chiropractic care for adults is not covered.
  • Adults are covered for dental care only in an emergency.
  • Podiatry care from any foot doctor is covered for adults only if they have diabetes.
  • Payment for eyeglasses for adults is limited to one pair of glasses every two years.
  • Some adults will lose FamilyCare eligibility due to this state law. The FamilyCare Share, Premium and Rebate programs for parents and caretaker relatives will end June 30, 2012.
  • Illinois Cares Rx program ends on June 30, 2012.
For more information about these changes, visit the following program Web sites: