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HIP 2.0: Enhanced Medicaid Coverage in Indiana

Learn about HIP 2.0, the redefined Medicaid program for non-disabled adults in Indiana. It offers three pathways to coverage, including HIP Link and HIP Plus, with improved benefits and reduced lock-out periods. Understand how HIP 2.0 works, contribution plans, and eligibility. Find resources and tools at HIP.in.gov or call 1-877-GET-HIP-9.

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HIP 2.0: Enhanced Medicaid Coverage in Indiana

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  1. HIP 2.0 APROVED WHAT IS HIP 2.0?

  2. HIP 2.0 Structure • Replaces traditional Medicaid for non-disabled adults • Three pathways to coverage • HIP Link:NEWdefined contribution plan that helps pay for employer-sponsored health insurance • HIP Plus:Current program with enhanced benefits including dental and vision • Reduced non-payment lock-out period: 6 months instead of 12 months • Only option for individuals above 100% FPL • HIP Basic:Allows individuals below 100% FPL who do not make POWER account contributions to maintain coverage

  3. HIP 2.0 APROVED HOW DOES IT WORK?

  4. HIP 2.0 Basics

  5. HIP 2.0 Basics

  6. Transition to HIP 2.0 *Does not include emergency service providers

  7. Transition to HIP 2.0 *Does not include emergency service providers

  8. Co-payment Amounts- HIP Basic * *$8 for first non-emergent emergency department (ED) visit; $25 for any additional

  9. New Affordable POWER Account Contributions POWER Account contribution examples • Employers & Foundations may assist with contributions *Amounts can be reduced by other Medicaid or CHIP premium costs **To receive the split contribution for spouses, both spouses must be enrolled in HIP

  10. HIP 2.0 APROVED HOW WILL THE STATE PAY FOR IT?

  11. Maintaining Financial Sustainability

  12. Projected HIP Enrollment

  13. In summary: HIP 2.0… • Is Indiana-specific solution • Establishes our own priorities • Builds off of successful program • Expands coverage AND improves access • Consumer-directed (ownership) • Price transparency • Patient/provider partnership • Focus is on outcomes

  14. Please help us help Hoosiers • HIP.IN.gov is your primary resource • About HIP • Am I Eligible? Includes eligibility and income calculator • How to Enroll? • Provider links – health plans, pharmacy • Helpful Tools (to download) • Brochures, infographics, training slides • Advertising campaign to come • Events statewide being scheduled

  15. FOR MORE INFORMATION www.HIP.in.gov Call 1-877-GET-HIP-9

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