Services

Hoosier Healthwise

The Hoosier Healthwise Program is a health care program for low income families, pregnant women, and children. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, and family planning at little or no cost to the member or the member's family.

Hoosier Healthwise covers many different types of people:

  • Children up to age 19
  • Pregnant women
  • Parents/Guardians of children under the age of 18

The Children's Health Insurance Plan (CHIP) for children up to age 19, falls under the Hoosier Healthwise program. In CHIP a child may be covered by paying a low-cost monthly premium. This option is available to members who may earn too much money to qualify for the standard Hoosier Healthwise coverage.

There are five benefit packages in Hoosier Healthwise. When you submit an application, the state will determine eligibility and select the Package that is right for the client.

  • Package A - Standard Plan: is a full-service plan for children, pregnant women, and families. Members have no premiums to pay but may have a $.50 to $3.00 co-pay for pharmacy, transportation and emergency services. If the client has other health insurance it will be the primary payer for their medical care and HHW will be secondary.
  • Package B - Pregnancy Coverage: is for pregnancy related services only. Members have no premiums to pay but may have a $.50 to $3.00 co-pay for pharmacy, transportation and emergency services. The unborn child is counted as 1 in the family size.
  • Package C - Also called the Children's Health Insurance Program or CHIP: is a full-service plan for children only. There is a small monthly premium payment and co-pay for some services based on family income. The client cannot have other health insurance and qualify for package C.
  • Package E - Emergency Services Only: provides coverage for treatment of serious medical emergencies. This plan is for certain immigrants who do not meet the necessary immigration status to receive full benefits.

Healthy Indiana Plan (HIP 2.0) 
www.in.gov/fssa/hip

The Healthy Indiana Plan (HIP) is an affordable health insurance program for uninsured adult Hoosiers, created by Governor Daniels and the Indiana General Assembly in 2007. The program is sponsored by the state and only requires minimal monthly contributions from the participant. 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. The plan covers Hoosiers ages 19 to 64 who meet specific income levels.

2018 income guidelines

  • Individuals with annual incomes up to $16,842 may qualify.
  • Couples with annual incomes up to $22,680 may qualify.
  • A family of four with an annual income of $34,354 may qualify.

HIP 2.0 Plus
The initial plan selection for all members is HIP 2.0 Plus which offers the best value for members. HIP 2.0 Plus has comprehensive benefits including vision and dental. The member pays an affordable monthly POWER account contribution based on income. There is no copayment required for receiving services with one exception: using the emergency room where there is no true emergency.

HIP 2.0 Basic
HIP 2.0 Basic is the fallback option for members with household income less than or equal to 100 percent of the federal poverty level (FPL) who don't make their POWER account contributions. The benefits are reduced. The essential health benefits are covered but not vision or dental services. The member is also required to make a copayment each time he or she receives a health care service, such as going to the doctor, filling a prescription or staying in the hospital. These payments may range from $4 to $8 per doctor visit or prescription filled and may be as high as $75 per hospital stay. HIP 2.0 Basic can be much more expensive than HIP 2.0 Plus.

HIP Maternity
Report your pregnancy to your health plan. This will stop any POWER account payment or copays while you are pregnant, and for 60 days after giving birth.

Affordable Care Act (The Marketplace)  

Individuals are able to sign up for health coverage through the Marketplace implemented with the Affordable Care Act. Individuals may be eligible for tax credits and cost sharing reductions to decrease out-of-pocket costs based on income. Open enrollment will begin Nov. 1, 2017 and end Jan. 31, 2018. For more information, contact Covering Kids & Families of Central Indiana at 317-221-2464 or 317-221-2041.

Health Advantage

Contact 317-221-2041 for eligibility requirements

 

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