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Medicare Savings Programs | Application for Benefits Eligibility

100 South Grand Avenue East, Springfield, IL 62704

Eligibility

Applicant must have Medicare Hospital Insurance Part A; Income and financial resource limits apply

Required documents

These may include, but not limited to: Valid photo ID, such as driver's license, state ID or passport Proof of your residence, such as utility bill with name on it Proof of Social Security numbers for all people on your application Proof of income and financial assets, such as W-2 forms, tax returns, paystubs, financial investments documents.

Hours

Monday to Friday, 8:30 am - 5:00 pm

800-843-6154
Voice·

DHS Help Line

866-324-5553
Voice·

TTY

Languages

English, Spanish

Application process

(1) Call for further information about this program or request an application to be mailed to you, or (2) Download an application from the Medical Forms page online (3) Once application is received, IDHS will send applicants a notice of whether or not they qualify for Medicare cost sharing expenses

Fees

No Fees

Service area

IL

Administrative entity providing healthcare coverage for adults and children who qualify for Medicaid, and Child Support Services to help ensure that Illinois children receive financial support from both parents.

Providing organization

Illinois Department of Healthcare and Family Services

Administrative entity providing healthcare coverage for adults and children who qualify for Medicaid, and Child Support Services to help ensure that Illinois children receive financial support from both parents.

Medicare Savings Programs | Application for Benefits Eligibility