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Hoosier Healthwise

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 family.

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 18.

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 Healthwise coverage.

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 income.
  • 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 Guide.

Health Plans

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:

  • Anthem
  • MDwise
  • 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 1-800-889-9949.

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 Hoosier 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 health plan.

Anthem

www.anthem.com

Member Services
1-866-408-6131

MDwise

www.mdwise.org

Member Services
1-317-630-2831 or
1-800-356-1204

Managed Health Services (MHS)

www.mhsindiana.com

Member Services

1-877-647-4848