Healthy Indiana Plan Basic | Indiana Medicaid

How HIP Basic Works

HIP Basic requires members to make a payment each time they receive a healthcare service. These are called copays.

Copays	HIP Basic
Inpatient	$75
Outpatient/office visits	$4
Preferred drugs	$4
Nonpreferred drugs	$8
Nonemergency ER visit*	$8

HIP Basic
Copays
Inpatient	$75
Outpatient/office visits	$4
Preferred drugs	$4
Nonpreferred drugs	$8
Nonemergency ER visit*	$8

* Members are not charged if they call 24/7 NurseLine at 866-408-6131 (TTY 711) first and are told to go to the emergency room (ER).

HIP Plus members don’t have copays, except for nonemergency ER visits as described above.

Copays can add up quickly, making it more costly than the HIP Plus plan. If you moved to the HIP Basic plan due to nonpayment, you’ll have to wait for the next benefit year to switch to the HIP Plus plan.

Pregnant members and American Indians/Alaska Native members are not required to pay copays. There are also no copays for members who’ve already paid 5% of their income for medical care in the past quarter.

POWER Account*

In HIP, the first $2,500 of medical expenses for approved benefits are paid with a special savings account called a Personal Wellness and Responsibility (POWER) Account.

For HIP Basic members, HIP POWER Accounts do not pay for copays.

When you manage your account well and get preventive care, you can lower your future costs. HIP Basic members who get wellness checkups can qualify for a reduced HIP Plus contribution if you choose to move to HIP Plus. This is called rollover credit.

* POWER Account contributions are currently stopped for HIP members.

Eligibility And Renewal

When you enroll in HIP, you’re eligible for 12 months. About three months before your benefits end, you'll get a renewal letter from the state. This letter will tell you when your current benefit period ends and to renew before this date. At this time, HIP Basic members can choose HIP Plus by paying the monthly contribution.

Understanding your HIP options