Healthy Indiana Plan (HIP)
The Healthy Indiana Plan (HIP) is a program sponsored by the
state of Indiana that provides a more affordable healthcare choice
to thousands of otherwise uninsured individuals throughout Indiana.
HIP provides health insurance for uninsured Hoosiers between the
ages of 19 and 64 who meet the income guidelines, and are not
otherwise eligible for Medicaid. See the Eligibility Guide on the member
website for income guidelines. Unlike many other
government-sponsored programs, parents and childless adults can
participate. Participants are required to make monthly
contributions toward coverage.
HIP members are given member ID cards through the health
insurance plans once their coverage is effective. Although HIP
eligibility information is available through the plans, and the
plans are the best source to check eligibility and covered services
or prior authorizations, limited information is also available in
the Indiana Health Coverage Programs (IHCP) Eligibility Verification Systems
(EVS). EVS provides the following eligibility information for HIP
- Verification of member eligibility under HIP
- The telephone number for the member's health plan to obtain
HIP does not cover pregnancy care. Members who become pregnant
must fill out a Report of Change in
Child/Family Status form and submit proof of pregnancy to
become eligible for Hoosier Healthwise.
Providers must be contracted with a HIP Plan in addition to
being an IHCP-enrolled provider to be reimbursed for covered
services rendered to most HIP members. (See the Become a Provider
page on this website.)
The following health plans are contracted with the state of
Indiana to serve the Healthy Indiana Plan population:
Healthy Indiana Plan Insurers
For more information or questions about the Healthy Indiana Plan
insurers, please contact them directly. See the IHCP Quick Reference Guide for contact
For Healthy Indiana Plan forms see the Forms page of this
HIP pharmacy benefits are managed by Catamaran Corporation. For
pharmacy information, see the Pharmacy Services
quick link on this website.
Additional information about the HIP program is also available
in Chapter 2 of the IHCP
Provider Manual and on the HIP website.