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Working with Your Health Plan

If you are a member of Hoosier Healthwise, Hoosier Care Connect, or the Healthy Indiana Plan, you will need to choose a health plan.

A health plan is a group of health care providers (primary care doctors, specialists, home health care providers, pharmacies, therapists, and more).  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.

health plan choices

Hoosier Healthwise, Hoosier Care Connect, and Healthy Indiana Plan Health Plans

  • Anthem
  • CareSource (for Hoosier Healthwise and Healthy Indiana Plan only)
  • MDwise
  • Managed Health Services (MHS)

Choosing the right health plan for you

Choosing a health plan is a personal decision.  While we are confident that all health plans are able to meet your needs, you may want to consider the following points when choosing a plan:

Doctor: If you already have a favorite doctor that you want to continue to see, you should find out which plans he or she participates in. You can find out if your preferred doctor participates in one of the health plans by calling 1-800-889-9949 (Hoosier Healthwise) or 1-866-963-7383 (Hoosier Care Connect).

Locations: You may want to make sure that the plan you choose has providers that are conveniently located for you.  This may mean they are near your work or your child's school, or they may be on a bus line.

Special Programs: For Hoosier Healthwise members, the care plans have each outlined special disease management and wellness programs and educational programs that are available to members.  You may want to select the health plan that offers special disease management for a chronic condition or an educational program on something that is of special interest to you.

The Role of your doctor

When you are enrolled in a managed care program, you will choose a Primary Medical Provider, often called a PMP. It is very important that you choose your PMP within the first 30 days of being enrolled into a managed care organization, like Anthem, MHS, or MDWise. Your PMP will work with you and be your primary contact when making medical decisions.  Your doctor will also make referrals and help you with Prior Authorization for services that are not always covered by Medicaid.

If you already have a favorite doctor that you want to continue to see, you should find out which plans he or she participates in. You can find out if your preferred doctor participates in one of the health plans by calling 1-800-889-9949 (Hoosier Healthwise) or 1-866-963-7383 (Hoosier Care Connect).

Wellness Programs

Each Health Plan offers wellness programs for their members.  Please click on the correct program below to review this listing as you select a health plan and take advantage of the wellness programs that are available.

Hoosier Healthwise Health Plans and Wellness Programs