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Types of Indiana Medicaid | HIP Plans Explained

 Indiana offers several Medicaid programs tailored to meet the diverse healthcare needs of its residents. Here's an overview of the key programs:

Traditional Medicaid: This program provides comprehensive health coverage for individuals who are aged, blind, disabled, or meet other specific eligibility criteria. It covers a wide range of services, including doctor visits, dental care, hospital care, prescriptions, and more.

Healthy Indiana Plan (HIP): Designed for adults aged 19 to 64 with incomes up to 138% of the federal poverty level (FPL), HIP emphasizes personal responsibility and preventive care. Members contribute to a Personal Wellness and Responsibility (POWER) account, which is used to pay for initial medical expenses.

Within HIP, there are several plan options: 

  • HIP Basic: Available to individuals with incomes below 100% FPL who do not make POWER account contributions. This plan covers essential health services but requires copayments for most services. It includes only limited emergency dental coverage, and it's a more emergency care based plan compared to HIP Plus.

  • HIP Plus: For members who make monthly POWER account contributions. This plan offers comprehensive benefits, including dental and vision services, with no copayments except for non-emergency emergency room visits. It's designed to provide enhanced coverage and predictability in healthcare costs.

  • HIP State Plan: Tailored for individuals with specific medical conditions, mental health disorders, or substance use disorders. This plan offers enhanced benefits, including vision, dental, chiropractic services, and non-emergency transportation. It comes in two variations:

    • HIP State Plan Plus: Requires monthly POWER account contributions and has no copayments, except for non-emergency ER visits. This is the best dental coverage that HIP provides.

Hoosier Healthwise: This program is Indiana's health plan for children up to age 19 and pregnant women. It provides comprehensive coverage, including doctor visits, hospital care, dental and vision services, and more, often at little or no cost to members.

Each of these programs is designed to cater to specific populations, ensuring that Indiana residents have access to the healthcare services they need. 



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