It does not include dental, vision or chiropractic services, or services for bariatric surgery and temporomandibular joint disorders (TMJ). HIP Plus can be cheaper because you do not pay any other costs or copayments when you visit the doctor, fill a prescription or go to the hospital. HOW TO USE YOUR POWER ACCOUNT. HIP Plus coverage begins the first of the month in which an individual makes their POWER account contribution or makes a $10 “Fast Track” payment. Members in HIP Plus contribute to a Personal Wellness and Responsibility Account (POWER Account). Preventive Services for HIP Discounts. Try this guide. You can make a Fast Track payment by credit card when you apply online or, after applying, while your application is being processed. HIP Maternity members will be issued their own ID card. Fast Track is a payment option that allows eligible Hoosiers to expedite the start of their coverage in the HIP Plus program. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. When filling out a new application– a returning member may call 877-GET-HIP-9 to confirm their health plan for the year or leave the selection blank and the health plan will be assigned back automatically! From the date you receive your initial Fast Track invoice you will have 60 days to make a payment to start your HIP Plus coverage. Section I.D. HIP Basic members do not have a simple, predictable monthly contribution. With HIP Plus, you do not have copays when you visit the doctor, fill a prescription or go to the hospital for an emergency. For example if your POWER account is $15, then your $10 payment will be applied to your first month’s coverage. You must select a Managed Care Entity in order to make a payment at the time of application. Members new to HIP can select their health plan when they apply. Get started: Pregnant HIP members’ benefits change so that: These extra benefits make it easier to see your doctor so you can get important prenatal (pregnancy) care. And, there are more limits on annual visits to see physical, speech and occupational therapists. MDwise is your local, Indiana-based nonprofit health care company. MDwise customer service can provide language services or an interpreter. You may change your health plan selection before paying your Fast Track invoice by calling 1-877-GET-HIP-9. Once you pay your Fast Track invoice you may not change your MCE/health plan. If your 60 days to pay expires in August without you making either a Fast Track payment or POWER account contribution, then you would default to HIP Basic coverage effective August 1 if your income is below the federal poverty level. Be Prepared for Your Doctor Visit This may be more or less than $10 per month. HIP - MDwise Inc. Health Details: If your coverage ends for any other non-penalty reason, 100 percent of eligible member funds will be evaluated for refund.If you were a HIP Plus member, MDwise will gather all contributions paid into the POWER Account by you, your employer, any third party individuals on your behalf, and the State. If you pay the Fast Track invoice and are determined to be eligible for HIP then your HIP Plus coverage will begin the first of the month that your payment was received and processed. The plan pays for medical costs for members and can include dental, vision and chiropractic. As a HIP Plus or HIP State Plan Plus member, getting certain preventive exams and screenings gives you HIP discounts, good towards your next benefits year. MDwise is your local, Indiana-based nonprofit health care company. HIP Plus, Basic, and State Plan members will be issued one general ID card. You will need Adobe Reader to open PDFs on this site. To participate in HIP Plus, members make affordable monthly contributions into their POWER account based on income. You consent to the jurisdiction of the state and federal courts located in the State of Indiana for all disputes related to this Agreement. Copyright © 2020 State of Indiana - All rights reserved. To avoid a gap in coverage, please tell MHS and the DFR as soon as your pregnancy ends. A member wishing to change health plans may do so by calling 877-GET-HIP-9 between November 1 and December 15. Click here for a comparison of the available health plans. In the HIP Plus program, members do not pay copayments when they go … Find an Eye Doctor. HIP is offered by the state of Indiana. Part 1 – All about the Healthy Indiana Plan 18 HIP Plus 18 HIP Basic 19 HIP State Plan Benefits 19 HIP Maternity 20 Pregnancy Care 20 New Baby, New Life SM 21 CenteringPregnancy® 21 Baby Shower program 21 Baby and Me Tobacco Free 21 Indiana Quitline 21 Copays in the HIP program 22 HIP Basic and HIP Plus 23 Services offered by Anthem 23 Don’t have dental, vision, or chiropractic benefits? Transportation Information You can reach MHS’ transportation vendor through MHS Member Services at 1-877-647-4848 ( … You will owe an additional $5 for that month of coverage and $15 for each following month. Instead they are responsible for paying for copayments at the time of service. This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana (excluding its conflicts of law rules). HIP Plus members receive more visits for physical, speech and occupational therapists than the HIP Basic program, and coverage for additional services like bariatric surgery and Temporomandibular Joint Disorders (TMJ) treatments is included. Dental benefits are based on plan: HIP State Plan Plus and HIP State Plan Basic. If no health plan is chosen, one will be assigned. Unique feature of the Healthy Indiana Plan (HIP) All members have a POWER Account (Plus, Basic and State Plan) Similar to a Health Savings Account • All members receive monthly POWER Account statements • Used to pay for the first $2,500 of annual health care costs HIP Plus and State Plan Plus: Every HIP member has their own POWER Account. If you make your Fast Track payment or first POWER account contribution in July then your HIP Plus coverage will begin July 1. The Healthy Indiana Plan is a health-insurance program for qualified adults. HIP State Plan Plus members pay an affordable monthly contribution, based on their income. Fast Track allows you to make a $10 payment while your application is being processed. The plan is offered by the State of Indiana. Because of this, the HIP Basic plan could be more expensive than paying a monthly contribution for HIP Plus coverage. For help making your selection, call 1-877-GET-HIP-9. Once a member is approved for HIP, he or she will be assigned to the health plan selected on the application. You can find the current income limits to qualify for HIP plans at the Healthy Indiana Plan web page. If a member does not wish to change health plans, they do not need to take any action and will automatically stay with their current health plan for the new year and may not change until the next year. Your eligibility year will remain unique to you. HIP Plus is the preferred plan for all HIP members. Since you do not make a monthly contribution for HIP Basic services there will be a payment required for most health services including seeing a doctor, filling a prescription or staying at the hospital. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. Monthly Income Limits for HIP 2.0 Plans # in household HIP Plus Incomeup to ~138% FPL* 1 $16,590.48 2 $22,371.96 3 $28,153.44 4 $33,934.92 Annual Income Limits for HIP 2.0 Plans HIP State Plan benefits include all of the required essential health benefits, and some enhanced benefits such as dental and vision. The Healthy Indiana Plan (HIP) is a health insurance program offered by the state of Indiana for qualified adults ages 19–64 within certain income levels. If you are not found eligible for HIP and you have made a Fast Track payment, this payment will be refunded to you by the MCE (Anthem, Caresource, MDwise or MHS) that took the payment. MDwise provides health care for two different Medicaid health plans: Hoosier Healthwise and Healthy Indiana Plan (HIP). Family and Social Services Administration, Transferring to or from Other Health Coverage. Healthy Indiana Plan (HIP) also rewards members for taking better care of their health. Your monthly POWER Account contribution will be based on your income. HIP Plus provides the best value coverage and includes dental, vision and chiropractic services. To enroll in HIP Plus, eligible individuals must make a monthly contribution to their POWER Account to help cover initial health expenses. If you need help picking the right health plan for you, call 1-877-GET-HIP-9. If you make the contribution in August, you will begin HIP Plus August 1. If you do not pay your monthly contribution on time, you will be moved to HIP State Plan Basic. You will receive a Fast Track invoice from the Managed Care Entity (MCE) you selected to provide your health coverage. You will not pay a monthly POWER Account contribution (PAC) while pregnant. If you applied and did not receive a Fast Track invoice it could be because you are eligible for another coverage program – such as if you indicated that you are pregnant, disabled, a former foster care child or on Medicare when you applied. HIP Plus enrollment for basic members During the first 60 days of a new eligibility period, members that are in HIP Basic or HIP State Plan Basic will have the opportunity to begin making POWER account contributions to enroll in HIP Plus or HIP State Plan Plus. Indiana Provider Services: 855-453-5286; Indiana Anthem HIP, HHW, HCC Member Services: 888-291-3762; Indiana MDwise HIP Member Services: 844-231-8310 HIP State Plan Basic Co-Payments: Copayments for outpatient dental services are assessed for each category, even if they are delivered by the same provider, at the same location, on the same date. Once you are eligible for the Healthy Indiana Plan, you will get a letter that will let you know what your monthly contribution is. If you are ultimately found eligible for HIP, you will receive an invoice for your POWER account contribution, and your coverage will be effective the first of the month in which your initial POWER account contribution is received and processed. CO-PAYMENTS FOR MDWISE HIP PLUS AND BASIC MEMBER There are no co-payments in the HIP Plus plan except for non-emergency use of the ER, which will total $8 for an initial visit and $25 for subsequent, inappropriate visits. From the date the invoice is issued, you have 60 days to make either a Fast Track payment or your first POWER account contribution to be able to begin HIP Plus coverage . While making a Fast Track payment can help ensure you get enrolled in HIP Plus as quickly as possible, you are NOT required to make a Fast Track payment. Pregnant women are excluded from this co-payment and all others. Instead you are responsible for paying for copayments at the time of service. Effective Date MDwise – The later of execution of the agreement by both parties or January 1, 2008. Due to 2019 new coronavirus, or COVID-19, the state has stopped the collection of POWER Account contributions for Healthy Indiana Plan members.It will last for as long as Indiana is experiencing a public health emergency. In HIP, you have a choice of health plans to help coordinate your care. HIP 2.0: Personal Responsibility HIP member and the State make contributions to POWER account • Together, member and State contributions cover the first $2,500 of health care services received each year • Member portion of annual contribution is approximately 2% of household income per year, ranging from $1 to $100 per month o Annual contribution may be split between qualifying spouses Take charge of your health next year and POWER Up with HIP Plus. If a health care provider makes a Fast Track payment for you, the provider should ask you to complete a form that gives them permission to make this payment (PDF). Beginning in January 2018, your benefit year will be a calendar year running January to December. Our mission is to provide high quality health care. On average, HIP Plus members spend less money on their health care expenses than HIP Basic members. HIP Plus has no copayments except for the improper use of the emergency room. HIP Plus is the plan for the best value. Members pay affordable monthly contributions, and the only other cost for health care in HIP Plus is a payment of $8 if you visit the emergency room when you don’t have an emergency health condition. Anthem – Not addressed in this agreement. Distance based from city center. All changes will be effective January 1 and stay in effect for the next calendar year. With HIP Plus you can get 90 day refills on prescriptions you take every day and can receive medication by mail order. Click here for a comparison of the available health plans. Benefits and Services Healthy Indiana Plan (HIP) members get a variety of health care benefits and services. If your POWER account contribution amount is less than $10 per month, your $10 payment will be applied to your initial coverage month with the remaining amount applied to future months. HIP Basic does not cover dental, vision or chiropractic services and charges a copayment for each service received. Need help with some of the HIP terms? HIP Basic benefits include all of the required essential health benefits. Need help with some of the HIP terms? It pays for medical costs for members and could even provide vision and dental coverage. This means you won't have to pay when you visit the doctor, fill prescriptions or stay in the hospital. If you do not apply online, or choose not to make a Fast Track payment when you apply, you will still have the opportunity to make a Fast Track payment while your application is being processed. HIP Plus also includes dental and vision benefits. Search for a provider in our network. HIP Plus is the initial, preferred plan selection for all members and offers the best value. When multiple services within one category are preformed, only one co-payment can be assessed within that category, per date of service. Fast Track payments are made to the health plan selected on your application (Anthem, CareSource, MDwise or MHS). Member HIP Plus benefits will start the first of the month in which they make a payment. It’s sponsored by the state and for some members requires a small monthly payment through your Personal Wellness and Responsibility (POWER) Account. You must pay this each month. You are offered the opportunity to make a Fast Track payment before you have been found eligible for HIP. As a HIP member, you get all the standard health care benefits to help keep you healthy. Because of this, the HIP Basic plan could be more expensive than paying a monthly contribution to stay in HIP State Plan Plus. No. Located in: State and County (Indiana Only) Restrict these search results to only include providers who have a facility address within this state. State (Mandatory if City selected) State must be selected if city is entered. Our mission is to provide high quality health care. Fast Track payments are made to the Managed Care Entity (MCE) or health plan, you select on your application to provide your HIP coverage (Anthem, Caresource, MDwise or MHS). Learn more by reading your MHS Member Handbook (PDF). You can pay either the $10 Fast Track payment or your POWER account contribution amount. You still have to go through your redetermination process each 12 months. If your POWER account contribution is more than $10, then you will owe the balance in the first coverage month. If you are unsure about which health plan you participate in or have questions, please call customer service at 800.356.1204. Services issued by the State of Indiana in connection with HIP, and all state and federal laws, rules and regulations applicable to HIP and Medicaid. HIP State Plan members may or may not have copays, depending if they are in the HIP State Plan Plus or HIP State Plan Basic. Plans - MDwise Inc. Health Details: MDwise is your local, Indiana-based nonprofit health care company.Our mission is to provide high quality health care. During this period, you will not receive POWER Account statements or invoices. The state pays most of the $2,500, and if you are in HIP Plus or HIP State Plan Plus, you are responsible for paying a portion. All you need to do is complete a Notification of Pregnancy survey. It also includes more benefits like dental, vision, or chiropractic. You can pay your Fast Track invoice or POWER account contribution to your new health plan and your coverage will start the month in which your payment is received and processed. As a member of the Healthy Indiana Plan, there are special rules to follow. MDwise issues 2 different ID cards for Healthy Indiana Plan members. In the HIP program, the first $2,500 of medical expenses for covered services are paid with a special savings account called a Personal Wellness and Responsibility (POWER) account. 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