Medicaid in Indiana provides health coverage to individuals and families with low incomes and limited resources. To qualify, you must be a resident of Indiana, a U.S. citizen or eligible immigrant, and meet certain income and asset limits. Special rules apply to pregnant women, children, individuals with disabilities, and seniors. You can apply online, through the mail, or in person at your local county office. Once your application is processed, you will receive a decision within 45 days. If you qualify, your coverage will start the first day of the month following your application date.
Medicaid Eligibility Requirements in Indiana
Medicaid is a health insurance program that provides coverage to low-income individuals and families. In Indiana, Medicaid is administered by the Indiana Family and Social Services Administration (FSSA).
Who is eligible for Medicaid in Indiana?
- Pregnant women
- Children under age 19
- Adults with disabilities
- Seniors age 65 and older
- People who are blind or disabled
- People with limited income and resources
To be eligible for Medicaid in Indiana, you must meet certain income and resource limits. The income limits are based on the federal poverty level (FPL). The resource limits are based on the value of your assets, such as cash, bank accounts, and stocks.
How to apply for Medicaid in Indiana
- You can apply for Medicaid online, by mail, or in person at your local FSSA office.
- You will need to provide proof of your income, resources, and identity.
- Once your application is processed, you will be notified of your eligibility status.
If you are approved for Medicaid, you will receive a Medicaid card. You can use your Medicaid card to get health care services from doctors, hospitals, and other providers.
What services are covered by Medicaid in Indiana?
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
The specific services that are covered by Medicaid in Indiana vary depending on your age, income, and disability status.
| Family Size | Income Limit |
|---|---|
| 1 | $12,880 |
| 2 | $17,420 |
| 3 | $21,960 |
| 4 | $26,500 |
| 5 | $31,040 |
| 6 | $35,580 |
| 7 | $40,120 |
| 8 | $44,660 |
Medicaid Eligibility: Income and Asset Limits in Indiana
To qualify for Medicaid in Indiana, applicants must meet certain income and asset limits. These limits vary depending on the type of Medicaid coverage sought and the applicant’s household size. Generally, the income and asset limits for Medicaid in Indiana are:
Income Limits for Medicaid in Indiana
- Individuals: $1,384 per month
- Couples: $2,073 per month
- Families of 3: $2,762 per month
- Families of 4: $3,451 per month
- For each additional family member, add $689 per month
Applicants can also qualify for Medicaid if they meet certain income disregards. These disregards allow applicants to deduct certain types of income from their total income when determining eligibility.
Income Disregards for Medicaid in Indiana:
- Earned income up to $2,000 per month for individuals and $4,000 per month for couples
- Social Security benefits
- Supplemental Security Income (SSI)
- Veterans benefits
- Certain types of child support
- Housing assistance
- Energy assistance
Asset Limits for Medicaid in Indiana
- Individuals: $2,500
- Couples: $5,000
These asset limits do not include certain types of assets, such as:
- A primary residence
- One vehicle
- Personal belongings
- Burial plots
- Life insurance policies
Applicants who exceed the asset limits can still qualify for Medicaid if they meet certain conditions. For example, applicants can disregard up to $15,000 in assets if they are disabled or blind.
To learn more about Medicaid eligibility in Indiana, visit the Indiana Family and Social Services Administration website or call the Medicaid hotline at 1-800-403-0864.
| Household Size | Income Limit | Asset Limit |
|---|---|---|
| Individual | $1,384 per month | $2,500 |
| Couple | $2,073 per month | $5,000 |
| Family of 3 | $2,762 per month | $5,000 |
| Family of 4 | $3,451 per month | $5,000 |
| Service | Coverage |
|---|---|
| Doctor visits | Covered |
| Hospital stays | Covered |
| Prescription drugs | Covered |
| Mental health services | Covered |
| Dental care | Covered for children and pregnant women |
| Vision care | Covered for children and pregnant women |
Other Programs That May Help You
If you do not qualify for Medicaid, you may be eligible for other programs that can help you get health care coverage. These programs include:
- The Children’s Health Insurance Program (CHIP)
- The Health Insurance Marketplace
- Medicare
Special Circumstances that Affect Medicaid Eligibility in Indiana
There are several special circumstances that can affect Medicaid eligibility in Indiana. These include:
- Pregnancy: Pregnant women who meet certain income and resource limits are eligible for Medicaid coverage. This coverage can begin as early as the first trimester of pregnancy and continue until 60 days after the baby is born.
- Children: Children under the age of 19 who meet certain income and resource limits are eligible for Medicaid coverage. This coverage can include a variety of services, including doctor visits, hospital stays, and prescription drugs.
- People with Disabilities: People with disabilities who meet certain income and resource limits are eligible for Medicaid coverage. This coverage can include a variety of services, including personal care assistance, home health care, and assistive devices.
- Seniors: Seniors who meet certain income and resource limits are eligible for Medicaid coverage. This coverage can include a variety of services, including nursing home care, home health care, and prescription drugs.
- Long-Term Care: People who need long-term care in a nursing home or other facility may be eligible for Medicaid coverage. This coverage can help to pay for the cost of care, including room and board, nursing care, and therapy.
In addition to these special circumstances, there are a number of other factors that can affect Medicaid eligibility in Indiana. These factors include:
- Income
- Assets
- Marital status
- Citizenship status
- Disability status
To learn more about Medicaid eligibility in Indiana, you can visit the Indiana Family and Social Services Administration (FSSA) website or call the FSSA at 1-800-403-0864.
| Category | Income Limit | Asset Limit |
|---|---|---|
| Pregnant Women | 138% of the federal poverty level | $2,000 |
| Children | 138% of the federal poverty level | $2,000 |
| People with Disabilities | 138% of the federal poverty level | $2,000 |
| Seniors | 138% of the federal poverty level | $2,000 |
| Long-Term Care | 150% of the federal poverty level | $2,500 |
Alrighty folks, that’s all she wrote on how to qualify for Medicaid in Indiana. I know it was a lot to take in, but hopefully, you have a better understanding of the program and how to apply. If you still have questions, be sure to check out the Indiana Medicaid website or give them a call. And while you’re visiting, check out some of our other articles. We’ve got a whole lot of helpful information, and we’re always adding new stuff. So come back and visit us again soon, ya hear? Take care and stay healthy!