Illinois Compiled Statutes 215 ILCS 106/30 – Cost sharing
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(a) Children enrolled in a health benefits program pursuant to subdivision (a)(2) of Section 25 and persons enrolled in a health benefits waiver program pursuant to Section 40 shall be subject to the following cost sharing requirements:
(1) There shall be no co-payment required for
(1) There shall be no co-payment required for
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well-baby or well-child care, including age-appropriate immunizations as required under federal law.
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(2) Health insurance premiums for family members,
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either children or adults, in families whose household income is above 150% of the federal poverty level shall be payable monthly, subject to rules promulgated by the Department for grace periods and advance payments, and shall be as follows:
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(A) $15 per month for one family member.
(B) $25 per month for 2 family members.
(C) $30 per month for 3 family members.
(D) $35 per month for 4 family members.
(E) $40 per month for 5 or more family members.
(3) Co-payments for children or adults in families
Terms Used In Illinois Compiled Statutes 215 ILCS 106/30
- Month: means a calendar month, and the word "year" a calendar year unless otherwise expressed; and the word "year" alone, is equivalent to the expression "year of our Lord. See Illinois Compiled Statutes 5 ILCS 70/1.10
(B) $25 per month for 2 family members.
(C) $30 per month for 3 family members.
(D) $35 per month for 4 family members.
(E) $40 per month for 5 or more family members.
(3) Co-payments for children or adults in families
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whose income is at or below 150% of the federal poverty level, at a minimum and to the extent permitted under federal law, shall be $2 for all medical visits and prescriptions provided under this Act and up to $10 for emergency room use for a non-emergency situation as defined by the Department by rule and subject to federal approval.
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(4) Co-payments for children or adults in families
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whose income is above 150% of the federal poverty level, at a minimum and to the extent permitted under federal law shall be as follows:
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(A) $5 for medical visits.
(B) $3 for generic prescriptions and $5 for brand
(B) $3 for generic prescriptions and $5 for brand
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name prescriptions.
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(C) $25 for emergency room use for a
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non-emergency situation as defined by the Department by rule.
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(5) (Blank).
(6) Co-payments shall be maximized to the extent
(6) Co-payments shall be maximized to the extent
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permitted by federal law and are subject to federal approval.
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(b) (Blank).