Information to Become a MDwise Healthy Indiana Plan Member

MDwise has a large network of doctors, specialists and hospitals throughout the State of Indiana. We can help you make wise choices about your health, the health of your family and choosing a medical home. MDwise takes pride in providing Indiana families with quality and affordable health coverage for the whole family.

MDwise is your local, Indiana-based nonprofit health care company. Our mission is to provide high quality health care. We only take care of families in Indiana. We work with the State of Indiana to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.

There are five HIP plans. Each plan has different benefits.

HIP Plus

HIP Plus has no copayments except for the improper use of the emergency room. This means you won't have to pay when you visit the doctor, fill prescriptions or stay in the hospital. HIP Plus also includes dental and vision benefits. Members in HIP Plus contribute to a Personal Wellness and Responsibility Account (POWER Account). These monthly contributions to your POWER Account may be as low as $1 a month.

HIP State Plus

HIP State Plan Plus is for people who have complex medical conditions, mental health disorders, or a substance use disorder. HIP State Plan Plus gives you more benefits and provides the best value coverage. You will pay a low, predictable monthly cost based on your income. This monthly cost is called your POWER Account contribution.

HIP Basic

HIP Basic offers limited benefits and can be more expensive than paying your low monthly HIP Plus POWER Account contribution. In HIP Basic, you have to make a payment every time you receive a health care service. HIP Basic copayments range from $4-$8 per doctor visit or prescription filled and may be as high as $75 per hospital stay.

HIP State Plan Basic

HIP State Plan Basic is for people who have complex medical conditions, mental health disorders, or a substance use disorder. HIP State Plan Basic offers enhanced benefits such as vision, dental, chiropractic and transportation services. With HIP State Plan Basic, you will need to make a payment called a copayment for most health care services you receive. You will need to pay when you go to the doctor, fill a prescription or stay in the hospital.

HIP Maternity

HIP Maternity Plan is for people who are pregnant and gives them more benefits! You must call FSSA or MDwise as soon as you find out you are pregnant. If you are pregnant when you apply and get accepted to HIP, you’ll automatically be put in the HIP Maternity plan. You will be exempt from cost-sharing and will not lose coverage for change in household status that would normally result in loss of eligibility. You will receive 12-months of HIP Maternity coverage after your pregnancy ends for post-partum coverage.

 

More Information on Eligibility and Applying

To learn more about Healthy Indiana Plan, view our brochure (English) | view our brochure (Spanish).

To learn more about how to apply for health coverage, view our Got Health Coverage? brochure (English)

Learn more about MDwise's benefits and programs for members (English)
Learn more about MDwise's benefits and programs for members (Spanish)

Eligibility for these programs depends on your income.

See if your income qualifies you for HIP.

You can apply for Hoosier Healthwise and HIP at anytime. You'll be considered for SNAP (food assistance) benefits when you apply for health coverage.

Apply for Healthy Indiana Plan

HIP is an affordable health insurance plan that serves uninsured Hoosier adults ages 19–64. To apply:

healthy indiana plan logo

How to Pay Your Enrollee Invoice

MDwise offers several payment options to pay your enrollee invoice. Visit our payment page to learn how to pay your invoice.