Indiana hip program

With HIP Plus, eligible Hoosiers can have better benefits and predictable monthly costs, and can be enrolled in coverage faster. HIP Plus is the best value plan that includes, dental, vision and chiropractic services and has no copayments except for non-emergency use of the emergency room. HIP Basic does not cover dental, vision or chiropractic services and charges a copayment for each service received. Fast Track is a payment option that allows eligible Hoosiers to expedite the start of their coverage in the HIP Plus program.

If you do not make a Fast Track payment, you may face a delay in the start of your coverage. Since you do not make a monthly contribution for HIP Basic services there will be a payment required for most health services including seeing a doctor, filling a prescription or staying at the hospital.

If your income is more than this amount, you will need to reapply for coverage to begin HIP. You can make a Fast Track payment by credit card when you apply online or, after applying, while your application is being processed.

Anyone who applies for Indiana Health Coverage Programs online will have the opportunity to make a Fast Track payment by credit card when completing the application. You must select a Managed Care Entity in order to make a payment at the time of application. If you make a Fast Track payment and are determined to be eligible for HIP then your HIP Plus coverage will begin the first of the month that you submitted your application.

If you do not apply online, or choose not to make a Fast Track payment when you apply, you will still have the opportunity to make a Fast Track payment while your application is being processed. If you did not select an MCE you will be automatically assigned to one. If you pay the Fast Track invoice and are determined to be eligible for HIP then your HIP Plus coverage will begin the first of the month that your payment was received and processed.

You are offered the opportunity to make a Fast Track payment before you have been found eligible for HIP. From the date you receive your initial Fast Track invoice you will have 60 days to make a payment to start your HIP Plus coverage.

If you do not make your contribution or Fast Track payment within 60 days and your income is less than the federal poverty level you will be enrolled in HIP Basic where you will have copayments for all services and you will not have dental, vision or chiropractic. If you wait more than 60 days to make a payment and your income is more than the federal poverty level, then your application will be denied and you will have to reapply for HIP coverage. You may have someone make your Fast Track payment on your behalf.

If a health care provider makes a Fast Track payment for you, the provider should ask you to complete a form that gives them permission to make this payment PDF. 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. Only make a payment to the health plan that you want to be your HIP coverage provider. You will not have the opportunity to change your health plan until Health Plan Selection in the fall.

If you applied and did not receive a Fast Track invoice it could be because you are eligible for another coverage program — such as if you indicated that you are pregnant, disabled, a former foster care child or on Medicare when you applied. If you are ultimately found eligible for HIP, you will receive an invoice for your POWER account contribution, and your coverage will be effective the first of the month in which your initial POWER account contribution is received and processed.

HIP Plus provides the best value coverage and includes dental, vision and chiropractic services. HIP Plus can be cheaper because you do not pay any other costs or copayments when you visit the doctor, fill a prescription or go to the hospital. HIP Plus members pay an affordable monthly contribution, based on their income. The following table shows these amounts. Beginning in January , your benefit year will be a calendar year running January to December. Your eligibility year will remain unique to you.

You still have to go through your redetermination process each 12 months. This will occur based on what month you entered the program. HIP Plus members receive more visits for physical, speech and occupational therapists than the HIP Basic program, and coverage for additional services like bariatric surgery and Temporomandibular Joint Disorders TMJ treatments is included. With HIP Plus you can get 90 day refills on prescriptions you take every day and can receive medication by mail order.

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. HIP Basic members do not have a simple, predictable monthly contribution.

Instead they are responsible for paying for copayments at the time of service. HIP State Plan benefits include all of the required essential health benefits, and some enhanced benefits such as dental and vision.

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.

The plan covers Hoosiers ages 19 to 64 who meet specific income levels. See below if your income qualifies. 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 If you have any questions, or to find out if you may be eligible to participate in the Healthy Indiana Plan, please consult the menu on the left of this page, or contact GET-HIP9 If you use assistive technology such as a Braille reader, a screen reader or TTY and the format of any material on this website interferes with your ability to access information, please contact us at this link.

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