What is the Healthy Indiana Plan?
The Healthy Indiana Plan uses a proven, consumer-driven approach that was pioneered in Indiana. The program continues to build upon the framework and successes of the original Healthy Indiana Plan that started in 2008.
Do you qualify for the Indiana health insurance plan?
It also rewards members for taking better care of their health. The plan covers Hoosiers ages 19 to 64 who meet specific income levels. See below if your 2021 income qualifies. Individuals with annual incomes up to $17,780 may qualify. Couples with annual incomes up to $24,043 may qualify.
What is traditional Medicaid Indiana?
Traditional Medicaid Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who... Pregnant Women Healthy Indiana Plan Healthy Indiana Plan
What behavioral health services does Indiana Medicaid cover?
Indiana Medicaid offers coverage for Behavioral & Primary Healthcare Coordination (BPHC) home and community-based services (HCBS). This service helps members manage their physical and behavioral health care needs through education, support, and advocacy. Children's Mental Health Wraparound Program
Who takes Healthy Indiana plan?
The Healthy Indiana Plan (HIP) is an affordable health plan for low-income adult Hoosiers between the ages of 19 and 64. It's sponsored by the state and for some members requires a small monthly payment through your Personal Wellness and Responsibility (POWER) Account.
Is Healthy Indiana plan the same as Medicaid?
The Healthy Indiana Plan (HIP) is the name of the State of Indiana's health insurance program. It is one of the Medicaid programs available to Indiana residents between 19 and 64 years old that are eligible.
Which Healthy Indiana plan Is Best?
HIP Plus is the plan for the best value. HIP Plus provides health coverage for a low, predictable monthly cost. It also includes more benefits like dental, vision, or chiropractic.
What's the difference between Hoosier Healthwise and Healthy Indiana plan?
The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based... Hoosier Healthwise is a health care program for children up to age 19 and pregnant women.
Is Healthy Indiana Plan part of Obamacare?
The current incarnation of the Healthy Indiana Plan developed after the Obama administration offered states the option to expand Medicaid under the Affordable Care Act, aka Obamacare. Holcomb's predecessor, Gov. Mike Pence, got federal permission to create a different kind of model.
Which Medicaid plan is best in Indiana?
MDwise scored 82.2 percent, an increase from last year, making it the top-ranked Indiana Medicaid health plan. The organization placed 45th out of 213 Medicaid plans in the nation.
Does Indiana HIP cover weight loss surgery?
HIP Basic includes all the federally required essential health benefits, but does not provide coverage for vision, dental or chiropractic services, bariatric surgery or Temporomandibular Joint Disorders.
What does medically frail mean in Indiana?
Medically frail is a federal title. • It is for people with serious physical, mental, substance abuse or behavioral health conditions. • Being medically frail means that you can have standard Medicaid benefits.
Does Indiana Medicaid cover chiropractic services?
This is a general description of the benefits available through Indiana Medicaid (other than the Healthy Indiana Plan) based upon a member's eligibility....Overview.BenefitPackage A (for Hoosier Healthwise, Hoosier Care Connect, and Traditional Medicaid)Package C (For Hoosier Healthwise)Chiropractic ServicesYesYes22 more rows
Is Hoosier Healthwise the same as hip?
Hoosier Healthwise is a health plan for pregnant women and children up to age 18. The Healthy Indiana Plan (HIP) is a health plan for uninsured adults ages 19–64.
What Medicaid plan is best?
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. attained the highest overall rating among Medicaid plans for HPR 2021. The plan demonstrated high-quality preventive care, with five stars for nearly every prevention measure for which it provided data.
What is the income limit for Hoosier Healthwise?
A disregard of 5% of the annual Federal Poverty Limit will be applied to family income for Hoosier Healthwise and CHIP....Who is eligible for Indiana Hoosier Healthwise?Household Size*Maximum Income Level (Per Year)1$33,9752$45,7753$57,5754$69,3754 more rows
Find a Healthy Indiana Plan Doctor
When are enrolled in HIP through MDwise, you will have an assigned doctor or primary medical provider (PMP). Your PMP manages all of your medical care. You must see your PMP before he/she can refer you to a specialist. Your PMP can refer you to a specialist if there is a medical reason to do so.
Looking for covered medications or pharmacies?
Here at MDwise, we feel it is important that you have quality providers to meet your medical needs. The following web links provide additional information on provider quality. These links can provide information about the quality of hospitals across the state.
What is the Healthy Indiana Plan?
The Healthy Indiana Plan is a health-insurance program for qualified adults. The plan is offered by the State of Indiana. It pays for medical costs for members and could even provide vision and dental coverage. It also rewards members for taking better care of their health.
How much income do you need to qualify for Healthy Indiana?
Individuals with annual incomes up to $17,780 may qualify. Couples with annual incomes up to $24,043 may qualify. A family of four with an annual income of $36,581 may qualify. The Healthy Indiana Plan uses a proven, consumer-driven approach that was pioneered in Indiana.
What is a healthy Indiana plan?
Healthy Indiana Plan (HIP) The Healthy Indiana Plan (HIP) is an affordable health plan for low-income adult Hoosiers between the ages of 19 and 64. It’s sponsored by the state and for some members requires a small monthly payment through your Personal Wellness and Responsibility (POWER) Account. HIP offers full health benefits including hospital ...
How to contact Hoosier Healthwise?
The letter will also let you know how to appeal our decision if you disagree with it. For more help, please call Member Services at 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711.
How to contact HIP Maternity?
Call Member Services toll free at 1-866-408-6131 (TTY 711). See your doctor for prenatal care — this is the care you receive while you’re pregnant. Our staff will make sure your doctor and hospital are in your plan. While you’re in the HIP Maternity plan, you have: No copays.
What is a HIP plan?
HIP Maternity. If you qualify for HIP and you’re pregnant or become pregnant while you’re in HIP, you’ll be enrolled in the HIP Maternity plan. HIP Maternity members receive full comprehensive health coverage, including but not limited to: Prenatal services. Vision, dental, medical, and chiropractic coverage.
How to find an eye doctor in your area?
For help finding an eye doctor in your area. Call Superior Vision toll free at 866-866-5641 (TTY 866-428-4833) or visit their website . POWER Account. In HIP, the first $2,500 of your medical expenses are paid with a special savings account called a Personal Wellness and Responsibility (POWER) Account.
Do you pay a HIP Plus contribution?
The amount will be based on your income. If you’re a HIP Basic member, you don’t pay a contribution.
What is a healthy Indiana plan?
The Healthy Indiana Plan (HIP) is a health insurance program for qualified adults. HIP is offered by the state of Indiana. The plan pays for medical costs for members and can include dental, vision and chiropractic. Healthy Indiana Plan (HIP) also rewards members for taking better care of their health. The plan covers Hoosiers ages 19 ...
How to change health plan before paying Fast Track?
You may change your health plan selection before paying your Fast Track invoice by calling 1-877-GET-HIP-9. You can pay your Fast Track invoice or POWER account contribution to your new health plan and your coverage will start the month in which your payment is received and processed.
How to enroll in HIP Plus?
To enroll in HIP Plus, eligible individuals must make a monthly contribution to their POWER Account to help cover initial health expenses. Individuals with family income at or below the federal poverty level will default to HIP Basic if they do not make their POWER Account contribution.
What are the benefits of HIP?
HIP Basic benefits include all of the required essential health benefits. It does not include dental, vision or chiropractic services, or services for bariatric surgery and temporomandibular joint disorders (TMJ). And, there are more limits on annual visits to see physical, speech and occupational therapists.
Does HIP Plus include copays?
It also includes more benefits like dental, vision, or chiropractic. With HIP Plus, you do not have copays when you visit the doctor, fill a prescription or go to the hospital for an emergency. On average, HIP Plus members spend less money on their health care expenses than HIP Basic members.
Does HIP Basic cover chiropractic?
HIP Basic does not cover dental, vision or chiropractic services and charges a copayment for each service received. HIP Basic can be more expensive that HIP Plus. HIP Plus coverage begins the first of the month in which an individual makes their POWER account contribution or makes a $10 “Fast Track” payment.
Can you make a fast track payment before you are eligible for HIP?
You are offered the opportunity to make a Fast Track payment before you have been found eligible for HIP. If you are not found eligible for HIP and you have made a Fast Track payment, this payment will be refunded to you by the MCE (Anthem, Caresource, MDwise or MHS) that took the payment.
Enhanced Vision Benefits
Members can receive their covered in full eyewear OR opt out of the standard benefit and receive $75 towards their eyewear.
HIP Basic
HIP Basic coverage does not include vision coverage. Take charge of your health next year and POWER Up to HIP Plus! You’ll receive enhanced benefits – like dental, vision and chiropractic coverage – with no copays and a low, predictable monthly payment.