Patient Support and Financial Resources
Illinois Cares RX
Two programs which provide prescription assistance to people with disabilities with and without Medicare
Illinois Chronic Renal Disease Program
A non-Medicaid, completely state-funded program for persons who have End Stage Renal Disease. It pays for the dialysis treatment only. The only requirements to enroll in this program are: the recipient must be a U.S. citizen, legal resident of the state of IL, and they must apply for Medicaid first. Income is not a factor for this program; however, dependent upon income, expenses and several other factors the recipient may have a participation fee. This is similar to a co-pay. Patients should find and complete all the necessary documentation through their social worker at the dialysis clinic they currently utilize.
Prescriptions will be filled for up to 100 tablets; refills are also free. The specific medication(s) in the program may change from time to time; as of 4/20/10, metformin (Glucophage) was available.
Quality Improvement Organization
Quality Improvement Organizations receive and investigate patient grievances relating to quality of care generally (e.g., complaints regarding physicians, hospitals, or outpatient facilities other than dialysis facilities). They usually attempt to mediate any disputes brought to their attention. They also engage in quality improvement activities unrelated to patient complaints. Quality Improvement Organizations operate under contracts with the federal Medicare agency.
State Health Insurance Assistance Program
State Health Insurance Assistance Programs offer one-on-one counseling and assistance to people with Medicare and their families regarding eligibility and coverage. State Health Insurance Assistance Programs operate under contracts with the federal Medicare agency.
ESRD Networks receive and investigate patient grievances relating to dialysis care. They usually attempt to mediate any disputes brought to their attention. They also engage in quality improvement activities unrelated to patient complaints. ESRD Networks operate under contracts with the federal Medicare agency.
#10 ESRD Network "The Renal Network"
911 E. 86th Street, Suite 202
Indianapolis, IN 46240
Illinois Dept. of Healthcare and Family Services
- Adult Programs: provides comprehensive medical benefits to residents of Illinois who are children, parents or caretaker relatives raising children younger than 19, pregnant women, seniors 65 years of age or older and persons who have a disability or blindness.
- Programs for Children: The All Kids program offers Illinois uninsured children comprehensive healthcare.
- Medication Programs: Illinois Cares Rx (Basic and Plus) Provides prescription assistance to people with and without Medicare.
- Additional Programs: Illinois Comprehensive Health Insurance Individual comprehensive health insurance for those denied coverage due to pre-existing conditions or have one of 31 medical conditions. Access to Care is a model primary health care program serving low-income uninsured individuals in suburban Cook County, Illinois and in northwest Chicago.
Organ Donor Registry
Organ donation can save as many eight lives through transplantation. There are nearly 100,000 kidney patients on the transplant list with only 10,000 donors. This disparity leads to an average wait time of 3-5 years to receive a transplant. To learn more about joining the registry, please visit the resources listed below.
Illinois does offer Medigap Insurance for dialysis patients under 65.
Health Reform Status
- Exchange: Illinois will run its health insurance exchange in partnership with the federal government.
- Medicaid: The state will expand Medicaid eligibility.
Legislative Session Schedule
Convenes: January 14, 2015
Adjourns: May 30, 2016 (estimate)