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What happens when a HIP member becomes pregnant?
The Healthy Indiana Plan covers maternity care. But there are several things you need to know. It is also best that you talk with your doctor and your health plan (Anthem, CareSource, MDwise, MHS) as soon as you become pregnant. They can help you understand your options.
Step 1: Report your pregnancy to your health plan. This will stop any POWER account payment or copays while you are pregnant, and for 60 days after giving birth.
Step 2: After you become pregnant, you can keep your HIP Plus or HIP Basic benefits. Or you can join HIP Maternity, which is the Medicaid pregnancy program. There are no differences in benefits. Both programs cover vision and dental. They both also cover non-emergency transportation, and offer smoking cessation services for pregnant women.
Step 3: Report the birth of your child or the end of your pregnancy to the state. This will help stop any breaks in coverage. Your additional benefits will continue for 60 days after your pregnancy. No payments into your POWER account or copays are required during this time.
*IMPORTANT: If your annual redetermination occurs during your pregnancy, federal guidelines require you to be moved to HIP Maternity. Again, you won’t notice any changes in your benefits or cost sharing.