Member Newsletter

Your MDwise Health Plan

Important Information in Your MDwise Member Handbook

There is important information in your Hoosier Healthwise and Healthy Indiana Plan member handbook. The most up-to-date version can be found on the MDwise Healthy Indiana Plan (HIP) and MDwise Hoosier Healthwise (HHW) pages. It includes: Your Rights and Responsibilities MDwise provides access to medical care for all its members. We do not discriminate based on your religion, race, national origin, color, ancestry, handicap, sex, sexual preference or age. Hoosier Healthwise and HIP Member Benefits and Se...

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Pregnancy Care

Starting your pregnancy care in the first trimester (before 12 weeks if possible) is very important. It is key for having the best outcome for your pregnancy. Here is a suggested schedule for prenatal visits during your pregnancy. One visit every four weeks until you are 28 weeks. From 28 weeks to 36 weeks, you should be seen once every two to three weeks. Once you are 36 weeks, you should have weekly appointments until you have the baby. Your provider may want to see you more often. It is important tha...

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Affirmative Statement About Incentives

MDwise Medical Management makes prior authorization decisions. These decisions are based on the appropriateness of care and coverage rules. MDwise Medical Management does not receive incentives or rewards, financial or otherwise, for making denial decisions. MDwise Medical Management is not rewarded for making Utilization Management decisions to decrease utilization of services by MDwise members.
How to Appeal a Decision

You have the right to appeal if you receive a denial from MDwise. An example of such a decision may be a denial of coverage or services. You will receive a letter with the decision and your right to appeal. This letter will also include the steps to start an appeal. You can ask someone like your doctor to help you. How to File an Appeal: Step 1. Submit your appeal. You may send us a letter or appeal over the phone. You may call MDwise customer service at 1-800-356-1204 (TTY/TDD: 711) to submit the...
Transition to Adult Care

As your children get older, help them keep track of their health. Parents or guardians schedule doctor visits, fill out paperwork and take care of insurance. You also need to teach your children do this as they become adults. This includes helping them find an adult doctor. If your child sees a family medicine doctor, you still need to teach them to take care of health concerns. This new time of life can be hard. MDwise is here to help. Here are some tips: Young adults should change to an adult doctor b...
Survey Time! We Want to Hear from You.

Spring is member survey time at MDwise! We use a survey company called Press Ganey. They will send out surveys to members by mail. You can return the survey in the self-addressed and postage-paid envelope provided. Members can also choose to do the survey online. Your letter will give you a website address to go to and a special code for you to use. If the survey company does not hear back from you, they will call you to conduct the survey by phone. What’s in the survey? The survey asks you questions ab...

Questions about Your Plan?

Healthy Indiana Plan

Hoosier Healthwise

Benefits Beyond Health Insurance

NURSEon-call

MDwise would like to remind members that they have access to a Registered Nurse 24/7 by calling our toll-free Customer Service Line at 1-800-356-1204. Members can select option #1, then option #4. In addition to providing access to a Registered Nurse and triage, members can also access an audio library with over 100 topics.

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SMOKE-free

Have you been wanting or trying to quit smoking, vaping or using tobacco? By quitting you are making positive steps towards a healthier life. Quitting is not easy, so do not give up, because with determination and support it is possible. It is never too late to quit and there are resources available to help you.

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WEIGHTwise

MDwise's WEIGHTwise program offers tracking tools, calculators, and other resources to help you control your weight.

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Low-Cost Internet Service through HELPlink

Many internet providers across Indiana offer low-cost internet programs. MDwise members could qualify for these low-cost options. To find these programs in your area, visit HELPlink at MDwise.org/gethelp . If you do not have access to the internet, call customer service at 800-356-1204.

See if you qualify

Steps to Wellness

9-8-8 Crisis Line. You Are Not Alone!

If you or someone you know is in a crisis, you can call 988 . You can text (800-273-8255/TALK) or chat at 988lifeline.org anytime, day or night for free. The people at 988 will listen to you, understand your feelings, and help you find the support you need. The people who answer are trained to help you feel better and find local help. Your call is private, and you don't have to say your name or where you are. 988 is here to give you the support you need. For help for Veterans, press “1” after dia...

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Talking with Your Health Care Team

You can play an active role in your health care by talking with your doctor or health care provider. Clear and honest communication between you and your physician can help you both make informed choices. It’s important to be honest and upfront about your symptoms even if you feel embarrassed or shy. Have an open discussion with your doctor— ask questions to make sure you understand your diagnosis, treatment and recovery. Here are a few tips that can help you talk to your doctor or health care provider a...

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Eyes Open for Clear Vision

It is important to see an eye doctor, just like going to the doctor or dentist. The Center for Disease Control (CDC) recommends that children and adults get regular eye exams. Regular eye exams help catch issues early to avoid eye disease. Here are tips for healthy eyes and clear vision. Get regular comprehensive dilated eye exams. Know your family's eye health history. It's important to know if anyone has been diagnosed with an eye disease or condition, since some are hereditary. Eat right to protect y...
Allergies

When you have allergies, your body's defense system (immune system) reacts to certain things that are in the air you breathe or that you touch, like dust or pollen. These things are called allergens, and they can trigger an allergic reaction. If you have allergy symptoms, your doctor may do a skin test to find the cause. To do this test, your doctor puts some possible allergens on your skin to see which ones cause a bump. This shows what you are allergic to. There is no cure for allergies. But you can m...
2025 MDwiseREWARDS Program

Taking care of your health has its rewards. Take part in the MDwise REWARDS Program and you can earn an MDwise Visa gift card! Earn REWARDS for the following activities: Annual physical exam or well-child visits. Dental exams. Child lead screening before 2nd birthday. Immunizations for children and teens. Prenatal appointments. Recommended preventive screenings. And more! Get started today. Call your doctor and schedule your visit for any eligible activity before Dec. 31. After your visit, self-report y...