All Kids Member Handbook: Covered Services

What services do All Kids, FamilyCare and Moms & Babies cover?

Members of All Kids, FamilyCare and Moms & Babies can get these important health services:

  1. Doctor services

  2. Clinic services

  3. Dental services (only emergency coverage for adults)

  4. Emergency room services

  5. Hospital services (inpatient and outpatient)

  6. Maternity care (special care during and after pregnancy)

  7. Surgery

  8. Medicines (prescription drugs)

  9. Lab and X-ray services

  10. Mental health treatment (inpatient and outpatient)

  11. Substance abuse treatment (inpatient and outpatient)

  12. Family planning services and supplies

  13. Medical supplies and equipment

  14. Transportation for emergency medical care

  15. Home health services

  16. Early intervention services

  17. Audiologist (hearing) services

  18. Eye glasses

  19. Optometrist (eye) services

  20. Podiatric (feet) services

  21. Chiropractic services

  22. Intermediate care for people who are developmentally disabled

  23. Care in skilled pediatric nursing facilities

  24. Nursing home services

  25. Regular checkups and shots for children

  26. Renal (kidney) dialysis services

  27. Nursing care

  28. Physical therapy, occupational therapy, speech therapy

  29. Hospice care

  30. Respiratory (breathing) equipment and supplies

Certain families may qualify for help with transportation to get to medical appointments.

What is a medical home?

A medical home is a doctors office or clinic that knows you and knows about your health care needs. Your medical home is where all your records are, and its the place you go and bring your children for checkups and when you are sick. Your medical home might be a primary care doctor or a clinic.

Heres what a primary care doctor or clinic can do for you and your children:

  1. Take care of you when you are sick

  2. Give your children checkups and shots

  3. Help you manage diseases and chronic conditions, such as asthma or diabetes

  4. Send you to specialists or other health providers when you need to go

  5. Give you the information you need to stay healthy


Need transportation to medical appointments?

If you qualify, you can get free transportation to covered medical appointments that are not emergencies.

To find out if you qualify, call 1-877-725-0569 (TTY: 1-877-204-1012).

The call is free.

    When you call, tell the person who answers:

  1. The name, address and phone number of the person who needs a ride

  2. The date and time of the medical appointment

  3. The time the person needs to be picked up

  4. The persons identification number from their medical card

  5. The reason for the appointment

If you are in a managed care health plan, call the plan for transportation. The number is on your health plan card.

Questions? Please call us at 1-866-255-5437 (TTY: 1-877-204-1012). The call is free. You can call Monday to Friday, 8:30 to 5. 


How can I find a medical home?

Illinois Health Connect is a program that works with All Kids, FamilyCare and Moms & Babies to manage your healthcare through your medical home. You can visit the Illinois Health Connect Web site.

If you live in Cook, Jackson, Madison, St. Clair, Perry, Randolph, Washington or Williamson County, you can choose to have a medical home through Illinois Health Connect or through a managed care health plan.

Illinois Health Connect or the Illinois Client Enrollment Broker will contact you when it is time to choose your medical home. Most people have to have a medical home.

* If you have not been contacted and you want help to find a medical home, call Illinois Health Connect at 1-877-912-1999 (TTY: 1-866-565-8577). The call is free.

What should I do when somebody is sick?

Call your primary care doctor or clinic right away! Your primary care doctor or clinic will see you or tell you what to do.

How will I know if I need to go to the Emergency Room?

An emergency is a serious medical problem. If you or someone in your family has a serious medical problem, go to the Emergency Room right away!

Only go to the Emergency Room if your problem is serious. If it is not serious, make an appointment to see your primary care doctor or clinic.

Here are some emergencies:

  1. Chest pains

  2. A high fever

  3. Bleeding that wont stop

  4. Passing out

  5. Seizures

  6. A broken bone

  7. Trouble breathing

  8. Serious burns

  9. Serious stomach pain

  10. Damage to the eyes

  11. Any medical problem that you think is serious


If you think your medical problem is serious, go to the nearest Emergency Room right away!

If you are not sure that the medical problem is an emergency, call your primary care doctor or clinic. Ask them what you should do.

If you cannot reach your doctor after 6 pm or on the weekend, you can call the Illinois Nurse Helpline 1-800-571-8094 (TTY: 1-800-571-8419). The call is free.

Call the Nurse Helpline only if you cant reach your doctor and only if you have a question about a medical problem at night or on the weekend.


All Kids Hotline 1-866-ALL-KIDS (1-866-255-5437)
TTY: 1-877-204-1012




All Kids

 

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