Is CountyCare Medicaid? Your Guide to CountyCare Medicaid in Cook County

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Is CountyCare Medicaid?/PHOTO: Files

CountyCare is a Medicaid-managed care health plan operating in Cook County, Illinois.

It offers comprehensive health services to its members without copays or deductibles.

In this article, I’ll explain the connection between CountyCare and Medicaid.

I’ll clarify that CountyCare is open to all Cook County residents enrolled through HealthChoice Illinois, which is part of the statewide Medicaid managed care program.

What is CountyCare?

CountyCare is a Medicaid-managed care health plan specifically tailored for Cook County residents in Illinois.

It offers a comprehensive range of health services and expert care at no cost to its members.

As part of HealthChoice Illinois, the statewide Medicaid managed care program, CountyCare ensures accessibility to essential healthcare services for eligible individuals and families.

Is CountyCare Medicaid

Key features of CountyCare

  • Eligibility: Open to all Cook County residents enrolled through HealthChoice Illinois. This includes individuals and families who qualify for Medicaid benefits.
  • Covered Services: CountyCare covers a wide range of healthcare services, including doctor visits, prescriptions, hospital stays, preventive care, mental health services, and more. Members have access to essential medical care without worrying about copays or deductibles.
  • Investment in Housing Programs: CountyCare demonstrates a commitment to community health by investing in housing programs like the FHP (Frequent Users System Engagement Housing Program), which provides permanent supportive housing to high-risk individuals and families experiencing homelessness in Chicago and suburban Cook County.
  • No Cost to Members: Perhaps one of its most significant advantages, CountyCare offers its services at no cost to members. This means that individuals and families enrolled in CountyCare can access healthcare without financial barriers such as copays or deductibles.

What is Medicaid?

Medicaid is a government program in the United States that provides health coverage for low-income individuals and families.

Administered by states according to federal requirements, it is jointly funded by the federal government and states.

Eligibility for Medicaid typically includes individuals and families with limited income and resources.

Eligible groups often include:

  • Low-income adults
  • Children
  • Pregnant women
  • Older people
  • People with disabilities

Its eligibility standards may vary by state, but in most states, individuals with income up to 138% of the federal poverty line qualify for coverage, particularly under the Affordable Care Act (ACA) provisions.

Medicaid covers a range of medical and health-related services such as:

  • Doctor visits
  • Hospital stays
  • Prescription drugs
  • Preventive care
  • Mental health services

In addition, it often covers long-term services and supports, including nursing home care and home- and community-based services, especially for those with low incomes and minimal assets.

The exact benefits covered can vary by state.

What is The Connection Between CountyCare and Medicaid?

CountyCare serves as a means to access Medicaid benefits in Cook County, Illinois.

It operates as Cook County’s largest Medicaid health plan, offering coverage to eligible individuals.

Eligibility Requirement: To opt for CountyCare as their health plan, individuals must be approved for Medicaid through HealthChoice Illinois, the statewide Medicaid managed care program.

Functionality within Medicaid System: CountyCare functions within the Medicaid system by providing a comprehensive range of covered services, including doctor and hospital visits, dental and vision care, prescriptions, and behavioural health services.

It operates as a managed care community network (MCCN), managing Medicaid benefits for its members and partnering with healthcare providers across Cook County.

Conclusion

CountyCare is a Medicaid-managed care health plan exclusively available to Cook County people under the HealthChoice Illinois program.

It prioritizes accessibility to healthcare by offering a wide range of covered services without any out-of-pocket expenses for its members.

Its investment in community programs like FHP underscores its commitment to addressing broader health and social issues within the region.

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