Hoosier Care Connect | Indiana Medicaid

We’ll coordinate your care between all of your doctors and specialists.

Our goal is to help you live healthy and independently in your community.

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Am I Eligible?

Individuals who meet these eligibility factors can apply:

Age 59 years and younger
Blind or have a disability
Living in the community
Not enrolled in Medicare
Getting Supplemental Security Income (SSI)
Enrolled through M.E.D. Works
Children who are wards of the state, receiving adoption assistance, currently or formerly experiencing foster care

Copayment And Contribution Collections Are Currently Stopped

POWER Account Contributions and copayments remain paused for Healthy Indiana Plan (HIP) members. During this time, you will not receive POIWER Account statements or invoices, and copayments will not be required for any service. We will notify you when you will need to make contributions and copayments again.

Get The Most Out Of Your Healthcare

We know everyone’s health is different, so we offer services that keep you in mind. Through our Integrated Medical Management Model approach, we analyze information you give us, claims data, as well as an ongoing review of your health to find a care plan to fit you and your family. We also work side-by-side with your doctor, so the care meets your physical, behavioral, and social needs.

What You Receive With HCC

We’re proud to offer these benefits to help keep you healthy. And with Anthem, you may qualify for more.

Dental care you receive

Two exams and cleaning per year
Bitewing X-ray once every 12 months and one complete set of X-rays every three years
Extractions and up to four basic restorations such as fillings and one crown per year
Minor restorations such as fillings
Major restorations such as crowns and root canals (one of each per 12 months)
Periodontal care, which includes deep cleanings and surgical treatment for gum disease

For help finding a dentist in your area

Call DentaQuest toll free at 888-291-3762 or visit their website.

*Administered by DentaQuest, an independent company that does not provide Blue Cross and/or Blue Shield products.

Eye exams

One eye exam per year for members under 21 years old.
One eye exam every two years for members 21 years and older.
Additional examinations must be medically necessary.

Eyeglasses (including frames and lenses)

One eye exam per year for members under 21 years old.
One eye exam every two years for members 21 years and older.
Additional examinations must be medically necessary.

Eyeglassses (including frames and lenses)

One pair of eyeglasses per year for members under 21 years old, unless medically necessary under EPSDT.
One pair of eyeglasses every five years for members 21 years and older.

Enhanced benefit for Hoosier Care Connect members

$75 allowance for eye care per year to include eyeglasses and/or contact lenses.

For help finding an eye doctor in your area

Call Superior Vision toll free at 866-866-5641 (TTY 866-428-4833) or visit their website.

You may have conditions that require special care and providers. We have care coordination programs and services to help you. They help manage your physical, behavioral, medical, and social needs.

Condition Care

We help guide the care for our members with chronic health conditions. We’ll help you to understand your condition and help you meet healthcare goals through education, resources, and referrals to providers for care.

Care management

Our care management team helps members who need assistance with care coordination, making preventive care appointments, or accessing care to address chronic physical or behavioral health conditions.

Complex case management

Anthem’s Complex Case Management program is for members with complex needs who need help managing their healthcare. We can work with you and your provider, or just with your provider, to make sure you are getting the right care, at the right time, and in the right place.

Learn more

On top of your regular HIP benefits, HIP Plus members can receive no-cost extras just for being our member. You can access these benefits in a few different ways.

Some extra benefits can be ordered by logging in to the secure Benefit Reward Hub. These include:

Hygiene kit — a hygiene kit that includes items to help with dental and body care. 
Asthma and COPD relief — select one asthma or COPD relief product from the catalog annually. 
Transportation essentials— gas card or ride-share card (may not be combined with bus passes).
Healthy-lifestyle aid — choose from a catalog of items such as digital scale, lumbar pillow, and diabetic supplies.
Medical ID jewelry — receive a personalized medical ID bracelet or necklace.
Caregiver toolkit — with support tools such as planners, notebooks, forms, and comfort/health-promoting items.

For these extras, call Member Services at 844-284-1797 (TTY 711):

Boys & Girls Clubs — annual memberships for youth ages 5 to 18.
Enhanced Vision — receive up to $75 towards prescription eyeglasses or contact lenses.
Healthy Adults, Healthy Results – get access to online on-demand fitness and exercise videos, a home fitness kit, and gym membership for six months. Additionally, receive a WW voucher for 13 weeks of membership fees.
High School Equivalency (HSE) assistance — covers the costs of the high-school equivalency test.
INvestABLE Account — one-time benefit up to $25 deposit into an INvestABLE account.
Employment Concierge - receive personalized support from our member concierge to connect with resources and opportunities for employment, upskilling, and job readiness.
Healthy meals — healthy meals delivered to your doorstep.
Transportation essentials — bus passes (may not be combined with gas or ride-share card).
Fresh fruits & veggies program – produce box delivered to your home for pregnant or nursing members up to six weeks postpartum.
Smartphone Member Connect – support and guidance in getting smartphone services to stay in touch with family, friends, doctors, and social services.

Others you can access directly:

Community Resource Link — Find help in your community with food, jobs, housing, and other things you may need.
ChooseHealthy — online exercise and fitness resources.
Transportation essentials — rides to qualifying activities such as redetermination appointments, health education programs, and HSE testing.

Limitations and restrictions apply. Benefits may change.

You can redeem some benefits online through your secure account. View the extra benefits you are eligible for on the Benefit Reward Hub or call the Member Services number on the back of your member ID card.

Referral

A referral is when your primary medical provider (PMP) sends you to another provider for care.

This care is often from a specialist. Your PMP may send you to a specialist for special care or treatment. Your PMP can:

Help choose a specialist to give you the care you need.
Help you set the day and time for the office visit with a specialist.
Ask Anthem is if you can get services from a specialist. Your PMP knows when to ask for a prior authorization (See below).

Some types of services are known as self-referral services. That means you can get these services without a referral from your PMP. You can see any Indiana Health Coverage Programs (IHCP) doctor for many of these services. See your member handbook for a list of these services.

Prior authorization

Some services require a prior authorization, or an OK, from Anthem. Your PMP will ask Anthem to make sure they’re offered. If they are, both Anthem and your PMP or specialist agree the services are medically necessary.

Getting a prior authorization will take no more than five business days or, if urgent, no more than 48 hours

These are types of services, if offered in your health plan, that need prior authorization:

Air ambulance
Certain behavioral health services
Biofeedback
Drug injections
Certain dental services
Some equipment
Genetic testing
Home health and hospice care
Hyperbaric oxygen therapy
Infusion therapy and chemotherapy
Inpatient hospital services
Certain laboratory tests
Services not in your plan
Referrals to specialists
Radiology services
Select outpatient surgeries/procedures
Sensory integration therapy
Transplant services
Certain vision services

Your PMP will know which services need prior authorization. We may not approve payment for a service you or your doctor asks for. If your case doesn’t meet the rules for medically necessary, we’ll send you a letter. The letter will tell you we could not approve the service and why. The letter will also let you know how to appeal our decision if you disagree with it. For more help, please call Member Services for Healthy Indiana Plan at 844-284-1797 (TTY 711).

Key Member Resources

HCC Member Handbook - English

HCC Member Handbook - Spanish

HCC Preapproval Member Handbook Update - English

HCC Preapproval Member Handbook Update - Spanish

HCC Quick Start Guide - English

HCC Quick Start Guide - Spanish

New Member Welcome Resources

New Member Welcome Flyer - English

New Member Welcome Flyer - Spanish

New Member Welcome Letter - English

New Member Welcome Letter - Spanish

PMP Selection Form - English

PMP Selection Form - Spanish

Find more member resources

Visit Indiana Family And Social Services Administration

Team Up With The Indianapolis Colts

Do you have your Blue Ticket to Health?

Anthem and the Indianapolis Colts are teaming up to help you stay healthy through the Blue Ticket to Health program. Click the link to learn how you can enter for a chance to win one of many prizes.

Learn more about Blue Ticket to Health

Get Your Flu Shot

Flu shots, pneumonia shots, FluMistTM, and antiviral medications are approved benefits under most health plans. For specific information, check your member handbook or call the number on your ID card.

How much do I pay?

Hoosier Care Connect (HCC) members do not have copays for services.

Foster Care And Adoption Assistance

Children in foster care, young adults transitioning from foster care, foster care alumni, and children receiving adoption assistance can get Hoosier Care Connect (HCC). In this program, you’ll get a dedicated care manager who will listen first. They’re here to work closely with you, your doctors, and the Indiana Department of Child Services to make sure you get the care your child needs.

HCC Foster Care Marketing Flier – English and Spanish

Learn more about your HCC benefits from Indiana’s Family and Social Services Administration (FSSA).

Help you need, close to home

See what our Community Resource Link can do for you.

HCC gives you benefits beyond what you expect.

Learn How to enroll with us.

Enroll

Page last update: 12/16/2024

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Hoosier Care Connect (HCC)