How does healthy indiana plan work

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.

Instead you are responsible for paying for copayments at the time of service. These extra benefits make it easier to see your doctor so you can get important prenatal pregnancy care. Pregnancy benefits will end 60 days after your pregnancy ends. HIP Fast Track. What is Fast Track? How do I make a Fast Track payment? Payments made with the online application 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.

Payments made while your application is being processed 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. What if I am not eligible for HIP? Do I have to make a Fast Track payment? Can someone make my Fast Track payment for me? HIP Plus. HIP Basic. HIP State Plan. Section eligible parents and caretaker relatives eligible under 42 CFR HIP Maternity.

JavaScript is disabled or unavailable. Visit www. One routine exam every two years over age One pair of glasses per year up to age Managing your account well and getting preventive care can reduce your future costs.

You can also have the amount of your reduction doubled if you complete preventive services. If you choose to leave the program early, your contributions not spent on health care costs will be returned to you.

A penalty is deducted if an individual is disenrolled due to non-payment or withdrawing from the program without having other coverage. The HIP Plus program provides comprehensive benefits including vision, dental and chiropractic services for a low, predictable monthly cost. With HIP Plus, members do not pay every time they visit a doctor or fill a prescription. This contribution can be split when spouses are both enrolled in HIP. Contribution amounts may be higher for smokers.

Click here to find monthly contribution amounts. Applications are available online or by mail, or can be picked up at any Division of Family Resources office. The Healthy Indiana Plan empowers members to make important decisions about the cost and quality of their health care.

As an incentive, members who remain in the HIP Plus program can reduce their POWER account contribution amounts after a year in the program based on the amount remaining in their accounts. If they receive recommended preventive care services throughout the year, the discount will be doubled. Members in the HIP Basic plan also have a POWER account, but since they are not making contributions to the potential amount of their discount for receiving preventive care is lower.

HIP Plus has comprehensive benefits including vision, dental and chiropractic services. There is no copayment required for receiving services with one exception: using the emergency room where there is no true emergency. The benefits are reduced. The essential health benefits are covered but not vision, dental or chiropractic 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.

HIP Basic plan members will still receive POWER account statements to assist them in managing the account and to increase their awareness of the cost of the health care services they receive. HIP Plus is the initial, preferred plan selection for all members and offers the best value. In the HIP Plus program, members do not pay copayments when they go to the doctor or hospital or fill a prescription.

The only exception to this is a copayment for going to the emergency room for care when there is not a true emergency. If you find that your doctor is changed and you want a different doctor, call MDwise right away.

We may be able to help you understand what happened. We can help you choose a doctor you want. It is very important to see your doctor in the first 90 days of joining MDwise. For your first appointment you may have to wait up to two months if you are not sick. If you are sick with something like a fever or earache, you should be able to get an urgent care appointment within one day. If you are not feeling well or have a non-urgent care issue, you should be able to see your doctor within three days.

Tell them who you are. Then tell the appointment person that you have been assigned to your doctor. Let them know why you need to see the doctor. Dental, vision, podiatry foot doctor , family planning and chiropractic care are self-referral services for eligible Healthy Indiana Plan HIP members. Your MDwise doctor can often help by suggesting a doctor for you. Some services you get from these providers will need an okay or authorization from MDwise.

The doctor you select should know what to do to get an okay for the services that you need. For a list of these types of doctors, search our Find a Doctor directory.

Or you can call MDwise customer service at for assistance with locating Healthy Indiana Plan providers. Your doctor or primary care provider PMP manages all of your medical care. Your doctor will be able to tell you which specialist you can see. If you are pregnant and need health coverage, contact a qualified provider and ask for help applying for Presumptive Eligibility for Pregnant Women and Healthy Indiana Plan.

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