Jeffrey Wade
Hoosier Healthwise is a health care program for children up to the age of 19 and pregnant women in Indiana. It is a Medicaid plan that provides access to healthcare, including doctor visits, prescription drugs, mental healthcare, dental care, hospitalizations, and surgeries, at little or no cost to the member or their family. Hoosier Healthwise is just one of Indiana's Medicaid solutions, which also include the Healthy Indiana Plan and Hoosier Care Connect.
| Characteristics | Values |
|---|---|
| Plan Name | Hoosier Healthwise |
| State | Indiana |
| Type | Medicaid |
| Eligibility | Children up to age 19, pregnant women, non-disabled adults without insurance, and adults 65 or older |
| Income Requirements | Families with income up to 250% of the federal poverty level; Maximum Monthly Income Limit |
| Coverage | Doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, long-term nursing home care, adult foster care services, counseling, addiction treatment |
| Cost | Little or no cost to members and their families; minimal monthly contribution for Healthy Indiana Plan |
| Additional Benefits | Access Pass Program for museum visits, Blue Ticket to Health program, flu shots, pneumonia shots, FluMist, and antiviral medications |
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What You'll Learn
- Hoosier Healthwise: A health care program for children up to age 19, pregnant women, and some families
- Healthy Indiana Plan: A health insurance program for non-disabled adults aged 19-64
- Hoosier Care Connect: A program for individuals aged 65+, blind, or disabled, who are not eligible for Medicare
- Indiana Health Coverage Programs: Available to non-disabled adults, including those with low incomes
- HoosierRx: A program to help low-income residents aged 65+ pay for Medicare Part D premiums
Hoosier Healthwise: A health care program for children up to age 19, pregnant women, and some families
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. It is a part of Indiana's Medicaid plan and is designed to provide health insurance for kids. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family.
The Children's Health Insurance Program (CHIP) falls under the Hoosier Healthwise program. CHIP is for children up to age 19 whose families have slightly higher incomes. In CHIP, members are required to pay a low monthly premium for coverage as well as copays for certain services. There are two benefit packages within Hoosier Healthwise: Package A and Package C. Package A is a full-service plan for children and pregnant individuals with no cost-sharing obligations. Package C is a full-service plan for children enrolled in CHIP, with a small monthly premium payment and co-pay for some services based on family income.
Hoosier Healthwise also includes the Healthy Indiana Plan (HIP), which offers health insurance for adults ages 19 to 64 who are not disabled. HIP members can receive benefits such as asthma and COPD relief, non-pharmacologic pain management, personal care items, transportation essentials, and more. Additionally, HIP Maternity covers enhanced benefits during pregnancy, including vision, dental, and chiropractic services, as well as non-emergency transportation.
The Hoosier Healthwise program also provides access to the Access Pass Program, which allows members to visit museums across Indiana for a nominal fee. Anthem, the administrator of Hoosier Healthwise, also offers services like flu shots, pneumonia shots, FluMist, and antiviral medications as approved benefits.
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Healthy Indiana Plan: A health insurance program for non-disabled adults aged 19-64
The Healthy Indiana Plan (HIP) is a health insurance program for qualified, non-disabled adults aged 19-64. It is offered by the State of Indiana and pays for medical costs for members, including hospital care, behavioural healthcare for mental health and substance use, doctor care, prescriptions, and diagnostic care. The plan can also include dental, vision, and chiropractic services.
HIP is an affordable health plan for low-income adult Hoosiers, requiring a small monthly payment through a Personal Wellness and Responsibility (POWER) Account. It rewards members for taking better care of their health and provides full health benefits. For example, members can receive no-cost extras, such as asthma and COPD relief, non-pharmacologic pain management, personal care items, transportation essentials, and memberships to local Boys and Girls Clubs.
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 incomes at or below the federal poverty level will be enrolled in HIP Basic if they do not make their POWER Account contribution. HIP Basic does not cover dental, vision, or chiropractic services and charges a copayment for each service received.
The Healthy Indiana Plan uses a proven, consumer-driven approach, which has been built upon since the original plan started in 2008. Individuals with annual incomes up to $21,603 may qualify, with higher thresholds for couples and families.
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Hoosier Care Connect: A program for individuals aged 65+, blind, or disabled, who are not eligible for Medicare
Hoosier Care Connect is a healthcare program for Indiana residents aged 65 and older, blind, or disabled, who are not eligible for Medicare. The program is designed to provide healthcare coverage to individuals who are not enrolled in managed care.
Hoosier Care Connect covers a range of services, including dental, vision, pharmacy, prescription drugs, care coordination, assistive devices, referrals, and pre-approvals. The program also offers enhanced benefits through individual health plans, known as managed care entities (MCEs). These MCEs arrange, administer, and pay for the delivery of healthcare services to members enrolled in their health plan.
To enrol in Hoosier Care Connect, individuals must select a health plan that meets their physical, behavioural, medical, and social needs. This health plan is then coordinated with their medical provider(s) to ensure they receive the most appropriate care.
Hoosier Care Connect is just one of several healthcare programs offered by Indiana Medicaid. Traditional Medicaid, for instance, serves individuals who are eligible for both Medicare and Medicaid, as well as those who are not enrolled in managed care. Additionally, the Healthy Indiana Plan is available for adults aged 19 to 64 who are not disabled and requires a minimal monthly contribution. For children up to age 19 and pregnant women, there is the Hoosier Healthwise program, which covers doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little to no cost.
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Indiana Health Coverage Programs: Available to non-disabled adults, including those with low incomes
Indiana has several health coverage options for qualified low-income individuals and families, including the non-disabled. These programs are designed to meet the specific medical needs of the applicant and their household. To qualify, applicants must meet four main eligibility criteria: income, household size, benefits currently received, and any other existing health coverage.
Hoosier Healthwise is a healthcare program for children up to the age of 19 and pregnant women. It covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little to no cost. The Children's Health Insurance Program (CHIP) is also included in Hoosier Healthwise, and it is for children up to age 19 whose families have slightly higher incomes.
The Healthy Indiana Plan (HIP) is a health insurance program for qualified adults aged 19 to 64 who are not disabled and meet specific income levels. It uses a consumer-driven approach, requiring members to make a minimal monthly contribution to their coverage. HIP Plus is a value plan that includes dental, vision, and chiropractic services with no copayments unless the emergency room is used non-urgently.
Indiana also offers Hoosier Care Connect, a healthcare program for individuals aged 65 and older, blind, or disabled who are not eligible for Medicare. Additionally, HoosierRx helps low-income residents aged 65 and older pay for their monthly Medicare Part D premiums.
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HoosierRx: A program to help low-income residents aged 65+ pay for Medicare Part D premiums
Hoosier Healthwise is Indiana's health insurance plan for children and pregnant women. It covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or their family. HoosierRx is a program under Hoosier Healthwise that helps low-income residents aged 65 and older pay for their Medicare Part D premiums.
Hoosier Healthwise is a comprehensive healthcare plan that provides coverage for a wide range of preventive care, family planning, and emergency health services. It is one of Indiana's two popular Medicaid solutions, the other being the Healthy Indiana Plan (HIP). Hoosier Healthwise is available to children up to the age of 19 and pregnant individuals with a family income of up to 250% of the federal poverty level. It offers benefits such as doctor visits, prescription drugs, mental healthcare, dental care, hospitalizations, surgeries, and family planning services at little or no cost.
The Healthy Indiana Plan, on the other hand, is a health insurance program for adults aged 19 to 64 who are not disabled. It requires members to make a minimal monthly contribution to their coverage. Hoosier Care Connect, yet another Indiana healthcare program, is designed for individuals aged 65 and above, the blind, or those with disabilities who are not eligible for Medicare.
HoosierRx is a program tailored to assist low-income Indiana residents aged 65 and above in covering their monthly Medicare Part D premiums. This program is particularly beneficial for those who require additional financial support to manage their prescription drug expenses. It is important to note that eligibility for HoosierRx is based on income, with specific limits set for individuals and married couples.
In addition to HoosierRx, Indiana offers the Medicare Savings Program, which provides assistance with Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments for qualifying individuals. The State Health Insurance Assistance Program is another resource available to Indiana residents with Medicare, offering free and impartial counseling. These programs work in conjunction with HoosierRx to ensure that low-income residents aged 65 and above can access the healthcare services they need without facing financial barriers.
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Frequently asked questions
Hoosier Healthwise is Indiana's health insurance plan for children up to the age of 19 and pregnant women. It covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost.
The Healthy Indiana Plan (HIP) is a health insurance program for adults ages 19 through 64 who are not disabled. It requires members to make a minimal monthly contribution to their coverage.
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are not eligible for Medicare.
