• A six-month preexisting conditions Illinois
limitation applies to the Traditional
Plan but not to HIPAA-CHIP.
• Choice of five calendar-year deductible plans: $500,
$1,000, $1,500, $2,500, and $5,000 and Health Sav-
ings Account qualified High Deductible Health
Plans with several deductible options.
• PPO coverage.
• Prescription drug covered without a deductible with
an out-of-pocket maximum of $2,500 per calendar
year. (Except for High Deductible Plans) Services
other than prescription drugs subject to calendar year
deductible. No prescription drug coverage for Medi-
• Coinsurance for all services of 20% (Coinsurance
for non-PPO providers is 40% ).
• Out-of-pocket expenses in regular deductible plans
are limited each calendar year to the selected de-
ductible plus $1,500. For these plans there is no
Are you losing your health
deductible for prescription drugs. (An additional out insurance?
of pocket expense limitation of $4,500 applies for
participants who choose to use non-PPO providers).
Out-of-pocket expenses for the high deductible plans
are based on the deductible: $1,200 deductible with
Have you been turned down for
an out-of-pocket limit of $1,500; and $2,000 deducti- ICHIP health insurance?
ble with $2,500 out-of-pocket limit; $5,200 deducti-
ble with $0 out-of-pocket. Prescription drugs are
subject to the deductible. Illinois Comprehensive Health Insurance Plan
• Lifetime Maximum benefit of $2.0 million. (Returns
320 West Washington Street Suite 700
Springfield, Illinois 62701-1150
Maybe we can help!
to $1.5 million August 29, 2010.)
Phone Toll Free: 866-851-2751 Call Toll Free 866-851-2751
Fax: 217-558-4831 Or visit us on the web:
TDD: 800-545-2455 www.chip.state.il.us
ICHIP and HIPAA-CHIP
There are three ICHIP Not eligible when ...
Eligibility Requirements Include:
Eligible for any other coverage similar to
• Resident of Illinois for at least 180 days; CHIP;
depending on • U.S. citizen or permanent resident alien; Receiving or approved to receive Medicaid;
how an appli-
• Applied for individual health insurance and been Eligible for Parts A and B of Medicare due to
cant qualifies age;
rejected by an insurer due to health reasons; or,
for CHIP. Have exhausted the current lifetime maximum
• Physician’s letter confirming any of the Presump- in CHIP benefits;
tive Medical Conditions. Resident of a public institution (Traditional
Medicare Plan is the only plan avail- CHIP only); or,
able for persons who are eligible for • May also be eligible if offered insurance coverage
Premium is paid by a governmental
Medicare due to disability or similar to CHIP, but which coverage would per- entity or health care provider (Traditional CHIP
end-stage renal disease and have both sonally cost the applicant more than CHIP.
Medicare Parts A and B. (No prescrip-
tion drug coverage for the Medicare HIPAA-CHIP
plan) Eligibility Requirements Include:
Traditional Plan is a Preferred Pro- • Resident of Illinois;
For more information or to obtain an application call
vider Organization (PPO) plan avail- or visit the web site listed below.
• Accrued a total of 18 months or more of prior
able only to eligible persons who creditable coverage with no more than a 90-day
break between periods of coverage; Illinois Comprehensive Health Insurance Plan
qualify for traditional CHIP. 320 West Washington Street Suite 700
• Most recent creditable coverage provided under a Springfield, Illinois 62701-1150
HIPAA-CHIP Plan is a Preferred Pro- group health plan; Phone Toll Free: 866-851-2751
vider Organization (PPO) plan avail- Fax: 217-558-4831
• Not eligible for any group health coverage, Medi- TDD: 800-545-2455
able only to federally eligible individu-
care due to age or Medicaid; and,
als who qualify for HIPAA-CHIP.
• No other health insurance coverage