Hoosier Healthwise
The Hoosier Healthwise Program is a health care program for low
income families, 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
- Parents/Guardians of children under the age of 18.
The Children's Health Insurance Plan (CHIP) for children up to
age 19, falls under the Hoosier Healthwise 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 five benefit packages in Hoosier Healthwise.
When you submit an application, the state will determine your
eligibility and select the Package 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.
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.
What Is Covered by Hoosier Healthwise?
You can view a general description of the benefits and services available in the
Hoosier Healthwise program. 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 with a health plan, they 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
Member Services
1-866-408-6131
MDwise
Member Services
(317) 630-2831 or
1-800-356-1204
Managed Health Services (MHS)
Member Service
1-877-647-4848