HIP Plus also includes dental and vision benefits. Kaiser Commission on Medicaid and the Uninsured, The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid (Washington, DC: Kaiser Commission on Medicaid and the Uninsured, October 2013), https://www.kff.org/wp-content/uploads/2013/10/8505-the-coverage-gap-uninsured-poor-adults7.pdf. Fax: 866-297-3112 Members pay affordable monthly contributions, and the only other cost for health care in HIP Plus is a payment of $8 if you visit the emergency room when you dont have an emergency health condition. This will help us contact you about you and your familys important health care information. By doing so, these states will receive the enhanced federal matching funds for this coverage. As such, the 2013 waiver extension will decrease HIP eligibility levels from 200% FPL to 100% FPL for both parents and childless adults on April 30, 2014.8 For current HIP enrollees and childless adults on the waitlist, Indiana has a plan to transition those who have incomes between 100% and 200% FPL to Marketplace coverage. Where and how can you pay your POWER account contribution? Review your member handbook for important information, Some services need approval from MDwise before you get them. What's the difference between Medicaid and Medicare? You can now pay your monthly POWER Account contribution with My Health Pays Rewards! Dont have dental, vision, or chiropractic benefits? Here are a few key things to look for: -Location of pain: Hip pain is typically felt in the hip joint itself, while sciatica pain is felt along the sciatic nerve. These services will begin the first day of the month after youve reported your pregnancy to MHS and theDivision of Family Resources (DFR). The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 At the end of her pregnancy, additional pregnancy benefits will continue for another 12 month post-partum period. The HIP Plus program provides comprehensive benefits including vision, dental and chiropractic services for a low, predictable monthly cost. Do not share your Hoosier Healthwise, Healthy Indiana Plan or other medical information with anyone except your doctor, clinic, hospital or other health provider. Your benefit year will be a calendar year running January to December. Members will receive information from their health plans about the various ways POWER account contributions can be paid. You could also qualify for an additional $85 dollars of My Health Pays rewards. http://www.uptodate.com/home. Types of income include earned (example: wages from a job), unearned income (example: Social Security Disability payments) and countable income (e.g., taxable income plus certain Social Security Income and lump sum income. Individuals with family income at or below the federal poverty level will default to HIP Basic if they do not make their POWER Account contribution. Need information in a different language or format? It is the State of Indiana's health care program for children, pregnant women, and families with low income. The plan covers Hoosiers ages 19 to 64 who meet specific income levels. When do HIP members select their health plan? But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare. You will be exempt from cost-sharing and will not lose coverage for change in household status that would normally result in loss of eligibility. While making a Fast Track payment can help ensure you get enrolled in HIP Plus as quickly as possible, you are NOT required to make a Fast Track payment. In contrast, POWER Accounts are administered by the managed care plans. Use our Community Resource Link for local help finding food, housing and other things you might need. You will not have copays for healthcare services while pregnant. This will occur based on what month you entered the program. If you do not make your contribution or Fast Track payment within 60 days and your income is less than the federal poverty level you will be enrolled in HIP Basic where you will have copayments for all services and you will not have dental, vision or chiropractic. Accessed May 6, 2016. It does not include dental, vision or chiropractic services, or services for bariatric surgery and temporomandibular joint disorders (TMJ). The independent source for health policy research, polling, and news, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California. How to earn and redeem MDwiseREWARDS points. information highlighted below and resubmit the form. Members who leave HIP and return in the same calendar year will still have their same POWER account and health plan. Recent analysis finds that some 181,930 poor adults in Indiana could fall into this coverage gap, representing 88% of the states poor uninsured (this analysis assumes that parents with incomes above 24% FPL and childless adults fall into the coverage gap because the waiver provides limited coverage).17 These individuals will not have other alternatives for full coverage and will likely remain uninsured. To enroll in HIP Plus, eligible individuals must make a monthly contribution to their POWER Account to help cover initial health expenses. The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. For more information see the. The member pays an affordable monthly POWER account contribution based on income. This type of pain is called referred pain. If you pay the Fast Track invoice and are determined to be eligible for HIP then your HIP Plus coverage will begin the first of the month that your payment was received and processed. A POWER account is a special savings account that members use to pay for health care. In a letter to Secretary Sebelius from November 15, 2013, Governor Pence said that he was looking forward to further discussions regarding the potential expansion of the Healthy Indiana Plan; however, he also stated that it is essential that the State be able to maintain the consumer-driven model on which the program is predicated.19 CMS has raised issues about the monthly account contributions required under HIP. The program covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family. The other 87% of non-contributors were childless adults with no income. Every HIP member has a POWER account. The Healthy Indiana Plan is the state of Indianas signature, consumer-driven health coverage program for non-disabled Hoosiers ages 19-64. 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. Offering you gifts or money to receive treatment or services. You can pay your Fast Track invoice or POWER account contribution to your new health plan and your coverage will start the month in which your payment is received and processed. Members are limited to 30-day prescription supply and cannot order medications by mail. Individuals determined to be medically frail. Hoosier Healthwise Indiana Medicaid plans covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, and family planning at little or no cost to the member or the members family. Ensure state fiscal responsibility and efficient management of the program. If a health care provider makes a Fast Track payment for you, the provider should ask you to complete a form that gives them permission to make this payment (PDF). As of January 2014, individuals with incomes above 100% FPL will be eligible for premium tax credits to help purchase coverage through the new Health Insurance Marketplaces established by the ACA. Click here to access a calculator that will help you determine if you are eligible for HIP and will estimate your monthly POWER account contribution. The Cost of Not Expanding Medicaid. What happens to the POWER account in the Basic plan? Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Each month, the members health plan will send a monthly statement showing how much is left in their POWER account. You can make changes here. HIP Plus can be cheaper because you do not pay any other costs or copayments when you visit the doctor, fill a prescription or go to the hospital. The independent source for health policy research, polling, and news. Only those individuals who may be eligible for HIP will receive a Fast Track invoice. MDWise is an established Medicaid plan in Indiana that has partnered with AmeriChoice to provide HIP coverage. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Letter from Governor Pence to Secretary Sebelius, November 15, 2013. On average,HIP Plus members spend less moneyon their health care expenses than HIP Basic members. Take action to keep your health care coverage. Pregnant women who would otherwise be eligible for HIP but are not enrolled may receive a new member card indicating they are enrolled in HIP Maternity. What is the difference between HIP and Hoosier Healthwise? Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessibility Issues, Provide quality coverage choices for Hoosiers, Provide additional substance use disorder services to address the opioid crisis, Provide health coverage to low-income Hoosiers and ensure an adequate provider network for both HIP and Medicaid enrollees, Empower participants to make cost- and quality-conscious health care decisions, Create pathways to jobs that promote independence from public assistance, Physical, intellectual or developmental disability that significantly impair the individuals ability to perform one or more activities of daily living; or. The state also will not be able to access the enhanced federal matching funds tied to new coverage that is available to states implementing the Medicaid expansion. If you make the contribution in August, you will begin HIP Plus August 1. There are no benefit differences between the two HIP State Plan options . Pregnant members are eligible to receive incentives for completing preventive care like all other HIP members. You can also have the amount of your reduction doubled if you complete preventive services. The waiver also allows for higher-cost sharing than otherwise allowed under the Medicaid program. Get started: Pregnant HIP members benefits change so that: These extra benefits make it easier to see your doctor so you can get important care during your pregnancy. This enrollment lockout will not apply if the member is medically frail or residing in a domestic violence shelter or in a state-declared disaster area. MHS will provide it at no cost to you. You can still change your health plan doctor at any time. This brief provides an overview of HIP and the implications of the waiver extension and Indianas decision to not implement the ACA Medicaid expansion. The state has since opened enrollment twice, but enrollment has fallen over time through attrition. Learn more about Hoosier Healthwise on the state of Indiana's Hoosier Healthwise website. HIP Basic Members:Due to the continuing COVID-19 federal public health emergency (PHE), the Indiana Family and Social Services Agency (FSSA) is moving HIP Basic members to HIP Plus on August 1, 2021. Indiana can continue to evaluate how it will proceed and whether it will adopt the Medicaid expansion as they continue to offer coverage through the HIP waiver that will expire at the end of 2014. At the end of 2008, 37,568 adults were enrolled in HIP. Managing your account well and getting preventive care can reduce your future costs. The state will pay most of this amount, but the member is also responsible for paying a small portion of their initial health care costs. Once a member is approved for HIP, he or she will be assigned to the health plan selected on the application. If you are just joining HIP and want to make sure you choose a health plan that includes your doctor, call 877-GET-HIP-9 to discuss your options. Advertising revenue supports our not-for-profit mission. By letting us know about them, you can help make sure they do. If these states do not renew their waivers, adults covered by the waivers will lose coverage when they expire. If your POWER account contribution amount is less than $10 per month, your $10 payment will be applied to your initial coverage month with the remaining amount applied to future months. Physical, mental or sexual abuse by medical staff. These remaining funds can be used to lower POWER account contributions for the next year of coverage. We will call you back to let you know the estimated reimbursement for that service. POWER account contributions are a key part of the Healthy Indiana Plan. Accessibility It doesn't offer vision or dental services, bariatric surgery or temporomandibular joint disorders (TMJ). Download the free version of Adobe Reader. HIP Plus The initial plan selection for all members is HIP Plus which offers the best value for members. You may have someone make your Fast Track payment on your behalf. HIP is offered by the state of Indiana. HIP Plus coverage begins the first of the month in which an individual makes their POWER account contribution or makes a $10 Fast Track payment. If you are not found eligible for HIP and you have made a Fast Track payment, this payment will be refunded to you by the MCE (Anthem, Caresource, MDwise or MHS) that took the payment. Log in to your portal account to fill out your End of Pregnancy form. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. A new version is published every three months. HIP Plus provides MORE benefits than the HIP Basic program, including vision, dental and chiropractic services. There is no copay for preventative services. It is the State of Indiana's health care program for children, pregnant women, and families with low income. To learn more about Fast Track payments, click here. The plan pays for medical costs for members and can include dental, vision and chiropractic. Prior to the enactment of the Affordable Care Act (ACA), a number of states used Section 1115 Medicaid Demonstration Waivers to expand coverage to adults and to operate Medicaid programs in ways not otherwise allowed under federal rules. The Healthy Indiana Plan (HIP) is an affordable health plan for low-income adult Hoosiers between the ages of 19 and 64. A 2009 study found that compared to the commercially insured population in Indiana, the HIP population had higher utilization, costs, frequency of disease and morbidity. If a member does not wish to change health plans, they do not need to take any action and will automatically stay with their current health plan for the new year. privacy practices. Beginning in January 2008, Indiana began enrolling adults in its new Healthy Indiana Plan (HIP), which was authorized under Section 1115 waiver demonstration authority. First, the individual has the . Go tohttp://www.in.gov/fssa/dfr/2999.htmto find the closet DFR office near you. Show your card every time you get health care. This helps us to tell you about special programs and important health care information.

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