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:
Emergency room services
Hospital services (inpatient and outpatient)
Maternity care (special care during and after pregnancy)
Medicines (prescription drugs)
Lab and X-ray services
Mental health treatment (inpatient and outpatient)
Substance abuse treatment (inpatient and outpatient)
Family planning services and supplies
Medical supplies and equipment
Transportation for emergency medical care
Home health services
Early intervention services
Audiologist (hearing) services
Optometrist (eye) services
Podiatric (feet) services
Intermediate care for people who are developmentally disabled
Care in skilled pediatric nursing facilities
Nursing home services
Regular checkups and shots for children
Renal (kidney) dialysis services
Physical therapy, occupational therapy, speech therapy
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:
Take care of you when you are sick
Give your children checkups and shots
Help you manage diseases and chronic conditions, such as asthma or diabetes
Send you to specialists or other health providers when you need to go
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.
The name, address and phone number of the person who needs a ride
The date and time of the medical appointment
The time the person needs to be picked up
The persons identification number from their medical card
The reason for the appointment
When you call, tell the person who answers:
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:
A high fever
Bleeding that wont stop
A broken bone
Serious stomach pain
Damage to the eyes
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)