Pregnant Women
Indiana Medicaid provides coverage to pregnant women through two programs. You can learn about each program by clicking on the links below:
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Children
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Hoosier Healthwise
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
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Hoosier Care Connect
Hoosier Care Connect
Hoosier Care Connect is a healthcare program for individuals age 59 years and younger who are blind or disabled, not institutionalized or receiving waiver services, and not eligible for Medicare.
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Traditional Medicaid
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Pregnant Women
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Healthy Indiana Plan
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
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Hoosier Healthwise
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
Adults
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Healthy Indiana Plan
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
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Hoosier Care Connect
Hoosier Care Connect
Hoosier Care Connect is a healthcare program for individuals age 59 years and younger who are blind or disabled, not institutionalized or receiving waiver services, and not eligible for Medicare.
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Traditional Medicaid
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Aged Blind & Disabled
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Hoosier Care Connect
Hoosier Care Connect
Hoosier Care Connect is a healthcare program for individuals age 59 years and younger who are blind or disabled, not institutionalized or receiving waiver services, and not eligible for Medicare.
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Traditional Medicaid
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
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Indiana PathWays for Aging
Indiana PathWays for Aging
A new managed care program beginning July 1, 2024, for eligible Hoosiers age 60 and older.
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Home- and Community-Based Services (HCBS)
Home- and Community-Based Services (HCBS)
HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home.
Programs
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Traditional Medicaid
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
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Healthy Indiana Plan
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
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Hoosier Care Connect
Hoosier Care Connect
Hoosier Care Connect is a healthcare program for individuals age 59 years and younger who are blind or disabled, not institutionalized or receiving waiver services, and not eligible for Medicare.
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Hoosier Healthwise
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
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Indiana PathWays for Aging
Indiana PathWays for Aging
A new managed care Medicaid program beginning July 1, 2024, for eligible Hoosiers age 60 and older.
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Medicare Savings Program
Medicare Savings Program
The Medicare Savings Program provides assistance paying Medicare Part A (Hospital) and Medicare Part B (Medical Insurance) premiums, deductibles, coinsurance, and copayments for qualifying individuals. Some members will qualify for both Traditional...
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HoosierRx
HoosierRx
HoosierRx is a program that can help low income residents aged 65 years or older pay for their monthly Medicare Part D premiums.
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State Health Insurance Assistance Program (SHIP)
State Health Insurance Assistance Program (SHIP)
The State Health Insurance Assistance Program is a free and impartial counseling program for people with Medicare. SHIP is provided by the Administration on Community Living and the Indiana Department of Insurance.
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What is Covered by Indiana Medicaid
What is Covered by Indiana Medicaid
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Pharmacy Benefits
Pharmacy Benefits
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Home- and Community-Based Services (HCBS)
Home- and Community-Based Services (HCBS)
HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home.
Apply for Coverage
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Apply for Coverage
Apply for Coverage
To apply for Medicaid, you will need to fill out and submit a Medicaid application, also known as an Indiana Application for Health Coverage.
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Am I Eligible for Medicaid
Am I Eligible for Medicaid
Medicaid eligibility is determined by several factors and can be complicated. There are several different Medicaid programs, each with slightly different eligibility requirements. If you think you may be eligible, the best thing to do is apply.
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Presumptive Eligibility
Presumptive Eligibility
This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage.
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Eligibility Guide
Eligibility Guide
This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage.
Resources
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Member Rights & Responsibilities
Member Rights & Responsibilities
As a Medicaid member, there are many things that you need to know in order to keep your benefits and get the most out of the services that are available to you.
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Provider Directory
Provider Directory
Start here to find a Medicaid provider near you.
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Managed Care Health Plans
Managed Care Health Plans
Depending on your eligibility, you may be enrolled with a health plan to help coordinate and manage your healthcare. Find out more about health plan options and how to contact them.
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Authorized Representative Form
Authorized Representative Form
In certain cases, you may need to have an authorized representative communicate with your caseworker or Medicaid staff. In order for the State to discuss your case or history with your representative, you will need to give written permission.
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Member Appeals
Member Appeals
You have the right to appeal decisions made about your eligibility for programs or certain decisions made about your care.
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Understanding Terms
Understanding Terms
You can find some definitions to some more commonly used words throughout Indiana Medicaid.
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Other Important Social Services
Other Important Social Services
You can learn about other social services available to you.
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FAQs
FAQs
Have a question? You can find answers to frequently asked questions here.
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Contact Us
Contact Us
A complete list of phone numbers for coverage and benefit questions.
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Interoperability Resource
Interoperability Resource
Patients can now view their benefits, claims, clinical, and even provider network and formulary data in an application.