Hoosier Healthwise

The Hoosier Healthwise Program is a health care program for low income families, pregnant women, and children. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, and family planning at little or no cost to the member or the member's family.

Hoosier Healthwise covers many different types of people:

  • Children up to age 19
  • Pregnant women
  • Parents/Guardians of children under the age of 18.
  • The Children's Health Insurance Plan (CHIP) for children up to age 19, falls under the Hoosier Healthwise program. In CHIP your child may be covered by paying a low-cost monthly premium. This option is available to members who may earn too much money to qualify for the standard Hoosier Healthwise coverage.

There are several benefit packages in Hoosier Healthwise. When you submit an application, the state will determine your eligibility and select the Package that is right for you.

Package A - Standard Plan: is a full-service plan for children, pregnant women, and families. Members have no premiums to pay but may have a $.50 to $3.00 co-pay for pharmacy, transportation and emergency services.


Package C - Children's Health Insurance Program or CHIP: is a full-service plan for children only. There is a small monthly premium payment and co-pay for some services based on family income.

Package P- Presumptive Eligibility: prenatal care while applying for Medicaid.

Family Planning Eligibility Program:  provides services and supplies to men and women for the primary purpose of preventing or delaying pregnancy.

PROGRAM OPTIONS
Most children will fall into the Hoosier Healthwise Program Package A or C.  You may qualify for one of these two benefit packages based on income.

ELIGIBILITY FACTORS

  • Age
  • Income / Family size

AGE
This program serves children up to age 19.

INCOME/FAMILY SIZE

These income charts are only for guidelines.  Applying is the only way to determine eligibility.

Hoosier Healthwise Package A
Family Size Income Limit (Monthly Income) 
People Income
1 $1,550
2 $2,098
3 $2,646
4 $3,193
5  $3,741

Additional Details
- In determining income, deduct $90 from your gross monthly job earnings.
- If you pay child care, you can deduct up to $200 per child.

OTHER HEALTH INSURANCE

You can have private health insurance. It will be the primary payer for your medical care.

Hoosier Healthwise Package C
Family Size Income Limit (Per Month)
People Income
1 $2,453
2 $3,319
3 $4,186
4 $5,053
5  $5,919

Additional Details
- In determining income, deduct $90 from your gross monthly job earnings.
- If you pay child care, you can deduct up to $200 per child.

These income standards are effective through 2015.

If you qualify for HHW Package C, you may have a Premium. This is a payment that you will have to make for your health care.

You cannot have private health insurance and qualify for Package C.
How do I Apply?
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