Hoosier Healthwise is a health care program for low income
parents/caretakers, pregnant women, and children. The program
covers medical care like doctor visits, prescription medicine,
mental health care, dental care, hospitalizations, surgeries, and
family planning at little or no cost to the member or the member's
Hoosier Healthwise covers many different types of people:
- Children up to age 19
- Pregnant women
- Low income parents/caretakers of children under the age of
The Children's Health Insurance Plan (CHIP), for individuals up
to age 19, falls under the Hoosier Healthwise Package C
program. In CHIP, your child may be covered by paying a
low-cost monthly premium. This option is available to members who
may earn too much money to qualify for the standard Hoosier
There are four benefit packages in Hoosier Healthwise.
When you submit an application, the State will determine your
eligibility and select the coverage that is right for you.
- Package A - Standard Plan: is a
full-service plan for children, pregnant women, and families.
Members have no premiums to pay but may have a $.50 to $3.00 co-pay
for pharmacy, transportation, and emergency services.
- Package B - Pregnancy Coverage:
is for pregnancy-related services only. Members have no
premiums to pay but may have a $.50 to $3.00 co-pay for pharmacy,
transportation, and emergency services.*
- Package C - Also called the
Children's Health Insurance Program or CHIP: is a
full-service plan for children only. There is a small monthly
premium payment and co-pay for some services based on family
- Package E - Emergency Services
Only: provides coverage for treatment of serious medical
emergencies. This plan is for certain immigrants who do not meet
the necessary immigration status to receive full benefits.
*New members will not be added to Package B effective January 1,
2014. Existing members will continue to utilize Package B
until their Medicaid redetermination.
For income requirements for Hoosier Healthwise, refer to the Eligibility
When you enroll in Hoosier Healthwise, you will select a health
plan. A health plan is a group of health care providers
(primary care doctors, specialists, home health care providers,
pharmacies, therapists etc.). When you choose your doctor,
you will also need to choose your health plan. It is important for
you to know which health plan you and your doctor are in. For most
health care services, you must use the health care providers who
are in your health plan. Your health plan choices are:
- Managed Health Services (MHS)
You can learn more about picking a health plan by going to the
"How to Select a Health
Plan" section of this site. If you did not select a health plan
when you submitted your application or you need to pick a doctor
that works with your plan, you can call MAXIMUS at
For a summary of the Hoosier Healthwise health plans, click here.
What Is Covered by Hoosier Healthwise?
You can view a general description of the benefits and
services available in the Hoosier Healthwise program by clicking on
Healthwise Covered Services. Please remember that your health
plan may offer additional services. The benefits covered by Hoosier
Healthwise include preventive care (like well-baby/well-child care
and regular check-ups) and mental health and substance abuse
treatment. Hoosier Healthwise also has benefits for children
with special health care needs like asthma or diabetes.
Once you are enrolled, your health plan will be your first stop
for any questions about your care. If you are unsure of your
benefits or have any questions about your coverage, call your
Managed Health Services (MHS)