Anda di halaman 1dari 2

Indiana Medicaid

What is Medicaid? Medicaid is a health insurance program. The program is funded by the state and federal government. It pays for necessary medical coverage for low income citizens. Several programs are part of Medicaid in Indiana. Some are Hoosier Healthwise, Care Select, SCHIP, M.E.D. Works and Packages A, B or C. For these Medicaid programs eligibility is determined, in part, by income. It is a good idea to learn about the different programs. Your child or family member may qualify for different programs at different times.
Apply at your local Division of Family Resources office. To find your local office, call Indiana State Information 1-800-457-8283 or Indiana State Dept of Health Family Helpline 1-800-433-0746

What might my child(ren) qualify for? Program Ages Family income limits (**see income chart on back) Package A Birth - 18 Up to 150% of poverty Package C Birth - 18 Between 150% & 250% of poverty

Cost

Other eligibility requirements May have limits to familys assets Must be uninsured for at least six months and cannot be eligible for employersponsored health insurance

No-co pays

Monthly premiums range from $22 - $33 for one child, and $33 $55 for two or more children

To learn more about programs that cover children, call the Hoosier Healthwise Helpline 1-800-889-9949 To learn more about Healthy Indiana Plan (HIP), call 1-877-438-4479

Page 1 of 2 Revised 5-10-11

What about the adults in our family? Several programs provide coverage to adults who are caregivers of children who qualify for Medicaid. Program Ages Family income Cost Other limits eligibility (**see income requirements chart on back) Package A Adult caregivers Up to 22% of none Must have of children under poverty assets valued 18 at less than $1,000 Package B Pregnant Women Up to 200% of none poverty Healthy 19 - 64 From 22 - 200% No more than Must be Indiana of poverty 5% of your uninsured for at Plan (HIP) gross family least six months income. The and cannot be amount will eligible for depend on employerincome and sponsored family size, and health will be reduced insurance by the amount of any Medicaid premium.

How to apply? Each local Division of Family Resources (DFR) office and Enrollment Center accepts applications for all of the programs described here. To find your local office call Indiana State Information 1-800-457-8283; Indiana State Dept of Health Family Helpline 1-800-433-0746 or go to http://www.in.gov/fssa/2954.htm. You will need the following information and documentation to complete the application(s):
Apply at your local Division of Family Resources office. To find your local office, call Indiana State Information 1-800-457-8283 or Indiana State Dept of Health Family Helpline 1-800-433-0746

Proof of Identity- for adults (can be a drivers license, State ID card, Social Security card, or other pictureID) Proof of Income - a recent pay stub or other documentation from the employer showing previous month's income. If there is income from other sources like Social Security, then include some type of statement showing how much is being received. Social Security Numbers for those in your household Proof of Citizenship (can be a birth certificate) If the person applying is not a US citizen, you will need proof of immigration status such as an immigration card or number. If the person applying has private health insurance, you will need proof of the private insurance, like an insurance card or the insurance policy number. If anyone in the household is pregnant, you will need something signed by a licensed health care professional (doctor or nurse) or the name of the health care professional who can verify the pregnancy and the date it began.

Income Limits All of the programs mentioned use the Federal Poverty Definition to set income limits. It is important to note that these limits are RESET each year. Families whose income is close to a limit are encouraged to be aware of changes. The following reflect ANNUAL income limits for 2011.
Family Size 1 2 3 4 100% Poverty $10,890 $14,710 $18,530 $22,350 $26,170 $29,990 $33,810 $37,630 150% Poverty $16,335 $22,065 $27,795 $33,525 $39,255 $44,985 $50,715 $56,445 200% Poverty $21,780 $29,420 $37,060 $44,700 $52,340 $59,980 $67,620 $75,260 250% Poverty $27,225.00 $36,775.00 $46,325.00 $55,875.00 $65,425.00 $74,975.00 84,525.00 94,075.00

To learn more about programs that cover children, call the Hoosier Healthwise Helpline 1-800-889-9949 To learn more about Healthy Indiana Plan (HIP), call 1-877-438-4479

5 6 7 8

Where to get more information: Several organizations assist families in understanding and applying for these programs. For assistance please contact: Covering Kids & Families of Indiana, a statewide organization committed to ensuring that all children and families eligible for Medicaid and the States Childrens Health Insurance Program (SCHIP) are enrolled. Visit www.ckfindiana.org or by phone 574-472-4308. Programs and systems change often. It is important to ensure that you are using the most current information. This Fact Sheet was updated on May 10, 2011. Please check with http://earlychildhoodmeetingplace.org for the most recent edition.
Supported in part by project H25 MC 00263 from the Maternal and Child Health Bureau (Title V, Social Security Act), Health Resources and Services Administration, Department of Health and Human Services

Page 2 of 2 Revised 5-10-11