Who Is Covered?
HIP is for uninsured Hoosier adults between the ages of 19-64. Parents or caretaker relatives of children in the Hoosier Healthwise program are likely candidates for HIP.
- Individuals must earn less than 100% of the federal poverty level (FPL). A single adult earning no more than $11,670 a year, or families of four earning approximately $23,850 likely meet the basic financial requirements.
- Individuals cannot be covered under Medicare or other minimum essential health coverage.
The Plan provides:
- A POWER Account valued at $1,100 per adult to pay for medical costs. Contributions to the account are made by the state and each participant. No participant will pay more than 2% of his/her family income on the plan.
- A basic commercial benefits package once annual medical costs exceed $1,100.
- Coverage for free preventive services including annual exams, smoking cessation, and mammograms.
Why a POWER Account?
- POWER Accounts give participants a financial incentive to adopt healthy behaviors that keep them out of the doctor's office. When they do seek health care, plan participants will seek price transparency so they can make value conscious decisions to better manage the funds in their account.
What Is Covered
- Services include: physician services, prescriptions, diagnostic exams, home health services, outpatient hospital, inpatient hospital, hospice, preventive services, family planning, and case and disease management
- Mental health services are covered which includes substance abuse treatment, inpatient, outpatient, and drugs
Other Plan Specifics
- No co-pays except for the non-emergency use of a hospital emergency department. For childless adults, including non-custodial parents, this co-pay will not exceed $25; if you are a custodial parent or caretaker of a child under 18, this co-pay will not exceed $3.
- If all age and gender appropriate preventive services are completed, all (state and individual) remaining POWER Account funds will rollover to offset the following year’s contribution. If preventive services are not completed, only the individual’s prorated contribution (not the State’s) to the account rolls over.