The Healthy Indiana Plan (HIP) provides dental coverage through different plan levels: HIP Basic, HIP Plus, and HIP State Plan Plus. Here’s a breakdown of the dental benefits for each:
1. HIP Basic (Limited Coverage)
- Only emergency dental services are covered.
- No routine check-ups, cleanings, fillings, or major dental work.
- This plan is for members who do not contribute to a Personal Wellness and Responsibility (POWER) Account.
2. HIP Plus (Comprehensive Coverage)
- Covers preventive, basic, and major dental services.
- Includes:
- Routine exams and cleanings
- Fillings
- Crowns
- Root canals
- Dentures
- This is the best option for dental coverage under HIP besides the HIP State Plan Plus policy, but members must contribute to their POWER Account monthly.
3. HIP State Plan Plus (For Individuals with Certain Health Needs)
- Includes full dental coverage similar to HIP Plus.
- Offers additional benefits for individuals with specific medical conditions or disabilities.
- Members must also make POWER Account contributions.
Key Takeaways:
- HIP Basic → Emergency-only dental care
- HIP Plus → Full dental coverage (preventive, basic, and major care)
- HIP State Plan Plus → Same as HIP Plus but with added benefits for qualifying individuals
If a patient is looking for routine or restorative dental work, HIP Plus or HIP State Plan Plus would be the best options. Would you like help explaining these plans to your patients in a flyer or social media post?
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