State of Illinois Pat Quinn, Governor Illinois Department on Aging John 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 .
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State of Illinois
Pat Quinn, Governor
Illinois Department on Aging
John Holton, Director
BENEFITS OF ONLINE FILING
Form IL-1363 Booklet
on the Internet” and the Rebate Information
your Benefits” section a question was added regarding the transit card
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.
The words “Line 2” were added after Schedule B.
Section F page 5
Section J page 6
Someone else signs for you or your spouse
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
Added the second question to explain civil unions and IL Cares Rx
Page 10 and Page 11
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
Page 16 and Pages 17,18 and 19
The $250 rebate when you reached the coverage gap has been removed
Pages 17,18 and 19
Pages 28,29 and 30
ADAD-16 step 1
All rebate information has been removed.
Adad-16 Step 2
All rebate information has been removed for the spouse.
Adad-16 step 3
The 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
All rebate information has been removed for the QAR.
Amended Application IL 1363X
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.