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 adult Hoosiers between
the ages of 19 and 64 whose income is up to 200 percent of the
federal poverty level (FPL), and who are not otherwise eligible for
Medicaid. Unlike many other government-sponsored programs, parents
and childless adults can participate. Eligible participants must be
uninsured for at least six months and cannot have access to
employer-sponsored health insurance. Participants are required to
make monthly contributions toward coverage.
The HIP does not cover pregnancy care. HIP members who become
pregnant must fill out a change form and submit proof of pregnancy
to become eligible for Hoosier Healthwise.
Enhanced Services Plan
The Enhanced Services Plan (ESP) is a special plan for some HIP
enrollees with certain high-risk medical conditions. Applicants are
screened for complex medical conditions such as cancer, HIV/AIDS,
hemophilia, transplants, and aplastic anemia. ESP provides all HIP
benefits in addition to comprehensive disease management
The ESP is administered by the Indiana Comprehensive Health
Insurance Association (ICHIA) through Affiliated Computer Services
(ACS Healthcare) which processes medical claims; HP processes
pharmacy claims. ACS also coordinates member services and case
management for ESP.
For More Information
For more information, please see the HIP page of this Web site or Chapter 2 in
the IHCP Provider Manual.