Medicaid in Illinois

Looking for Medicaid eligibility in Illinois? Here is how this coverage lane works specifically for Illinois residents, what it costs, and how to get it.

Illinois expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.

Medicaid in Illinois provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.

If you do not qualify for Medicaid in Illinois, a subsidized Marketplace plan through Get Covered Illinois is usually the next best option.

Illinois Medicaid covers expansion adults up to roughly 138% of FPL along with children, pregnant women, and other eligible groups.

Year-round Medicaid enrollment means you do not need to wait for Open Enrollment if your income qualifies.

If you lose Medicaid after an income increase, Get Covered Illinois typically opens a path to subsidized Marketplace coverage.

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Frequently asked questions

Who qualifies for Medicaid in Illinois?
Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.
Can I apply for Medicaid any time in Illinois?
Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
Did Illinois expand Medicaid?
Yes. Illinois adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.

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