MDwise Healthy Indiana Plan Buy-In Application Instructions
STEP IApply for the Healthy Indiana Plan
through the Family and Social Services Administration (FSSA). You MUST BE DENIED COVERAGE and receive a rejection letter from FSSA.
Read over the MDwise Healthy Indiana Buy-In plan materials carefully! Decide if you are eligible and want to apply. Please review the overview, rate sheet
, benefit summary and the Healthy Indiana Plan Buy-In application.
Choose a Primary Medical Provider (PMP) from the MDwise HIP Member Provider Search webpage.
STEP 4Download and complete the MDwise Healthy Indiana Plan Buy-In application
and attach a copy of your Healthy Indiana Plan rejection letter to your application.
Mail the application along with the rejection letter to:
MDwise, Inc.
P.O. Box 44236
Indianapolis, IN 46244-0236
Related Information
Plan Overview
Benefit Summary
Pharmacy Services
Rate Sheet ![]()
Preferred Drug List
Application Instructions
Application
Apply for HIP Online ![]()
Questions?
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You can call us at 1.800.356.1204 or (local) 630.2831 if you are in the Indianapolis area.
