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HIP Dental Coverage Levels | HIP Dental Plans Explained

 The Healthy Indiana Plan (HIP) is Indiana’s Medicaid program for adults ages 19-64. The services covered depend on the specific HIP plan : HIP Basic Covers essential health benefits, including emergency dental services . Does not include comprehensive dental or vision services for adults. HIP Plus Offers the most comprehensive benefits, including dental and vision coverage for adults. Covers preventive, diagnostic, restorative, endodontic, periodontic, prosthodontic, and oral surgery services . Requires members to contribute to a POWER Account (monthly premium). HIP State Plan Plus For individuals with additional medical needs, such as those with disabilities. Provides full dental benefits , similar to HIP Plus but with additional benefits. Key Differences in Enrollment & Qualifications Plan Type Dental Coverage Who Qualifies? Monthly Contribution? Extra Benefits HIP Basic ❌Emergency Based Service Only  Below 100% FPL, no POWER payment No Limited benefits, emergency...

HIP Dental Plans | HIP Dental Coverage Breakdown

 The Healthy Indiana Plan ( HIP ) is Indiana’s Medicaid program based individual and family income, and it has different levels of coverage based on the specific plan and eligibility. Here’s a breakdown of the differences between HIP , HIP State Plan , and HIP State Plan Plus in terms of dental coverage : HIP Basic Extremely Limited dental coverage (typically emergency-only services like extractions and pain management). Does not include routine cleanings, exams, or restorative care (fillings, crowns, etc.). For those who do not make POWER Account contributions.   Not recommended for individuals needing dental work . HIP Plus Provides comprehensive dental benefits , including preventive, restorative, and emergency care. Available to members with certain medical conditions or disabilities who qualify for enhanced benefits. Works similarly to traditional Medicaid coverage.  There is a $4 copay for all dental work performed.   There are a number of ...