Number of dialysis patients statewide: 31,186

This state offers Medigap insurance to dialysis patients under 65.

Medicare, a federal program, pays for dialysis for over 80% of dialysis treatments. However, many issues concerning dialysis patients are handled at the state level.

Individual states must provide certain basic services under Medicaid, but they also have flexibility in how they structure their plans and set their reimbursement rates. In addition, some states have the authority to determine the need and location for additional dialysis facilities (this is often referred to as certificate of need). Because dialysis patients’ care can be affected by state officials as well as federal officials, DPC members are becoming more active on state issues – ensuring the patients’ voice is heard locally as well as nationally.

Illinois Dialysis Patient Resources

Health Insurance Marketplace:  Run in partnership with the federal government
https://getcovered.illinois.gov/en

Illinois State Chronic Disease Program
(217) 785-2867
https://www.illinois.gov/hfs/MedicalClients/renal/Pages/default.aspx

A non-Medicaid, completely state-funded program for persons who have End Stage Renal Disease.  It only covers dialysis treatment.  Enrollment requirements:  Recipient must be a U.S. Citizen, a legal resident of Illinois, and apply for Medicaid first.  Income is not a factor for this program.  However, dependent upon income, expenses and several other factors, recipients may have a participant fee similar to a co-pay.  Patients should find and complete all the necessary documentation through their dialysis clinic social worker.

Illinois Comprehensive Health Insurance
(217) 782-6333
https://www.chip.state.il.us/index.html

Individual comprehensive health insurance for those denied coverage due to pre-existing conditions or have one of 31 medical conditions.

Illinois Department of Healthcare and Family Services
(866) 468-7543
https://www.illinois.gov/hfs/Pages/default.aspx

Provides comprehensive medical benefits through Medicaid to residents of Illinois who are children, parents or caretaker relatives raising children younger than 19, pregnant women, senior 65 years of age or older and persons who have a disability or blindness.  The All Kids program offers Illinois uninsured children comprehensive healthcare.

ESRD Network

The Renal Network – ESRD Network 10
800-456-6919
http://therenalnetwork.org/

911 E. 86th St., Suite 202
Indianapolis, IN  46240

Qsource ESRD Network 10 is the organization which works within Illinois to assist both dialysis patients and dialysis facilities to achieve better outcomes in the treatment of kidney disease and improved quality of life for Medicare beneficiaries with end-stage renal disease.

Prescription Discount Cards

Illinois Drug Card
http://illinoisdrugcard.org/

Illinois Rx Card
https://illinoisrxcard.com/

Health Reform Status:

Exchange: Illinois will run its health insurance exchange in partnership with the federal government.

Medicaid: The state will expand Medicaid eligibility.

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