HFS Family Planning Program

The HFS Family Planning Program is an insurance program that covers primary and preventive care services for people of all genders and ages. 

You may qualify if:

• You are an Illinois resident.  

• You individually make less than 213% of the Federal Poverty Level counted as a household of two. 

• You are not currently pregnant.   

• You do not already have public health insurance coverage such as Medicaid including all the  Medicaid MCOs, All Kids, or Moms & Babies.* 

*Note: these already cover all family planning services! 

 You might already have this coverage if you recently applied for full Medicaid but were not eligible. Ask your provider to confirm your coverage status and help you understand your benefits. If you or a family member experiences a change in income, you can apply again for full benefits at any time.

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• People of any age, gender, or immigration status can apply for immediate, temporary coverage under the HFS Family Planning Program in just 5 minutes! 

• This is called Family Planning Presumptive Eligibility or FPPE. 

• This covers all the same services as The HFS Family Planning Program but is NOT 12-month coverage. It is perfect for those who need immediate coverage but may not qualify for the full 12-months under HFS FPP 

• This coverage lasts 31-60 days and is completed by verbal enrollment with a certified FPPE provider. 

• If you would like to be connected to an FPPE provider, please visit our provider finder to find a health center near you. 

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• Physical exam
• Birth control (i.e., pill, patch, ring, Depo, implant, IUD,  etc…)
• STI testing and treatment
• HIV testing, PEP, and PrEP
• Preconception care, counseling, and labs
• COVID, HPV, Hepatitis B, and mpox vaccines
• Emergency contraception pills and IUDs
• Tubal ligation (getting your tubes tied) or vasectomy
• Breast cancer screening with mammograms
• Cervical cancer screening with pap smears and treatment for abnormal results (i.e.,  colposcopy and LEEPs)
• Treatment for genital/urinary symptoms
• Abortion care*

*People who are pregnant should enroll in HFS Moms and Babies to receive timely care either to end a pregnancy (abortion) or start prenatal care.  Moms and Babies is a full benefit, zero out of pocket plan that includes medical, dental, and behavioral health extending to 12 months after the end of the pregnancy (regardless of pregnancy outcome).

The HFS Family Planning Program (HFS FPP) is a partial benefits program which means it DOES NOT cover the same services as a full Medicaid. The following are examples of services that are NOT covered under HFS FPP:  

• Emergency room services (i.e. broken bone, chest pain) 

• Prescriptions NOT related to reproductive health services  

• Behavioral health/ Substance use treatment 

• Dental care 

• Vision services 

• Durable medical equipment 

• Physical therapy 

You will not be mailed a bill for services you receive through the Family Planning Medicaid Program.

If you don’t qualify for the program, don’t worry: You still have options.

ICAN! Quality Hub providers will provide care regardless of ability to pay. You can also check out Title X health centers that provide birth control, STD/STI testing and treatment, and more at no cost. You can also access care at Title X health centers if you are traveling from out of state.

You can apply for the HFS Family Planning Program on the Illinois benefits website, in person, or by phone.

Apply Now Online

Apply By Phone at 1-800-843-6154

Apply In Person (Find a Location)

Want to confirm you qualify before starting your application? Click the image below to take our quiz!

Do you need full medical coverage regardless of your ability to pay? 

 Individuals whose Medicaid coverage ends may be able to get primary and preventative care in other places. Federally Qualified Health Centers (FQHC) serve uninsured and underinsured people regardless of their immigration status and ability to pay. More information and clinic locations are available online at https://www.iphca.org/health-center locator// 

 You can also purchase a health plan through the Illinois marketplace or get help to apply for Medicaid.  Make an appointment with a local assister with Get Covered Illinois.