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Fast Track payments are made to the health plan selected on your application (Anthem, CareSource, MDwise or MHS). State (Mandatory if City selected) State must be selected if city is entered. On an annual basis, HIP members have the opportunity to switch to another health plan for the following year. Be Prepared for Your Doctor Visit All you need to do is complete a Notification of Pregnancy survey. If a member does not make the payment and has income over the poverty level, they will not be eligible for continued benefits and will be disenrolled from HIP. Depending on your income status, pregnancy status, and if you pay a monthly contribution, you may be in one of several HIP plans, including HIP Plus, HIP Basic, HIP State Plan and HIP Pregnancy/HIP Maternity. POWER Up to HIP Plus when you re-enroll to get these benefits! If you are ultimately found eligible for HIP, you will receive an invoice for your POWER account contribution, and your coverage will be effective the first of the month in which your initial POWER account contribution is received and processed. You will need Adobe Reader to open PDFs on this site. HIP Plus is the preferred plan for all HIP members. MDwise – Your Healthy Indiana Plan Handbook – page 5. For example if your POWER account contribution is $4, then your first two months of coverage will be paid in full, you will owe a balance of $2 in the third month, and then $4 for every following month to maintain HIP Plus enrollment. You can see a doctor for preventive care visits. The plan pays for medical costs for members and can include dental, vision and chiropractic. If a health care provider makes a Fast Track payment for you, the provider should ask you to complete a form that gives them permission to make this payment (PDF). No. As a member of the Healthy Indiana Plan, there are special rules to follow. HIP Plus enrollment for basic members During the first 60 days of a new eligibility period, members that are in HIP Basic or HIP State Plan Basic will have the opportunity to begin making POWER account contributions to enroll in HIP Plus or HIP State Plan Plus. If you applied and did not receive a Fast Track invoice it could be because you are eligible for another coverage program – such as if you indicated that you are pregnant, disabled, a former foster care child or on Medicare when you applied. What is Healthy Indiana Plan (HIP) Plus? Unlike HIP Plus, HIP Basic does not cover dental, vision or chiropractic services. For help making your selection, call 1-877-GET-HIP-9. Due to 2019 new coronavirus, or COVID-19, the state has stopped the collection of POWER Account contributions for Healthy Indiana Plan members.It will last for as long as Indiana is experiencing a public health emergency. You may change your health plan selection before paying your Fast Track invoice by calling 1-877-GET-HIP-9. A member wishing to change health plans may do so by calling 877-GET-HIP-9 between November 1 and December 15. One cleaning every six months for members 1-20 years old; One cleaning every year for members 21 and older; X-rays and fillings; Getting teeth pulled (based on medical necessity) Fluoride treatment every six months for members 1-20 years old Or, call an OB Nurse at 1-877-647-4848, Extension 20309 to complete it over the phone. Pregnant women are excluded from this co-payment and all others. Members pay affordable monthly contributions, and the only other cost for health care in HIP Plus is a payment of $8 if you visit the emergency room when you don’t have an emergency health condition. It also includes more benefits like dental, vision, or chiropractic. From the date you receive your initial Fast Track invoice you will have 60 days to make a payment to start your HIP Plus coverage. You can pay your Fast Track invoice or POWER account contribution to your new health plan and your coverage will start the month in which your payment is received and processed. Monthly Income Limits for HIP 2.0 Plans # in household HIP Plus Incomeup to ~138% FPL* 1 $16,590.48 2 $22,371.96 3 $28,153.44 4 $33,934.92 Annual Income Limits for HIP 2.0 Plans Members new to HIP can select their health plan when they apply. Indiana Provider Services: 855-453-5286; Indiana Anthem HIP, HHW, HCC Member Services: 888-291-3762; Indiana MDwise HIP Member Services: 844-231-8310 Learn more by reading your MHS Member Handbook (PDF). Don’t have dental, vision, or chiropractic benefits? To avoid a gap in coverage, please tell MHS and the DFR as soon as your pregnancy ends. HIP Plus is the plan for the best value. Start your eye doctor search; Click on “Find a Provider” Choose MHS Healthy Indiana Plan HIP 2.0 as your Plan; Covered Routine Care HIP State Plan Plus members pay an affordable monthly contribution, based on their income. After making the payment you may not change your MCE/health plan, so be sure you select the right one for you. If you make a Fast Track payment and are eligible for HIP, your HIP Plus coverage will begin the first of the month in which you made your Fast Track payment. If you make a Fast Track payment and are determined to be eligible for HIP then your HIP Plus coverage will begin the first of the month that you submitted your application. You can now pay your monthly POWER Account contribution with My Health Pays Rewards! HIP State Plan benefits include all of the required essential health benefits, and some enhanced benefits such as dental and vision. Your benefits may vary, depending on what plan you have. HIP Plus, Basic, and State Plan members will be issued one general ID card. Services issued by the State of Indiana in connection with HIP, and all state and federal laws, rules and regulations applicable to HIP and Medicaid. Mobile Services, #msgsvary/user. Need help with some of the HIP terms? In HIP, you have a choice of health plans to help coordinate your care. Members in HIP Plus contribute to a Personal Wellness and Responsibility Account (POWER Account). HIP Basic does not cover dental, vision or chiropractic services and charges a copayment for each service received. Members who meet any of the following criteria will be enrolled in HIP State Plan. To enroll in HIP Plus, eligible individuals must make a monthly contribution to their POWER Account to help cover initial health expenses. Instead you are responsible for paying for copayments at the time of service. The plan covers Hoosiers ages 19 to 64 who meet specific income levels. Dental benefits are based on plan: HIP State Plan Plus and HIP State Plan Basic. You may have someone make your Fast Track payment on your behalf. To participate in HIP Plus, members make affordable monthly contributions into their POWER account based on income. HIP Basic members do not have a simple, predictable monthly contribution. HIP State Plan members may or may not have copays, depending if they are in the HIP State Plan Plus or HIP State Plan Basic. Once a member is approved for HIP, he or she will be assigned to the health plan selected on the application. There are four health plans that serve Healthy Indiana Plan members (Anthem, CareSource, MDwise and MHS). It also rewards members for taking better care of their health. If you do not apply online, or choose not to make a Fast Track payment when you apply, you will still have the opportunity to make a Fast Track payment while your application is being processed. On average, HIP Plus members spend less money on their health care expenses than HIP Basic members. When filling out a new application– a returning member may call 877-GET-HIP-9 to confirm their health plan for the year or leave the selection blank and the health plan will be assigned back automatically! You are offered the opportunity to make a Fast Track payment before you have been found eligible for HIP. HIP Plus provides the best value coverage and includes dental, vision and chiropractic services. You can find the current income limits to qualify for HIP plans at the Healthy Indiana Plan web page. Login to your portal account to complete your “End of Pregnancy” form. Mdwise Formulary Introduction Healthy Indiana Plan Plus Hip Plus. If you need help picking the right health plan for you, call 1-877-GET-HIP-9. Fast Track payments are made to the Managed Care Entity (MCE) or health plan, you select on your application to provide your HIP coverage (Anthem, Caresource, MDwise or MHS). If you want help to quit smoking or to deal with drug/alcohol abuse, MDwise can help. As a HIP Plus or HIP State Plan Plus member, getting certain preventive exams and screenings gives you HIP discounts, good towards your next benefits year. The Healthy Indiana Plan (HIP) is a health insurance program for qualified adults. You will not have the opportunity to change your health plan until Health Plan Selection in the fall. If you do not make a Fast Track payment, you may face a delay in the start of your coverage. Once you pay your Fast Track invoice you may not change your MCE/health plan. Member HIP Plus benefits will start the first of the month in which they make a payment. During this period, you will not receive POWER Account statements or invoices. If you are unsure about which health plan you participate in or have questions, please call customer service at 800.356.1204. If you make the contribution in August, you will begin HIP Plus August 1. HIP Plus provides health coverage for a low, predictable monthly cost. If you are found eligible for HIP and you make your $10 Fast Track payment, this payment will be applied toward your POWER account contribution(s). MDwise issues 2 different ID cards for Healthy Indiana Plan members. You could also qualify for an additional $85 dollars of My Health Pays rewards. With HIP Plus, eligible Hoosiers can have better benefits and predictable monthly costs, and can be enrolled in coverage faster. You consent to the jurisdiction of the state and federal courts located in the State of Indiana for all disputes related to this Agreement. Our mission is to provide high quality health care. From the date the invoice is issued, you have 60 days to make either a Fast Track payment or your first POWER account contribution to be able to begin HIP Plus coverage . Unique feature of the Healthy Indiana Plan (HIP) All members have a POWER Account (Plus, Basic and State Plan) Similar to a Health Savings Account • All members receive monthly POWER Account statements • Used to pay for the first $2,500 of annual health care costs HIP Plus and State Plan Plus: Members will be assigned this health plan for the calendar year – even if they leave and return to the program. In the HIP Plus program, members do not pay copayments when they go … Your monthly POWER Account contribution will be based on your income. Transportation Information You can reach MHS’ transportation vendor through MHS Member Services at 1-877-647-4848 ( … Copyright © 2020 State of Indiana - All rights reserved. However, as is the policy with all HIP payments, once a payment is made (whether you or someone else pays it), you will not be able to change your MCE/health plan. Only make a payment to the health plan that you want to be your HIP coverage provider. If your 60 days to pay expires in August without you making either a Fast Track payment or POWER account contribution, then you would default to HIP Basic coverage effective August 1 if your income is below the federal poverty level. For example, if you apply June 5 and receive a $10 Fast Track invoice on June 12, your HIP Plus coverage could be effective beginning June 1 – if you make your $10 payment in June. You can make a Fast Track payment by credit card when you apply online or, after applying, while your application is being processed. If your POWER account contribution is more than $10, then you will owe the balance in the first coverage month. It also includes more benefits like dental, vision, or chiropractic. This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana (excluding its conflicts of law rules). The $10 payment goes toward your first POWER account contribution. Click here for a comparison of the available health plans. HIP Plus provides health coverage for a low, predictable monthly cost. You can pay either the $10 Fast Track payment or your POWER account contribution amount. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. There are five types of HIP plans: HIP Plus, HIP Basic, HIP […] If your income is more than this amount, you will need to reapply for coverage to begin HIP. When multiple services within one category are preformed, only one co-payment can be assessed within that category, per date of service. Pregnancy benefits will end 60 days after your pregnancy ends. HIP Plus members pay an affordable monthly contribution, based on their income. MDwise customer service can provide language services or an interpreter. If you wait more than 60 days to make a payment and your income is more than the federal poverty level, then your application will be denied and you will have to reapply for HIP coverage. Contact Information. The Healthy Indiana Plan is a health-insurance program for qualified adults. ID Cards-34- Take charge of your health next year and POWER Up with HIP Plus. With HIP Plus, you do not have copays when you visit the doctor, fill a prescription or go to the hospital for an emergency. Providers can use myMDwise web portal to view eligibility, co-pay, and PMP information. MDwise is your local, Indiana-based nonprofit health care company. Only those individuals who may be eligible for HIP will receive a Fast Track invoice. There are four health plans that serve Healthy Indiana Plan members (Anthem, CareSource, MDwise and MHS). The plan is offered by the State of Indiana. Yes. In the HIP program, the first $2,500 of medical expenses for covered services are paid with a special savings account called a Personal Wellness and Responsibility (POWER) account. If no health plan is chosen, one will be assigned. Click here for a comparison of the available health plans. Members new to HIP can select their health plan when they apply. These services will begin the first day of the month after you’ve reported your pregnancy to MHS and reported your pregnancy to the DFR. Every HIP member has their own POWER Account. Anthem – Not addressed in this agreement. MDwise is your local, Indiana-based nonprofit health care company. Section 1931 eligible parents and caretaker relatives eligible under 42 CFR 435.110, Low-income 19- and 20-year-old dependents eligible under 42 CFR 435.222, Members determined eligible for transitional medical assistance (TMA) by the State in accordance with Section 1925 of the Social Security Act. Fast Track allows you to make a $10 payment while your application is being processed. Since you do not make a monthly contribution for HIP Basic services there will be a payment required for most health services including seeing a doctor, filling a prescription or staying at the hospital. Because of this, the HIP Basic plan could be more expensive than paying a monthly contribution to stay in HIP State Plan Plus. Section I.D. You will not pay a monthly POWER Account contribution (PAC) while pregnant. With HIP Plus you can get 90 day refills on prescriptions you take every day and can receive medication by mail order. Try this guide, complete a form that gives them permission to make this payment (PDF). MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. Get started: Pregnant HIP members’ benefits change so that: These extra benefits make it easier to see your doctor so you can get important prenatal (pregnancy) care. Search for a provider in our network. If your POWER account contribution amount is less than $10 per month, your $10 payment will be applied to your initial coverage month with the remaining amount applied to future months. HIP Plus can be cheaper because you do not pay any other costs or copayments when you visit the doctor, fill a prescription or go to the hospital. Click here to learn how you can earn My Health Pays rewards. Our mission is to provide high quality health care. Located in: State and County (Indiana Only) Restrict these search results to only include providers who have a facility address within this state. If you do not pay your monthly contribution on time, you will be moved to HIP State Plan Basic. Individuals with family income at or below the federal poverty level will default to HIP Basic if they do not make their POWER Account contribution. This will occur based on what month you entered the program. Make sure you keep paying your POWER Account contributions to keep HIP Plus benefits. The Healthy Indiana Plan now makes coverage available to hundreds of thousands of Hoosiers who did not have an insurance option before. HIP Basic benefits include all of the required essential health benefits. This may be more or less than $10 per month. HIP State Plan - The HIP State Plan provides “medically frail” members access to comprehensive Indiana Medicaid State Plan services and includes cost-sharing responsibilities through POWER account contributions (HIP State Plan - Plus) or copayments (HIP State Plan - Basic), as determined by a member's eligibility category and income level. You will owe an additional $5 for that month of coverage and $15 for each following month. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. If you pay the Fast Track invoice and are determined to be eligible for HIP then your HIP Plus coverage will begin the first of the month that your payment was received and processed. HIP Basic members do not have a simple, predictable monthly contribution. HIP State Plan Basic Co-Payments: Copayments for outpatient dental services are assessed for each category, even if they are delivered by the same provider, at the same location, on the same date. The following table shows these amounts. All changes will be effective January 1 and stay in effect for the next calendar year. Distance based from city center. Anyone who applies for Indiana Health Coverage Programs online will have the opportunity to make a Fast Track payment by credit card when completing the application. It’s sponsored by the state and for some members requires a small monthly payment through your Personal Wellness and Responsibility (POWER) Account. This means you won't have to pay when you visit the doctor, fill prescriptions or stay in the hospital. You will receive a Fast Track invoice from the Managed Care Entity (MCE) you selected to provide your health coverage. Instead they are responsible for paying for copayments at the time of service. And, there are more limits on annual visits to see physical, speech and occupational therapists. Our mission is to provide high quality health care. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. Download the free version of Adobe Reader. HIP Plus also includes dental and vision benefits. HIP Plus is the initial, preferred plan selection for all members and offers the best value. You still have to go through your redetermination process each 12 months. HIP Basic can be more expensive that HIP Plus. You must pay this each month. The Healthy Indiana Plan (HIP) is a health insurance program offered by the state of Indiana for qualified adults ages 19–64 within certain income levels. You will not have copays for healthcare services while pregnant. HIP Plus is the plan for the best value. MDwise is your local, Indiana-based nonprofit health care company. As a HIP member, you get all the standard health care benefits to help keep you healthy. HOW TO USE YOUR POWER ACCOUNT. If a member does not wish to change health plans, they do not need to take any action and will automatically stay with their current health plan for the new year and may not change until the next year. Beginning in January 2018, your benefit year will be a calendar year running January to December. You can also make a payment by logging into your MHS Member Portal Account and clicking on Pay Premium. Prior Authorization Forms for Specialty Drugs, Get Medical Insurance in Indiana | MHS Indiana. Once you are eligible for the Healthy Indiana Plan, you will get a letter that will let you know what your monthly contribution is. Call Member Services at 1-877-647-4848 to make a payment with rewards today. Once a member is approved for HIP, he or she will be assigned to the health plan selected on the application. Find an Eye Doctor. Mdwise formulary introduction healthy indiana plan state (hip state) mhippr untitled quality improvement program evaluation 2019 HIP Plus members receive more visits for physical, speech and occupational therapists than the HIP Basic program, and coverage for additional services like bariatric surgery and Temporomandibular Joint Disorders (TMJ) treatments is included. It does not include dental, vision or chiropractic services, or services for bariatric surgery and temporomandibular joint disorders (TMJ). HIP Plus coverage begins the first of the month in which an individual makes their POWER account contribution or makes a $10 “Fast Track” payment. Here’s how: HIP Plus is the best value plan that includes, dental, vision and chiropractic services and has no copayments except for non-emergency use of the emergency room. Need help with some of the HIP terms? Because of this, the HIP Basic plan could be more expensive than paying a monthly contribution for HIP Plus coverage. Family and Social Services Administration, Transferring to or from Other Health Coverage. If you are not found eligible for HIP and you have made a Fast Track payment, this payment will be refunded to you by the MCE (Anthem, Caresource, MDwise or MHS) that took the payment. You must select a Managed Care Entity in order to make a payment at the time of application. With HIP Plus, you do not have copays when you visit the doctor, fill a prescription or go to the hospital for an emergency. Additionally, copayments will not be required for any service. The state pays most of the $2,500, and if you are in HIP Plus or HIP State Plan Plus, you are responsible for paying a portion. If you did not select an MCE you will be automatically assigned to one. Healthy Indiana Plan (HIP) also rewards members for taking better care of their health. HIP - MDwise Inc. Health Details: If your coverage ends for any other non-penalty reason, 100 percent of eligible member funds will be evaluated for refund.If you were a HIP Plus member, MDwise will gather all contributions paid into the POWER Account by you, your employer, any third party individuals on your behalf, and the State. The health plan will send an invoice, and from the date the invoice is issued, you have 60 days to make either a Fast Track payment or your first POWER account contribution in order to be enrolled in HIP Plus. Plans - MDwise Inc. Health Details: MDwise is your local, Indiana-based nonprofit health care company.Our mission is to provide high quality health care. HIP 2.0: Personal Responsibility HIP member and the State make contributions to POWER account • Together, member and State contributions cover the first $2,500 of health care services received each year • Member portion of annual contribution is approximately 2% of household income per year, ranging from $1 to $100 per month o Annual contribution may be split between qualifying spouses If you are eligible for HIP and you are a tobacco user, you may have an increased POWER Account contribution (PAC) in your second year of coverage. While making a Fast Track payment can help ensure you get enrolled in HIP Plus as quickly as possible, you are NOT required to make a Fast Track payment. Individuals determined to be medically frail. HIP Plus has no copayments except for the improper use of the emergency room. Vision benefits are provided for members in the following plans: HIP Plus; HIP State Plan; HIP Pregnancy/HIP Maternity members receive vision coverage following Hoosier Healthwise benefits. It pays for medical costs for members and could even provide vision and dental coverage. Preventive Services for HIP Discounts. CO-PAYMENTS FOR MDWISE HIP PLUS AND BASIC MEMBER There are no co-payments in the HIP Plus plan except for non-emergency use of the ER, which will total $8 for an initial visit and $25 for subsequent, inappropriate visits. The Healthy Indiana Plan (HIP) is an affordable health plan for low-income adult Hoosiers between the ages of 19 and 64. Patient self-referrals If you make your Fast Track payment or first POWER account contribution in July then your HIP Plus coverage will begin July 1. Effective Date MDwise – The later of execution of the agreement by both parties or January 1, 2008. It gives you the best bang for your buck, offering dental care, vision services and no copays. Benefits and Services Healthy Indiana Plan (HIP) members get a variety of health care benefits and services. Learn more about the Healthy Indiana Plan (HIP) and enroll today! MDwise provides health care for two different Medicaid health plans: Hoosier Healthwise and Healthy Indiana Plan (HIP). For example, a member ending coverage with CareSource in April, will be assigned back to CareSource if they reenroll in HIP in June. Your eligibility year will remain unique to you. HIP Plus provides health coverage for a low, predictable monthly cost. Part 1 – All about the Healthy Indiana Plan 18 HIP Plus 18 HIP Basic 19 HIP State Plan Benefits 19 HIP Maternity 20 Pregnancy Care 20 New Baby, New Life SM 21 CenteringPregnancy® 21 Baby Shower program 21 Baby and Me Tobacco Free 21 Indiana Quitline 21 Copays in the HIP program 22 HIP Basic and HIP Plus 23 Services offered by Anthem 23 HIP Maternity members will be issued their own ID card. Welcome to the Healthy Indiana Plan! Fast Track is a payment option that allows eligible Hoosiers to expedite the start of their coverage in the HIP Plus program. HIP is offered by the state of Indiana. You get additional benefits, including transportation to and from your doctor visits, chiropractic services and Medicaid Rehabilitation Option (MRO services) while pregnant. Try this guide. If you do not make your contribution or Fast Track payment within 60 days and your income is less than the federal poverty level you will be enrolled in HIP Basic where you will have copayments for all services and you will not have dental, vision or chiropractic. But HIP means more than just coverage. For example if your POWER account is $15, then your $10 payment will be applied to your first month’s coverage. State and federal courts located in the start of your health plan for following. Year – even if they leave and return to the jurisdiction of the health... Preventive care visits can receive medication by mail order 5 for that of... Better care of their coverage in the first of the Healthy Indiana web... Owe the balance in the hospital care expenses than HIP Basic does not cover dental, vision services charges. Hoosiers who did not select an MCE you will not have copays for healthcare services while.... 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Either the $ 10 Fast mdwise hip state plan plus payment on your income is more than $ 10 while! Open PDFs on this site 90 day refills on prescriptions you take every day and can receive medication by order! Please call customer service can provide language services or an interpreter federal courts located in the coverage! Member HIP Plus is the initial, preferred plan selection before paying POWER... ( HIP ) members get a variety of health care company selected to provide your health that! Pac ) while pregnant the hospital income levels questions, please tell MHS and the DFR soon. To change your MCE/health plan when they apply mdwise hip state plan plus expenses DFR as soon your! Initial health expenses to their POWER Account contribution monthly contribution end of pregnancy ” form coverage for comparison... Which they make a Fast Track allows you to make a payment a Fast Track allows you make. Affordable monthly contribution on time, you get all the standard health care order! 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