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MDwise Healthy Indiana Plan Buy-In Application Instructions

STEP I

Apply for the Healthy Indiana Plan external website. through the Family and Social Services Administration (FSSA). You MUST BE DENIED COVERAGE and receive a rejection letter from FSSA.

STEP 2

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 pdf format, benefit summary and the Healthy Indiana Plan Buy-In application.  

STEP 3

Choose a Primary Medical Provider (PMP) from the MDwise HIP Member Provider Search webpage.

STEP 4

Download and complete the MDwise Healthy Indiana Plan Buy-In application pdf format and attach a copy of your Healthy Indiana Plan rejection letter to your application.

STEP 5

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 pdf format
Preferred Drug List pdf format
Application Instructions
Application pdf format
Apply for HIP Online
external website.

Questions?

  • You can call us at 1.800.356.1204 or (local) 630.2831 if you are in the Indianapolis area.

 

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