Healthy Indiana Plan: Important Information
Before 2015, there was only one HIP plan. Starting in 2015, there will be more plans with
different benefits.
Plan Changes:
• HIP Plus
• Preferred plan with the best value
• Meant to cover everyone with household income below 138% of the Federal
Poverty Level (FPL)
• $1,358 a month for one person or $1,831 a month for a family of four
• Vision and dental benefits
• One low monthly POWER Account contribution
• After your contribution, you will not owe anything when you get medical services
(There will be a copay for going to the ER when it is not an emergency)
• HIP Basic
• Only for members with income less than 100% of the FPL who do not make their
monthly contribution
• $973 a month for one person or $1,988 a month for a family of four
• There are no dental or vision services
• No monthly POWER Account contribution
• Payments between $4 and $75 are required for most health services
• HIP Basic could be more expensive than paying your small monthly HIP Plus
POWER Account contributions
HIP2M0044 (1/15)
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• HIP State Plan Plus
• HIP State Plan gives you a different set of benefits that work best for your situation
or medical condition for a low, predictable monthly cost
• Meant to cover everyone with a household income below 138% of the Federal
Poverty Level (FPL)
• $1,358 a month for one person or $1,831 a month for a family of four
• Vision and dental benefits
• One low monthly POWER Account contribution
• After your contribution, you will not owe anything when you get medical services
(there will be a copay for going to the ER when it is not an emergency)
• For more information about HIP State Plans visit MDwise.org or call MDwise
customer service at 1-800-356-1204
• HIP State Plan Basic
• For members with income less than 100% of the FPL who do not make their
monthly contribution on time
• $973 a month for one person or $1,988 a month for a family of four
• Vision and dental benefits
• No monthly POWER Account contribution
• Payments between $4 and $75 are required for most health services
• HIP State Plan Basic may be more expensive than paying your small monthly HIP
State Plan Plus POWER Account contributions
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POWER Account Changes:
• POWER Accounts will increase from $1,100 to $2,500
• You will pay a small monthly contribution into this account
• The State will pay the rest
• This money will go towards paying for your covered medical services during the
year
• If you do not use all of the money in your POWER Account, your contributions can be
smaller next year
• If you leave the program early you may still have to pay your portion of your POWER
Account
• If you get the preventive services, your contributions can be smaller next year
• If your spouse is on HIP as well, you will be able to split your contribution evenly
• Example: instead of owing $10, you each owe $5
Pregnant HIP Members:
• Whatever plan you are on, you can keep it
• If your benefit plan year ends while you are pregnant, you will be moved to HIP
Maternity Plan for the remainder of your pregnancy
• The cost for medical services won’t be deducted from your POWER Account
• You will not owe a POWER Account contribution or co-pays for medical services
• You will have vision, dental, and transportation benefits
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