IN Form 53421 2010-2024 free printable template

Video instructions and help with filling out and completing indiana application healthy

Instructions and Help about indiana application healthy plan pdf form

Many Hoosiers like jasmine and Samuel worry they can't afford health insurance with the healthy Indiana plan qualified Hoosiers can't afford health coverage and live healthier lives which means we can all feel better and worry less the healthy Indiana plan also known as hip provides coverage for qualified individuals ages 19 to 64 who are not eligible to enroll in any other Indiana Medicaid program sounds great how do I know if I qualify generally residents qualify if they make no more than sixteen thousand eight hundred forty-two dollars a year for a single person twenty two thousand six hundred eighty dollars for a couple or thirty four thousand three hundred and fifty four dollars for a family of four I think my family would qualify but I'm confused about power accounts they sound expensive personal wellness and responsibility accounts are really just special savings accounts used to cover the first twenty five hundred dollars in medical expenses the state puts in most of the money but a hip member is encouraged to make a small contribution each month about two percent of their income so if you make twelve hundred dollars a month your contribution would be twenty four dollars that's not too bad it's not like I lose that money it goes to pay medical expenses for my family right hip can be the right plan for you and your family but you do need to take action to see if you qualify and get enrolled it's just five steps to a healthier life step one learn about the benefits of hip you're doing that right now step two fill out an application they're available online by mail or at your local division of family resources office if you need help finding a DFR office or if you're working on your application at home and need to talk to someone call 877 get hip 9 to talk with a hip expert step 3 submit your application it will usually take three to four weeks to process once all required information is received the state may send you a letter requesting more information if your application isn't complete when you first send it in it's very important that you respond to that letter with the information needed it could be a missing pay step or information about your taxes then your application can be processed it's also important to pick a health plan to help manage your benefits if you have a preference or if you have doctors or hospitals that you prefer to use make sure they accept the plan choose if you don't have a preference a plan will be chosen for you when you apply you'll have an opportunity to pay a $10 advance payment called a fast-track payment this will go towards your first power account payment if you're approved step 4 once you're approved for hip a Welcome Packet will arrive in the mail informing you what to do to get coverage started step 5 submit your first power account payment so your benefits start as soon as possible your packet will explain how to do this once that's done you'll be able to play harder and worry less before you get...