Illinois Healthy Women

              planning visit. The card is good for
12 months.
If you lose regular medical benefits but
you qualify for Illinois Healthy Women, we
will send you a packet in the mail. It will
have:
• A fact sheet about Illinois Healthy
Women, and
• An enrollment form.
In a separate envelope, we will send you
a PINK Illinois Healthy Women
card that covers family planning, birth
control and related reproductive
healthcare that you get during a family
planning visit. The card is good for
3 months.
If you want to get Illinois Healthy Women
benefits for 9 more months, you must
complete and return the enrollment form.
You must send it in no later than the
return date printed on the form.
Re-Enrollment
Every year, you can decide if you still
want an Illinois Healthy Women pink card.
If you want to stay in the program, you
can re-enroll every year as long as you
qualify. Before your coverage ends, we
will send you a re-enrollment form in the
mail.
The Illinois Healthy Women program is expected
to end in April 2009. If the program is extended
beyond this date and you still qualify, you will
receive more information and a re-enrollment form.
What is Illinois Healthy Women?
Illinois Healthy Women covers family
planning and birth control services for
Illinois women. Illinois Healthy Women
also covers related reproductive
healthcare if a woman gets this care
during her family planning visit. Illinois
Healthy Women services are confidential
and free. The program is voluntary. That
means women use it only if they want to.
Who is eligible for Illinois Healthy
Women?
You are eligible if:
• You are at least 19 and no older
than 44,
• You are a U.S. citizen or legal
permanent resident with a Social
Security number,
• You live in Illinois,
• You meet the income guidelines,
• You have no health insurance coverage
for birth control, and
• You are currently not pregnant.
If you are pregnant, apply for Moms & Babies
by calling 1-866-ALLKIDS (1-866-255-5437).
Can I get services other than family
planning, birth control or related
reproductive health?
No. Illinois Healthy Women only
pays for family planning, birth control and
related reproductive health services
provided during the family planning visit. If
you need to see a doctor for other
healthcare, you can be referred to a
doctor or clinic where you may get care
not covered under this program. If you
think you qualify for more comprehensive
healthcare coverage, you can apply for
regular medical benefits at any time. Call
1-800-226-0768 to find out how to apply.
Persons using a TTY may call
1-877-204-1012. The call is free.
Can I still see my regular doctor for
family planning healthcare services?
Yes. You can still see your regular
doctor or any other HFS enrolled provider
who offers family planning healthcare.
Ask your doctor if he or she takes the
PINK Illinois Healthy Women card.
What if I do not want this program?
You choose whether you want to enroll in
Illinois Healthy Women. If you do not want
family planning benefits, you may cancel
at any time. To cancel, call
1-800-226-0768. If you use a TTY, call
1-877-204-1012. The call is free.
Enrolling in Illinois Healthy Women is
as easy as 1 - 2 - 3!
If you send in an application for Illinois
Healthy Women and you qualify, we will
send you a PINK Illinois Healthy Women
card that covers family planning, birth
control and related reproductive
healthcare that you get during a family
Family
Size
Monthly
Income
1 $1,702 or less
2 $2,282 or less
3 $2,862 or less
4 $3,442 or less
5 $4,022 or less
Family
members
include a
spouse and
children
under age
18 who are
living with
you.
Effective 2007. Please call 1-800-226-0768
for most current monthly income levels.
Illinois Healthy Women Guidelines