

There are no copays for the following, even if they are provided to an adult:

is an American Indian or Alaskan Native.is enrolled in the Breast & Cervical Cancer (BCC) treatment program or.These settings include a residence provided by an agency licensed for Community Integrated Living Arrangement (CILA) services, a Supportive Living Facility (SLF), or a residential facility licensed by the Department of Children and Family Services (DCFS) lives in a State certified, licensed, or contracted residential setting who, as a condition of receiving care in that program, is required to pay all of their income, except an authorized protected amount for personal use, for the cost of their residential care program.lives in an institution (hospitals, nursing facilities, or intermediate care facilities for persons with an intellectual disability).is pregnant (including 60 days postpartum).The following is a complete list of persons excluded from copays. $3.90 for each day of inpatient hospital visits (copays are limited to half of the Department's rate for the first day).$3.90 for each brand name prescription, and $2 for generic or prescribed over the counter medication.$3.90 for each emergency room visit in a non-emergency.$3.90 for each physician or clinic visit. This includes visits to physicians, chiropractors, podiatrists, optometrists, and Behavioral Health clinical services.Hospitals, doctors, and pharmacies cannot refuse to care for someone who has not paid their copay. The hospital, doctor, or pharmacy is responsible for collecting the copay from the customer. HFS reduces the payment made to the hospital, doctor, or pharmacy by the amount of the copay.
