Hoosier Healthwise | Indiana Medicaid

Am I Eligible?

Families with income up to 250% of the federal poverty level can qualify for the Children’s Health Insurance Program through HHW. Pregnant women and children up to age 19 are also eligible for benefits.

What You Receive With HHW

Hoosier Healthwise (HHW) provides access to healthcare, including doctor visits, prescription drugs, mental healthcare, dental care, hospitalizations, surgeries, and family planning at little or no cost to the member or the member’s family.

We’re proud to offer these benefits so you can be as healthy as possible. And with Anthem, you get even more.

Get The Most Out Of Your Health Care

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.

HHW offers the routine dental care you need to keep you and your family healthy, Including:

Exams
Cleanings
X-rays
Fillings
Fluoride treatment (age 20 and under)
Crowns
Extractions

For help finding a dentist in your area

Call DentaQuest toll free at 888-291-3762 (TTY 800-466-7566) or visit DentaQuest.

*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.

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 5 years for members 21 years and older.

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 Superior Vision website.

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:

Asthma and COPD relief — select one asthma or COPD relief product from the catalog annually. 
Nonpharmacologic pain management  — members may be eligible for a product voucher towards pain management devices.
Personal care items — voucher per member per year for health and wellness products.
Transportation essentials — gas card or ride-share card (may not be combined with bus passes).

For these extras, call Member Services at 866-408-6131 (TTY 711):

Boys & Girls Clubs — annual memberships for youth ages 5 to 18 for local Boys and Girls Clubs.
Healthy meals — healthy meals delivered to your doorstep.
High School Equivalency (HSE) assistance — covers the costs of the high-school equivalency test.
Essentials for expectant parents — online learning courses on pregnancy and new baby care, plus items to keep parent and baby comfortable and safe.
Tutoring assistance – tutoring services for members ages 5-18 delivered live, virtually.
Employment Concierge - receive personalized support from our member concierge to connect with resources and opportunities for employment, upskilling, and job readiness.
Transportation essentials— gas card or ride-share card (may not be combined with bus passes).
Smartphone Member Connect – support and guidance in getting smartphone services to stay in touch with family, friends, doctors, and social services. Call Member Services to learn more.

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. You may need to complete activities like an online health screening or yearly wellness or dental visit to be eligible for certain extras. 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. Log in to get started today.

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 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 needed, we’ll send you a letter. The letter will tell you we could not authorize 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 Hoosier Healthwise, Healthy Indiana Plan Member Services at 866-408-6131 (TTY 711).

Key Member Resources

Member Handbook – English

Member Handbook – Spanish

HHW Quick Start Guide – English

HHW 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

Visit Indiana Family and Social Services Administration

Indiana Museum Access Pass Program

The Access Pass Program is a great resource for Hoosier Healthwise members to visit museums across Indiana for only $2 per family member, per visit.

Join the Access Pass Program here

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, FluMist^TM, and antiviral medications are approved benefits under most health plans. For specific information, check your member handbook or call the number on your member ID card.