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 several types of people:
- Children up to age 19
- Pregnant women
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 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: Standard Plan -
Package A is a full-service plan for children and pregnant women.
Members have no premiums to pay but may have a $.50 to $3.00 co-pay
for pharmacy, transportation, and emergency services.
- Package C: Children's Health Insurance Program
(CHIP) - Package C 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 P: Presumptive Eligibility for Pregnant
Women (PEPW) - Package P is a limited-service plan
for pregnant women that provides coverage for prenatal care. You
can be eligible for Package P services while your full application
is being processed. To learn more about Package P and the PEPW
program, please go to the Presumptive Eligibility
For income requirements for Hoosier Healthwise, refer to the Eligibility Guide.
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:
- CareSource (as of January 1, 2017)
- 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 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
Managed Health Services (MHS)
Hoosier Healthwise Brochure
Take some information with you! You can find information
about the program within the Hoosier