How does Healthy Indiana Plan coverage work?
In the HIP program, the first $2,500 of medical expenses for covered benefits are paid with a special savings account called a Personal Wellness and Responsibility (POWER) account. The state will pay most of this amount, but you will also be responsible for paying a small portion of your initial health care costs. Your portion is an affordable, monthly contribution to your POWER account based on your income.
Managing your account well and getting preventive care can reduce your future costs. If your annual health care expenses are less than $2,500 per year, you may rollover your remaining contributions to reduce your monthly payment for the next year. You can also have the amount of your reduction doubled if you complete preventive services. If your annual health care expenses are more than $2,500, the first $2,500 is covered by your POWER account, and expenses for additional health services are fully covered at no additional cost to you.
In HIP, your contributions to your POWER account will be yours. If you choose to leave the program early, your contributions not spent on health care costs will be returned to you. Since your contributions are based on a projected annual amount, early exit from the program may require you to pay the contributions for the remaining months of the enrollment period. This may occur if you had significant health care expenses before leaving the program.
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: 1-877-GET-HIP-9.