How to Qualify for Medicaid in Indiana

Medicaid in Indiana provides health coverage to individuals and families with low incomes and limited resources. To qualify, you must be a resident of Indiana, a U.S. citizen or eligible immigrant, and meet certain income and asset limits. Special rules apply to pregnant women, children, individuals with disabilities, and seniors. You can apply online, through the mail, or in person at your local county office. Once your application is processed, you will receive a decision within 45 days. If you qualify, your coverage will start the first day of the month following your application date.

Medicaid Eligibility Requirements in Indiana

Medicaid is a health insurance program that provides coverage to low-income individuals and families. In Indiana, Medicaid is administered by the Indiana Family and Social Services Administration (FSSA).

Who is eligible for Medicaid in Indiana?

  • Pregnant women
  • Children under age 19
  • Adults with disabilities
  • Seniors age 65 and older
  • People who are blind or disabled
  • People with limited income and resources

To be eligible for Medicaid in Indiana, you must meet certain income and resource limits. The income limits are based on the federal poverty level (FPL). The resource limits are based on the value of your assets, such as cash, bank accounts, and stocks.

How to apply for Medicaid in Indiana

  1. You can apply for Medicaid online, by mail, or in person at your local FSSA office.
  2. You will need to provide proof of your income, resources, and identity.
  3. Once your application is processed, you will be notified of your eligibility status.

If you are approved for Medicaid, you will receive a Medicaid card. You can use your Medicaid card to get health care services from doctors, hospitals, and other providers.

What services are covered by Medicaid in Indiana?

  • Doctor visits
  • Hospital stays
  • Prescription drugs
  • Mental health services
  • Substance abuse treatment
  • Dental care
  • Vision care
  • Hearing aids

The specific services that are covered by Medicaid in Indiana vary depending on your age, income, and disability status.

Medicaid Income Limits in Indiana
Family SizeIncome Limit
1$12,880
2$17,420
3$21,960
4$26,500
5$31,040
6$35,580
7$40,120
8$44,660

Medicaid Eligibility: Income and Asset Limits in Indiana

To qualify for Medicaid in Indiana, applicants must meet certain income and asset limits. These limits vary depending on the type of Medicaid coverage sought and the applicant’s household size. Generally, the income and asset limits for Medicaid in Indiana are:

Income Limits for Medicaid in Indiana

  • Individuals: $1,384 per month
  • Couples: $2,073 per month
  • Families of 3: $2,762 per month
  • Families of 4: $3,451 per month
  • For each additional family member, add $689 per month

Applicants can also qualify for Medicaid if they meet certain income disregards. These disregards allow applicants to deduct certain types of income from their total income when determining eligibility.

Income Disregards for Medicaid in Indiana:

  • Earned income up to $2,000 per month for individuals and $4,000 per month for couples
  • Social Security benefits
  • Supplemental Security Income (SSI)
  • Veterans benefits
  • Certain types of child support
  • Housing assistance
  • Energy assistance

Asset Limits for Medicaid in Indiana

  • Individuals: $2,500
  • Couples: $5,000

These asset limits do not include certain types of assets, such as:

  • A primary residence
  • One vehicle
  • Personal belongings
  • Burial plots
  • Life insurance policies

Applicants who exceed the asset limits can still qualify for Medicaid if they meet certain conditions. For example, applicants can disregard up to $15,000 in assets if they are disabled or blind.

To learn more about Medicaid eligibility in Indiana, visit the Indiana Family and Social Services Administration website or call the Medicaid hotline at 1-800-403-0864.

Eligibility Requirements

To qualify for Medicaid in Indiana, you must meet certain eligibility requirements. These requirements include:

  • Age: You must be under 19 years old, 65 years old or older, or disabled.
  • Income: Your income must be at or below certain limits. These limits vary depending on your age, family size, and disability status.
  • Assets: Your assets must also be at or below certain limits. These limits also vary depending on your age, family size, and disability status.
  • Citizenship or legal residency: You must be a U.S. citizen or a legal resident of Indiana.

Applying for Medicaid in Indiana

To apply for Medicaid in Indiana, you can:

  • Apply online at the Indiana Family and Social Services Administration (FSSA) website.
  • Call the FSSA at 1-800-403-0864.
  • Visit your local FSSA office.

What You Will Need to Apply

When you apply for Medicaid, you will need to provide the following information:

  • Your name, address, and date of birth
  • Your Social Security number
  • Your income and asset information
  • Proof of your citizenship or legal residency

What Happens After You Apply

Once you have applied for Medicaid, the FSSA will review your application and determine if you are eligible. If you are eligible, you will receive a Medicaid card in the mail. You can use this card to get free or low-cost health care services from Medicaid providers.

Medicaid Benefits in Indiana

Medicaid in Indiana covers a wide range of health care services, including:

Medicaid Income and Asset Limits in Indiana

Household SizeIncome LimitAsset Limit
Individual$1,384 per month$2,500
Couple$2,073 per month$5,000
Family of 3$2,762 per month$5,000
Family of 4$3,451 per month$5,000
ServiceCoverage
Doctor visitsCovered
Hospital staysCovered
Prescription drugsCovered
Mental health servicesCovered
Dental careCovered for children and pregnant women
Vision careCovered for children and pregnant women

Other Programs That May Help You

If you do not qualify for Medicaid, you may be eligible for other programs that can help you get health care coverage. These programs include:

  • The Children’s Health Insurance Program (CHIP)
  • The Health Insurance Marketplace
  • Medicare

Special Circumstances that Affect Medicaid Eligibility in Indiana

There are several special circumstances that can affect Medicaid eligibility in Indiana. These include:

  • Pregnancy: Pregnant women who meet certain income and resource limits are eligible for Medicaid coverage. This coverage can begin as early as the first trimester of pregnancy and continue until 60 days after the baby is born.
  • Children: Children under the age of 19 who meet certain income and resource limits are eligible for Medicaid coverage. This coverage can include a variety of services, including doctor visits, hospital stays, and prescription drugs.
  • People with Disabilities: People with disabilities who meet certain income and resource limits are eligible for Medicaid coverage. This coverage can include a variety of services, including personal care assistance, home health care, and assistive devices.
  • Seniors: Seniors who meet certain income and resource limits are eligible for Medicaid coverage. This coverage can include a variety of services, including nursing home care, home health care, and prescription drugs.
  • Long-Term Care: People who need long-term care in a nursing home or other facility may be eligible for Medicaid coverage. This coverage can help to pay for the cost of care, including room and board, nursing care, and therapy.

In addition to these special circumstances, there are a number of other factors that can affect Medicaid eligibility in Indiana. These factors include:

  • Income
  • Assets
  • Marital status
  • Citizenship status
  • Disability status

To learn more about Medicaid eligibility in Indiana, you can visit the Indiana Family and Social Services Administration (FSSA) website or call the FSSA at 1-800-403-0864.

Medicaid Eligibility Requirements in Indiana
CategoryIncome LimitAsset Limit
Pregnant Women138% of the federal poverty level$2,000
Children138% of the federal poverty level$2,000
People with Disabilities138% of the federal poverty level$2,000
Seniors138% of the federal poverty level$2,000
Long-Term Care150% of the federal poverty level$2,500

Alrighty folks, that’s all she wrote on how to qualify for Medicaid in Indiana. I know it was a lot to take in, but hopefully, you have a better understanding of the program and how to apply. If you still have questions, be sure to check out the Indiana Medicaid website or give them a call. And while you’re visiting, check out some of our other articles. We’ve got a whole lot of helpful information, and we’re always adding new stuff. So come back and visit us again soon, ya hear? Take care and stay healthy!