Can participants change plans in the Health Indiana Plan?

Published 08/01/2007 08:48 AM   |    Updated 11/29/2016 07:33 AM

Can participants change plans in the Healthy Indiana Plan?

Individuals can change plans only before their first POWER Account contribution has been made.  After that, they will have to stay with their plan for the duration of their 12-month term.  They can only change plans for poor quality of care provided by the plans. Poor quality of care is defined as:

  • Action, or lack of action, by the Insurer which puts the life or health of member at risk or jeopardizes the member’s ability to reach and maintain maximum function;
  • Unreasonable delay by the Insurer in granting a prior authorization request;
  • Failure of the Insurer to provide covered services
  • Corrective Action levied against the Insurer by OMPP; or

Other circumstances determined by FSSA to constitute poor quality of care. 

 

For more information, please contact us by filling out the FSSA Contact Form (please specify "HIP Inquiries" for how your inquiry should be directed) or call toll free: 877-GET-HIP-9.

Healthy Indiana Plan

 

 

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