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 incomes are 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.
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/or covered
services or prior authorizations, limited information is also
available in the IHCP Eligibility Verification
Systems (EVS). EVS provides the following eligibility
information for HIP members:
- Verification of member eligibility under HIP
- The telephone number for the member's health plan to obtain
benefit information
HIP does not cover pregnancy care. Members must fill out a change form and submit proof of pregnancy
to become eligible for Hoosier Healthwise. Refer to BT200803 for additional information regarding
pregnancy coverage.
Providers must be contracted with a HIP plan in
addition to being a Medicaid (IHCP) provider to
render covered services to HIP members. However, there is not an
additional contract needed to provide covered services for Enhanced
Services Plan (ESP) HIP members; IHCP providers may render services
to any ESP HIP member.
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
services.
ESP is administered by the Indiana Comprehensive Health
Insurance Association (ICHIA) through Affiliated Computer Services
(ACS). ACS processes medical claims and coordinates member services
for ESP, and also coordinates case management. Any Medicaid (IHCP)
provider may render covered services to HIP members; ESP providers
are not required to have a contract with ESP (administered through
ICHIA).
Additional Information
The health plans listed below are currently contracted with the
State of Indiana to serve the Healthy Indiana Plan population.
Healthy Indiana Plan Insurers
HIP Enhanced Services Plan Insurers
For More Information
For more information or questions about the HIP health plans,
please contact the health plans directly. Contact information for
each insurer can be found on the Health Plan Contacts page.
Additional information about the HIP program is also available from
the HIP Web site.