The Access to Care® Program
Access to Care® is a model primary health care program serving low-income uninsured individuals in suburban Cook County, Illinois and in Chicago, west of Pulaski Road AND north of North Avenue.
The Access to Care® program is a unique public/private partnership making primary health care and the ancillary pharmacy, laboratory and radiology services available to the most forgotten segment of our population, the working poor. The program provides diagnosis and treatment to individuals and families for a small co-payment per visit, procedure or prescription medication.
Access to Care® contracts with local providers throughout Cook County, Illinois and pays them a discounted rate to provide services.
Eligibility screening is determined by the following criteria: family
incomes below 200% of the federal poverty level, with no health insurance (or a
deductible of $500 or more per person);ineligible for Medicaid or Medicare and residence in suburban Cook County or northwest Chicago (west of Pulaski Rd. AND north of North Ave.) in Chicago.
Registration takes place at local township offices, public health departments
and community social service agencies.
Physicians volunteer to participate and choose the number of
patients they will add to their practice. They are compensated at the rate of
$68.00 per patient per year.
ENROLLMENT FEES
Non-Refundable Annual Enrollment Fees are:
SERVICES PROVIDED:
Patients pay:
BENEFITS:
Patients receive diagnosis and treatment for nominal
fees. The most common diagnoses among adult patients are diabetes and
hypertension. Individuals with these chronic conditions are monitored on a
continuous basis and are able to receive medication to manage their
illnesses.
Patients are able to receive care in the private office
of their personal Access to Care® physician.
The program encourages physicians to contribute
their time and skills in the spirit of community service.
The administrative office facilitates physicians'
referrals to public ambulatory specialty clinics.
THE PROGRAM IS SUCCESSFUL:
Over 82,000 individuals have been served since the program
was implemented as a demonstration project in 1988; the program was expanded
throughout the 735 square mile area of suburban Cook County and served nearly
14,000 individuals in 2005. In April 2005, the program launched a demonstration program in northwest Chicago. Chicago clients must live west of Pulaski Road AND north of North Avenue.
Currently, almost 700 participating physicians have
volunteered to provide care for over 28,000 individuals.
96.7% of participating physicians report satisfaction with the program
65% of adults reported good or excellent health after
one year of participation, contrasted with only 53% reporting
that status before joining the program.
Funded by both public and private sources, the program's
largest source of funding is the Cook County Board of
Commissioners.
ENDORSEMENTS:
Access to Care® has been endorsed by the Institute
of Medicine of Chicago, the Illinois Academy of Family Physicians, the Illinois
Chapter of the American Academy of Pediatrics, The American College of
Physicians/Northern Illinois Region and is supported by the Chicago Medical
Society.
$20 for one person
$40 for two people
$50 for three or more people in one family
Fees are based on family size of eligible applicants.
Family is defined as
husband, wife, number of children under age 21.
$5 per office visit
$5 for lab and radiology tests of specimen drawn
$10 for generic,
$20 for preferred brand name,
and $30 for non-preferred brand name prescription
medication.
Patients on maintenance medication pay these co-payments for a 30 day supply.
Get your copy of
Patient Profiles     
Get your copy of
Salute to Doctors     
Get your copy of
the 2004 Annual Report     
Access to Care®
2225 Enterprise Drive
Suite 2507
Westchester, IL 60154
(708) 531-0680
Fax: (708) 531-0686
Do you have a question about the Council or the services it offers?
Please email us with your questions and/ or comments to:
contact@accesstocare.org.