BEYOND INSURANCE: OTHER RESOURCES

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BEYOND INSURANCE OTHER RESOURCES
KIDCARE
SSI
SHRINERS
DSCC
ICHIP
MEDICAID
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TODAYS SPEAKERS

• Diane Becker- LCSW - social worker at the
  University of Chicago Hospitals and clinics
• Barbara McCann- parent with experience in finding
  coverage for her daughters special health needs
• Faye Manaster Eldar- moderator and mother of
  Maya who is 18 and deaf/blind

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MEDICAID

• Pays for medical care for those meet income and
  asset standards
• administered differently in each state
• jointly funded by state and federal government

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COBRA 1985

• Consolidated Omnibus Budget Reconciliation act of
  1985
• Allows families or individuals to continue group
  health insurance for 18 months after the loss of
  a job

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MEDICAID

• Each state has their own financial eligibility
• Based on a percentage of the federal poverty
  level
• Adjusted for family size
• Spenddown- a program in which Medicaid will pay
  when you have paid or incurred a specific amount
  of bills

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KIDCARE

• Federal program is called
• Sponsored by the state of Illinois
• Contact

• Affordable health insurance to pregnant women and
  children to age 18
• Or will assist with cost of insurance - rebate
  program

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APPLYING FOR PROGRAMS

• Always apply even if you think you may not be
  eligible
• It is not always possible to determine if you are
  eligible over the phone
• Appeal if you are denied as sometimes errors are
  made

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APPLYING FOR ASSISTANCE

• By applying, even if you are denied, you let
  administrators know what types of people need
  services
• You may need the denial from one program to
  access other programs
• May allow you to access charity funds at a
  hospital

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KEEP HOSPITAL DOCTORS INFORMED

• Let your doctor/hospital know about the programs
  for which you have applied
• You may need information from your doctor to
  complete an application for a specific program
• If you have problems paying, tell the hospital
  and they can set up a payment plan

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DIVISION OF SPECIALIZED CARE FOR CHILDREN

• DSCC-Title V program in Illinois
• name of program will be different in other states
• Provides care coordination for children with
  special health care needs
• Provides financial assistance, if eligible

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CONDITIONS POTENTIALLY ELIGIBLE FOR DSCC in
Illinois

• orthopedic
• heart defects
• hearing loss
• neurological conditions
• certain birth defects
• disfiguring defects -cleft palate, burns

• eye impairments excluding isolated refractive
  errors
• certain chronic disorder such as hemophilia and
  cystic fibrosis
• certain metabolic problems
• urinary system impairments

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DOCUMENTS YOU MAY NEED TO HAVE

• birth certificate
• tax forms
• last two paycheck stubs
• social security card

• verification of residency - something with your
  address on it
• medical information- report with childs diagnosis

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FILING SYSTEMS FOR YOUR HOME

• Keep files for
• medical reports
• school reports
• funding information
• each doctor- after appointment file bills when
  insurance or other source pays, match up the
  paperwork

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SUPPLEMENTAL SECURITY INCOME- SSI

• Benefits for disabled who have limited income and
  resources
• must have marked and serve functional limitations
• disability must be expected to last at least 12
  months or result in childs death
• parent receives monthly check to be used toward
  childs medical needs

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SHRINERS HOSPITALS FOR CHILDREN

• a network of 22 hospitals that provide expert,
  no-cost orthopedic and burn care to children
  under 18. To receive an application
• www.shriners.com
• obtain from any Shrine Temple or Club
• write to Shriners Hospitals, P.O. Box 31356,
  Tampa, FL 33631
• call the toll-free referral line at
  1-800-237-5055

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PUBLIC HEALTH CLINICS

• May be a city, county, or regional health
  department
• may provide routine pediatric care,
  immunizations, various types of clinics, dental
  care, or car seat programs
• call the health department in your area to find
  out what services they provide to children with
  special needs

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ILLINOIS COMPRHENSIVE HEALTH INSURANCE PLAN

• ICHIP - a state health insurance program that
  provides coverage for eligible Illinois residents
  who are unable to purchase health insurance
  privately because of a health condition or
  disability
• Premiums paid by enrolled persons cover
  administrative expenses and a significant portion
  of medical claims.

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MEDICAL DEDUCTIONS ON FEDERAL TAX FORMS

• Allows deductions that are more than 7.5 of your
  income
• keep careful records of medical expenses
  including direct costs, such as payments to the
  MD and indirect costs such as travel

• For an informational booklet call the Family
  Resource Center on Disabilities at 312-939-3513

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THANK YOU FOR JOINING US ON THE WEBCAST.

• Please view our other Webcasts that can be
  accessed by clicking on Archives.