Indiana’s Medicaid program, known as Hoosier Healthwise, provides health coverage to low-income individuals and families. There are two main types of Medicaid plans available in Indiana: managed care plans and fee-for-service plans. Managed care plans are provided by private health insurance companies, while fee-for-service plans are provided by doctors and other healthcare providers who are paid directly by the state. Both types of plans offer a range of benefits, including doctor visits, hospital care, prescription drugs, and mental health services. One might be better for you depending on your needs. You can research each plan’s details to make the best choice for you.
Comparing Medicaid Plans in Indiana
There are several Medicaid plans available in Indiana, each with its unique benefits and coverage. This guide will help you compare Medicaid plans in Indiana and choose the one that best fits your needs.
Types of Medicaid Plans in Indiana
- Hoosier Healthwise: This plan is for children and families with incomes up to 200% of the federal poverty level (FPL).
- Healthy Indiana Plan (HIP): This plan is for adults aged 19-64 with incomes up to 138% of the FPL.
- HIP Plus: This plan is for adults aged 65 and older with incomes up to 150% of the FPL.
- Hoosier Care Connect: This plan is for people with disabilities who are eligible for Supplemental Security Income (SSI).
Benefits Covered by Medicaid Plans in Indiana
- Doctor visits
- Hospital care
- Prescription drugs
- Dental care
- Vision care
- Mental health services
- Substance abuse treatment
How to Apply for Medicaid in Indiana
You can apply for Medicaid in Indiana online, by phone, or in person. You will need to provide proof of your income, assets, and identity.
Choosing the Right Medicaid Plan for You
When choosing a Medicaid plan in Indiana, you should consider the following factors:
- Your income and assets
- Your health care needs
- The benefits covered by each plan
- The cost of each plan
You can compare Medicaid plans in Indiana using the table below.
| Plan | Income Eligibility | Benefits Covered | Cost |
|---|---|---|---|
| Hoosier Healthwise | Up to 200% of the FPL | Doctor visits, hospital care, prescription drugs, dental care, vision care, mental health services, substance abuse treatment | Free |
| Healthy Indiana Plan (HIP) | Up to 138% of the FPL | Doctor visits, hospital care, prescription drugs, dental care, vision care, mental health services, substance abuse treatment | $1 per month |
| HIP Plus | Up to 150% of the FPL | Doctor visits, hospital care, prescription drugs, dental care, vision care, mental health services, substance abuse treatment | $2 per month |
| Hoosier Care Connect | Eligible for SSI | Doctor visits, hospital care, prescription drugs, dental care, vision care, mental health services, substance abuse treatment | Free |
If you need help choosing a Medicaid plan in Indiana, you can contact the Indiana Medicaid office at 1-800-403-0864.
Types of Medicaid Plans Available in Indiana
Medicaid is a government-sponsored 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). There are three main types of Medicaid plans available in Indiana:
Health Insurance for the Aged and Disabled (HIAD)
- This plan provides coverage to individuals who are 65 years of age or older, disabled, or blind.
- HIAD covers a wide range of services, including doctor visits, hospital stays, nursing home care, and prescription drugs.
Children’s Health Insurance Program (CHIP)
- This plan provides coverage to children under the age of 19 whose families meet certain income requirements.
- CHIP covers a wide range of services, including doctor visits, hospital stays, dental care, and vision care.
Hoosier Healthwise
- This plan provides coverage to low-income adults who do not qualify for HIAD or CHIP.
- Hoosier Healthwise covers a wide range of services, including doctor visits, hospital stays, and prescription drugs.
In addition to these three main plans, there are also a number of other Medicaid programs available in Indiana, including:
- Medicaid for Pregnant Women
- Medicaid for Children with Special Health Care Needs
- Medicaid for People with Disabilities
- Medicaid for Long-Term Care
To learn more about Medicaid in Indiana, you can visit the FSSA website or call the Medicaid customer service line at 1-800-403-0864.
Eligibility Requirements for Indiana Medicaid Plans
To qualify for Medicaid in Indiana, you must meet certain eligibility requirements. These requirements include:
- Income: Your income must be below a certain level. The income limit for Medicaid in Indiana is 138% of the federal poverty level (FPL). For a family of four, this means that your annual income cannot exceed $32,717.
- Age: You must be under the age of 19, over the age of 65, or disabled.
- Citizenship: You must be a U.S. citizen or a legal resident.
- Residency: You must be a resident of Indiana.
In addition to these basic requirements, there are also a number of special eligibility categories for Medicaid in Indiana. These categories include:
- Pregnant women
- Children with disabilities
- People with end-stage renal disease (ESRD)
- People with HIV/AIDS
If you think you may be eligible for Medicaid in Indiana, you can apply online or by calling the Indiana Family and Social Services Administration (FSSA) at 1-800-403-0864.
| Family Size | Annual Income |
|---|---|
| 1 | $17,655 |
| 2 | $23,799 |
| 3 | $29,943 |
| 4 | $36,087 |
| 5 | $42,231 |
| 6 | $48,375 |
| 7 | $54,519 |
| 8 | $60,663 |
Medicaid Plans in Indiana – An Overview
Medicaid is a government-sponsored health insurance program that provides coverage for low-income individuals and families. In Indiana, Medicaid is administered by the Family and Social Services Administration (FSSA). There are two types of Medicaid plans available in Indiana: Fee-for-Service (FFS) and Managed Care.
Benefits Covered by Medicaid Plans in Indiana
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Long-term care
- Home and community-based services (HCBS)
Types of Medicaid Plans in Indiana
There are two types of Medicaid plans available in Indiana:
| Plan Type | Description |
|---|---|
| Fee-for-Service (FFS) | With FFS, you can see any doctor or healthcare provider who accepts Medicaid. You will be billed for services rendered, and Medicaid will pay the provider directly. |
| Managed Care | With Managed Care, you are assigned to a primary care physician (PCP) who will coordinate your care. You must see your PCP for most services, but you may be able to see specialists without a referral. |
Choosing the Best Medicaid Plan for You
The best Medicaid plan for you will depend on your individual needs and preferences. If you have a complex medical condition, you may want to choose a Managed Care plan that offers a wide range of services and providers. If you prefer to have more flexibility in choosing your doctors and healthcare providers, you may want to choose an FFS plan. Regardless of your plan choice, you will need to maintain your income and eligibility requirements to remain covered by Medicaid.
Well, folks, that’s a wrap on our in-depth comparison of Medicaid plans in Indiana. We’ve covered a lot of ground, from plan types to benefits to costs. Hopefully, you have a better understanding of your options and can make an informed decision about the plan that’s best for you or your loved one. Remember, this is just a starting point. Be sure to do your own research, talk to your doctor, and compare plans carefully before you make a final decision. Thanks for reading, and be sure to visit us again soon for more helpful information on health and wellness!