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Healthy Indiana Plan Overview

Healthy Indiana Plan Overview. Enrollment Status. As of November 7, 2008 - 101,546 applications have been received. Of those: 10,531 Pending These applications are pending awaiting additional information, particularly the necessary verification documents. 35,791 Denied

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Healthy Indiana Plan Overview

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  1. Healthy Indiana Plan Overview

  2. Enrollment Status • As of November 7, 2008 - 101,546 applications have been received. • Of those: • 10,531 Pending • These applications are pending awaiting additional information, particularly the necessary verification documents. • 35,791 Denied • One of the biggest reasons for denial is due to existing insurance coverage (either have access to health insurance, have had insurance within last 6 months, etc.) • 37,649 Eligible • 6,658 applications are conditionally eligible (still awaiting payment). In order to become fully eligible the first month’s POWER Account contribution must be made. • 30,991 applicants are fully eligible to received HIP coverage. • Monitoring Regularly Draft

  3. Daily Dashboard Draft

  4. Plan Structure Individual POWER Account contribution will not exceed 5% of gross annual income – approximately $200 - $900 annually Draft

  5. Fiscal Responsibility • State and participant contribute a combined total of $1,100 per adult into POWER Account to pay for initial medical expenses • POWER Account covers the “deductible” amount Draft

  6. Who is Eligible for Subsidized Coverage? • Non-Disabled Adults Ages 19-64: • Caretaker Relatives of dependent children with family incomes from 22% to 200% FPL • Biological, adoptive, step parents; • Other relatives who care for a dependent child (i.e. grandparent, aunts) • Childlessadults with family incomes under 200% FPL • Enrollment Cap: 34,000 childless adults each year • Have no dependent children living in household in their care • An estimated 375,000 Hoosiers are chronically uninsured under 200% FPL • HIP has funding to cover approximately 130,000 Hoosiers a year Draft

  7. The Indiana Check-Up Plan Health Initiatives þ Physician Reimbursement Increase þ Small Business Qualified Wellness Program Tax Credit þ Employer’s Section 125 Plan • Dependent Coverage up to Age 24 • Increase SCHIP to 300% FPL þ Continuous Eligibility to Age 3 þ Childhood Immunization þ Increase Pregnancy Coverage to 200% FPL • Presumptive Eligibility for Pregnant Women þ Buy-In Option for over 200% FPL þ Increase Coverage to Adults up to 200% FPL (HIP) Draft

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