Illinois Comprehensive Health Insurance Plan: Eligibility Requirements, Description of Benefit Plans and Summary of Coverage

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THREE CHIP BENEFIT PLANS AVAILABLE
There are three separate benefit plans available depending on how you qualify for
CHIP. Each of these benefit plans offer deductible options of $500, $1,000,
$1,500, and $2,500. A six-month preexisting condition limitation applies to Plans
2 and 3, but not to Plan 5.
Plans 2 and 3 are only available to eligible persons who qualify for Traditional
CHIP under Section 7 of the CHIP Act:
Plan 2 is the only plan available to eligible persons who are enrolled in both Parts
A and B of Medicare due to disability or end-stage renal disease since they are
ineligible for all other CHIP benefit plans.
Plan 3 is a Preferred Provider Organization (PPO) plan available only to eligible
persons who qualify for traditional CHIP under Section 7 and who are not eligible
for Medicare. To receive maximum benefits under this plan, a designated PPO
provider must be used.
Plan 5 is available to federally eligible individuals who qualify for HIPAA-CHIP
under Section 15 of the CHIP Act:
Plan 5 is a Preferred Provider Organization (PPO) plan available only to federally
eligible individuals who qualify for HIPAA-CHIP under Section 15. To receive
maximum benefits under this plan, a participating PPO provider must be used.
There is no preexisting condition limitation and benefits for inpatient treatment of
mental illness are limited to 45 days per calendar year for all hospitals.