state of illinois pat quinn, governor illinois department on aging john holton, director
TRANSCRIPT
State of IllinoisPat Quinn, Governor
Illinois Department on AgingJohn Holton, Director
UPDATES
2011 Circuit Breaker and Illinois Cares Rx IL-1363 and Related
Schedules
Online Filing Application
• 235,326 in 2009• 283,284 in 2010• 303, 556 to date in 2011
BENEFITS OF ONLINE FILING
• Reduces the number of errors• Reduces processing time
Seniors Ride Free
Form IL-1363 Booklet
Seniors Ride Free
Pages 1 and 2
Page 1• The Senior Ride Free was added
Page 2• In the “Contents” section removed the “Filing
on the Internet” and the Rebate Information• In the “When May you Expect to Receive
your Benefits” section a question was added regarding the transit card
FORM IL -1363
Section A Page 3
Removed the People with Disabilities Ride Free Transit card at the top of the page in the heading and now call the benefit the Ride Free Transit Card.
Added civil unions to the status information on 2 & 3 of Line 6.
FORM IL -1363
Section C
– Income, losses and deductions for claimant and spouse
FORM IL -1363
Section C (continued) page 4
• Moved Line 24 from the 1st page of the application to the top of the second page
• In Line 24b we added the word out
FORM IL -1363
Section D
The words “Line 2” were added after Schedule B.
FORM IL -1363
Section E
• Two notes were combined into one
FORM IL -1363
Section F page 5
• All rebate information was removed for the claimant
FORM IL -1363
Section G
• Removed all rebate information for the spouse
FORM IL -1363
• Changed the amount for a married couple from $25,010 to $25,260
• Changed the amount for single individual from $12,516 to $12640
• Bolded the portion of the statement “If you are not married or you do not live with your spouse
Section HSection H
FORM IL -1363
• Added Seniors Ride Free
Section ISection I
FORM IL -1363
Section J page 6
• Added the note under the preparer to attach proof of authority if
Someone else signs for you or your spouse
Page 7
The amounts In the second column were changed to reflect the new dollar amounts for income to qualify for IL Cares Rx
• In the chart at the bottom of the page the numbers have all been changed to reflect the ½ grant amount
• Under Item 1 on the chart “Line 25” should say Line 23
Page 8
Page 9
Added the second question to explain civil unions and IL Cares Rx
Page 10 and Page 11
Page 10• No changes
Page 11 • Removed all of the rebate information
Pages 12 and 13
The stand alone coordinating plans remained the same.
New Medicare Advantage Plans have been added and some have
been removed. Be sure to recheck the advantage plans if you are
enrolling someone
FORM IL -1363
Page 14 and Page 15
Page 14• Under #6 in the second column, status1 and 2 have the
words “civil union” added
Page 15• No changes
FORM IL -1363
Page 16 and Pages 17,18 and 19
Page 16
•The $250 rebate when you reached the coverage gap has been removed
Pages 17,18 and 19
• No changes
FORM IL -1363
Page 20 and Page 21
Page 20
• Removed the instructions regarding the rebate in both Section F and Section G
Page 21
• Added the Senior Ride Free to Section I
FORM IL -1363
Pages 22,23 and 24
• No changes
Schedule A
Seniors Ride Free
Schedule A pages 25 and 26
• In the 1st statement under the heading “civil union partner” was added
Schedule C
Seniors Ride Free
FORM IL -1363
SCHEDULE C pages 27,28,29 and 30
Page 27
• “Parties to a civil union must each file a separate Schedule C” was added to the statement after the heading.
Pages 28,29 and 30
• No changes
FORM IL -1363
Pages 31 and 32
Page 31
• The address on PSA 1 has changed
Page 32
• No changes
Schedule B
Seniors Ride Free
FORM IL -1363
Schedule B:
• Removed the monthly Rebate questions
Schedule P
Seniors Ride Free
Schedule P pages 1,2,and 3
Pages 1 and 2• No changes
Page 3• The dollars amounts to apply for prescription coverage were changed
FORM IL -1363
Schedule P note
– A Schedule P will no longer cause a person who files one to be eliminated from the other benefits of Circuit Breaker. If you qualify for IL Care Rx you will also qualify for all the other benefits because the income guidelines for IL Cares Rx are lower.
ADAD-16
Seniors Ride Free
ADAD-16 step 1All rebate information has been
removed.
Adad-16 Step 2
All rebate information has been removed for the spouse.
Adad-16 step 3The savings, investments or real estate for a married couple has
changed from $25,010 to $25,260 and for a single individual from
$12,510 to $12,640
Adad-16 step 4
All rebate information has been removed for the QAR.
Amended Application IL 1363X
Seniors Ride Free
FORM IL -1363
IL-1363 X note
An IL-1363X should not be used to change the in formation in Section A of the form or to apply for pharmaceutical coverage. Only in the case where an individual has made an error in the numbers he originally reported should an IL-1363X be used.
Changes to Section A should either be phoned , e-mailed or mailed to us.
Rx coverage can be applied for on the ADAD 16 form.