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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 to the member or the member's family.

The Children's Health Insurance Program (CHIP) falls under the Hoosier Healthwise program for children up to age 19 whose families have slightly higher incomes. In CHIP, you will be required to pay a low monthly premium for coverage and copays for certain services.  Information about paying your monthly premium can be found on the Contact Us webpage.

COVERED SERVICES

You can view a general description of the benefits and services available in the Hoosier Healthwise program by clicking on Indiana Medicaid Covered Services. Please remember that your health plan may offer additional services.

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 health plan.

There are three 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 - This is a full-service plan for children and pregnant women. Members do not have any cost sharing obligations.
  • Package C- This is a full-service plan for children enrolled in CHIP. There is a small monthly premium payment and co-pay for some services based on family income.
  • Presumptive Eligibility for Pregnant Women (PEPW) - This is a limited-service plan for pregnant women that provides coverage for prenatal care during their presumptive eligibility period. You can be eligible for PEPW services while your full application is being processed. To learn more about the PEPW program, please go to the Presumptive Eligibility webpage.

For income requirements for Hoosier Healthwise, refer to the Eligibility Guide.

HEALTH PLANS

When you enroll with Hoosier Healthwise, you must select a health plan.  You may choose among the following:

  • Anthem
  • CareSource
  • Managed Health Services (MHS)
  • MDwise

You can visit "Working With Your Health Plan" on this website to select the best health plan for you.

Once you have selected a health plan, you will be asked a series of questions about your health care.  These questions will allow the health plan to understand your needs so that they may provide you with all the services you need.  If you have extra needs, the health plan will ask you some more specific questions so that they may be further involved with your health care treatment.

If you have questions about your benefits or your coverage, you should contact your health plan or the Indiana Medicaid enrollment broker, Maximus.  You can find the phone numbers on the Contact Us webpage.

 

Summary of the Hoosier Healthwise Health Plans

 

HOOSIER HEALTHWISE BROCHURE

Take some information with you!  You can find information about the program within the Hoosier Healthwise Brochure.