Benefits & Coverage


Our Members get the same benefits as Medicaid recipients. If you have questions about your benefits, call

312-262-6440 from 8 a.m. to 5 p.m. or Illinois Relay 711 if you’re hearing impaired.

This information can also be found in your Member Handbook.

Below is a list of the Main Types of Care, Benefit Limits, and Copays for Adults and Persons with Disabilities under Medicaid (This list does not include all benefits).

Medical Services

[table id=4 /]

Medication and Prescription Services

[table id=5 /]

Mental Health Services

[table id=6 /]

Preventative Care

[table id=7 /]

Family Planning Services

[table id=8 /]

Care for Your Teeth, Eyes, and Ears

[table id=9 /]

Transportation

[table id=10 /]

Other Medical Services

[table id=11 /]


Services Not Covered

Medicaid does not cover these services:

  • Experimental procedures: treatments that aren’t normally asked for.
  • Research procedures: treatments that aren’t normally asked for.
  • Medical exams for entrance into adult educational or vocational programs.
  • Autopsy: explains a person’s death.
  • Artificial insemination: helps women become pregnant.
  • Medical or surgical procedures for cosmetic purposes, like plastic surgery.
  • Medical or surgical transsexual treatment services to change someone’s gender.
  • Acupuncture: placing needles in certain parts of the body.
  • Chiropractic services: for the back or spine.
  • Elective surgery: surgery that is not necessary for your health.

This is not a complete list. If you do not know if a service is covered, please call us first at 312-262-6440. If you’re hearing impaired, call Illinois Relay at 711.