Healthy Indiana Plan (HIP) is an initiative by the state of Indiana to provide health insurance coverage to low-income working adults who do not qualify for traditional Medicaid. It is a unique program that combines Medicaid benefits with a health savings account called a HIP account. HIP provides various healthcare services, including preventive care, doctor visits, hospitalizations, and prescription drugs. To be eligible, individuals must meet certain income and resource requirements. Participants are required to make monthly contributions to their HIP accounts, which can be used to pay for healthcare expenses not covered by Medicaid. HIP helps to reduce healthcare costs for the state and provides affordable health insurance to eligible individuals.
HIP Eligibility Requirements
The Healthy Indiana Plan (HIP) is a Medicaid program that provides health coverage to low-income adults in Indiana. To be eligible, you must meet all of the following requirements:
- Be a resident of Indiana.
- Be between the ages of 19 and 64.
- Have an income at or below 138% of the federal poverty level.
- Not be eligible for Medicare.
- Not be pregnant (pregnant women are eligible for Medicaid under a different program).
- Not be incarcerated.
In addition to the above requirements, you may also be eligible for HIP if you are:
- A disabled adult who is not eligible for Supplemental Security Income (SSI).
- A parent or caretaker of a child who is eligible for HIP.
- A person who is receiving treatment for a substance use disorder.
| Category | Income Limit (138% of FPL) |
|---|---|
| Individual | $18,754 |
| Family of 2 | $25,237 |
| Family of 3 | $31,720 |
| Family of 4 | $38,203 |
To apply for HIP, you can visit your local Family and Social Services Administration (FSSA) office or apply online at the FSSA website.
HIP Covered Benefits
The Healthy Indiana Plan (HIP) is a Medicaid program that provides health coverage to low-income adults in the state of Indiana. HIP offers a wide range of benefits, including:
- Preventive care, such as checkups, screenings, and immunizations
- Treatment for chronic conditions, such as diabetes, heart disease, and cancer
- Mental health services, such as counseling and medication
- Substance abuse treatment
- Hospitalization
- Prescription drugs
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment, such as wheelchairs and walkers
HIP also provides coverage for a variety of other services, such as:
- Transportation to medical appointments
- Interpreter services
- Case management
- Health education
- Nutritional counseling
| Category | Covered Services |
|---|---|
| Preventive care | Checkups, screenings, immunizations |
| Treatment for chronic conditions | Diabetes, heart disease, cancer |
| Mental health services | Counseling, medication |
| Substance abuse treatment | Inpatient and outpatient treatment |
| Hospitalization | Inpatient care, emergency room visits |
| Prescription drugs | Brand-name and generic drugs |
| Dental care | Cleanings, fillings, extractions |
| Vision care | Eye exams, glasses, contact lenses |
| Hearing aids | Hearing tests, hearing aids |
| Durable medical equipment | Wheelchairs, walkers, oxygen tanks |
HIP is a valuable program that provides essential health coverage to low-income adults in Indiana. The program offers a wide range of benefits that help people stay healthy and get the care they need.
How HIP Differs from Traditional Medicaid
The Healthy Indiana Plan (HIP) is an alternative Medicaid program offered by the state of Indiana. It is designed to provide health coverage to low-income adults who do not qualify for traditional Medicaid. HIP is different from traditional Medicaid in several ways, including:
- Eligibility: Unlike traditional Medicaid, HIP has stricter eligibility requirements. To qualify for HIP, individuals must be single and have an income at or below 138% of the federal poverty level (FPL). Married couples must have an income at or below 100% of the FPL.
- Premiums: HIP participants are required to pay monthly premiums, while traditional Medicaid does not have premiums. HIP premiums are based on income and range from $1 to $25 per month.
- Copayments: HIP participants are also required to pay copayments for certain services, such as doctor’s visits and prescription drugs. Copayments vary depending on the service, but they typically range from $1 to $10.
- Benefits: HIP provides a comprehensive range of benefits, including coverage for doctor’s visits, hospital stays, prescription drugs, and mental health services. However, HIP does not cover all of the same benefits as traditional Medicaid. For example, HIP does not cover long-term care services or nursing home care.
| HIP | Traditional Medicaid | |
|---|---|---|
| Eligibility | Single adults with income at or below 138% FPL Married couples with income at or below 100% FPL |
Low-income individuals and families |
| Premiums | $1 to $25 per month | None |
| Copayments | Varies by service, typically $1 to $10 | None or very low |
| Benefits | Comprehensive range of benefits, including doctor’s visits, hospital stays, prescription drugs, and mental health services | Comprehensive range of benefits, including doctor’s visits, hospital stays, prescription drugs, long-term care services, and nursing home care |
Ultimately, the best way to determine if HIP is right for you is to talk to your doctor or a HIP representative. They can help you understand the program’s benefits and requirements and determine if you are eligible.
Healthy Indiana Plan (HIP): An Overview
The Healthy Indiana Plan (HIP) is a health insurance program that provides coverage to low-income residents of Indiana. HIP is a Medicaid expansion program that was created under the Affordable Care Act (ACA).
Eligibility
To be eligible for HIP, you must be a resident of Indiana, a United States citizen or a qualified non-citizen, and have a household income at or below 138% of the federal poverty level (FPL).
The income limits for HIP are as follows:
- For a single person, the income limit is $17,655 per year.
- For a family of two, the income limit is $23,790 per year.
- For a family of three, the income limit is $29,925 per year.
- For a family of four, the income limit is $35,060 per year.
- For each additional family member, add $5,135 to the income limit.
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
Benefits
HIP provides coverage for a wide range of health services, including:
Applying for HIP
You can apply for HIP online, by mail, or in person at your local Family and Social Services Administration (FSSA) office. To apply online, visit the HIP website at www.hip.in.gov. To apply by mail, you can download an application form from the HIP website or you can call the HIP customer service number at 1-877-438-4636 to have an application form mailed to you. To apply in person, you can visit your local FSSA office. You will need to provide proof of your income, identity, and citizenship or qualified non-citizen status.
HIP is a valuable program that provides health insurance coverage to low-income residents of Indiana. If you are eligible for HIP, you should apply today.
HIP Enrollment Statistics
| Year | Number of Enrollees |
|---|---|
| 2014 | 384,000 |
| 2015 | 456,000 |
| 2016 | 528,000 |
| 2017 | 600,000 |
| 2018 | 672,000 |
Thanks for stopping by and learning more about the Healthy Indiana Plan, a Medicaid program that’s designed to provide affordable health coverage to Hoosiers who qualify. If you still have questions or want to know more, feel free to explore our website or contact us directly. Until next time, stay healthy and see you soon!