Services

Hoosier Healthwise

Hoosier Healthwise is Indiana's healthcare program for children, pregnant women and low-income working families. Based on family income, children up to age 19 may be eligible for coverage. The program covers medical care like doctor visits, prescription medicine, mental healthcare, 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 (Package C).  In CHIP, your 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 your eligibility and select the package that is right for you.

  • 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. 
  • 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. 
  • 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. 
  • 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. 

Please look below to determine your family's monthly gross income level:

Family Size Pregnancy-related coverage (Package B) Premium-free (Package A) Low-cost Premium (Package C)
1 Not Applicable $1,537 $2,453
2 $2,727 $2,072 $3,319
3 $3,431 $2,606 $4,186
4 $4,134 $3,141 $5,053
5 $4,838 $3,675 $5,919

 

Healthy Indiana Plan (HIP 2.0)

The Healthy Indiana Plan (HIP 2.0) 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. 

HIP 2.0 is for uninsured Hoosiers between the ages of 19-64. It offers full health benefits including hospital services, mental health care, physician services, prescriptions and diagnostic exams. 

Read the questions below and see if they apply to you. If you answer yes to all of the questions, then you are likely eligible for HIP 2.0!

  1. I do not have access to health insurance coverage through my employer. 
  2. I am not eligible for Medicaid or Medicare. 
  3. I am between the ages of 19 and 64. 
  4. I am a legal US resident. 
  5. My household income is equal to or less than: 
Family Size Approximate Maximum
Monthly Income
1 $981
2 $1,328
3 $1,675
4 $2,021
5 $2,368

 

 

 

 

 

 

 

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, 2016 and end Jan. 31, 2017.

For more more information, contact Covering Kids & Families of Central Indiana at 317-221-2041 or 317-221-2464.

 

Health Advantage

Contact 317-221-2041 for eligibility requirements.

 

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