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Apply online for membership in the Access to Care program. ATC helps individuals living in suburban Cook County and NW Chicago access a primary care doctor in their community. ATC members receive $5 co-pay primary doctor visits, $5 lab and x-ray tests, a prescription plan with affordable options of $15 to $40, and more!
A signed Enrollee Acknowledgment and Release Form and Authorization Form is required with your application (sign both front and back). If you have any questions please contact the Access to Care office: (708) 531-0680, or visit www.accesstocare.org.
Print an Application Packet. Fill out, sign, add your documents and mail to ATC: 2225 Enterprise Dr, Ste 2507, Westchester, IL 60154. Call 708-531-0680 or email us and request an application be mailed to you. Call 708-531-0680 and we can help you to apply over the phone. Fill out an application at a local ATC Intake Site (below).
The Illinois Department of Health Care and Family Services (HFS) is committed to improving the health of Illinois' families by providing access to quality health care. This mission is accomplished through HFS Medical Programs that pay for a wide range of health services, provided by thousands of medical providers throughout Illinois, to about ...
Complete Form A if anyone applying for medical benefits has Medicare or other health insurance. Complete Form B if anyone applying is blind, has a disability or is age 65 or older. Complete Form C if anyone applying lives in or intends to move to a nursing home facility or a supportive
Alexian Brothers Health System, d/b/a Ascension Illinois affiliates determine if you can receive free or discounted services or other public programs that can help pay for your healthcare. Please submit this application to the address listed on the cover letter.
In accordance with 42 Code of Federal Regulations (CFR) Part 477, requires States to develop a medical assistance access monitoring review plan to evaluate enrollees’ access to certain Medicaid services. These access monitoring review plans, and all other requirements in the rule, apply to fee-for-service Medicaid rates only and does not ...
