What Does Medicaid Cover in Indiana

Medicaid is a health insurance program that provides coverage to low-income individuals and families in Indiana. It covers a wide range of medical services, including doctor visits, hospital stays, prescription drugs, and mental health care. Additionally, Medicaid covers services that help people stay healthy and independent, such as eyeglasses, hearing aids, and dental care. To qualify for Medicaid in Indiana, individuals must meet certain income and asset limits. Pregnant women, children, and people with disabilities may also qualify for coverage. Indiana residents can apply for Medicaid online or by calling the state’s Medicaid office.

Medicaid Eligibility in Indiana

Medicaid is a government-sponsored health insurance program that provides medical 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?

To be eligible for Medicaid in Indiana, you must meet certain income and resource requirements. The income limits vary depending on the type of Medicaid coverage you are applying for. However, in general, you must have an income at or below 138% of the federal poverty level (FPL) to qualify for Medicaid.

The following individuals are eligible for Medicaid in Indiana:

  • Pregnant women
  • Children under the age of 19
  • Parents or caretakers of children under the age of 19
  • Individuals with disabilities
  • Seniors 65 and older
  • Individuals who need long-term care

In addition to the income requirements, you must also meet certain resource requirements to be eligible for Medicaid. Resources include cash, savings, stocks, bonds, and real estate. The resource limits vary depending on the type of Medicaid coverage you are applying for.

What Services Does Medicaid Cover in Indiana?

Medicaid covers a wide range of medical services, including:

  • Doctor visits
  • Hospital stays
  • Prescription drugs
  • Dental care
  • Vision care
  • Mental health services
  • Substance abuse treatment
  • Long-term care

The specific services that are covered by Medicaid vary depending on the type of coverage you have. For example, some Medicaid plans cover only basic medical services, while others cover more comprehensive services, such as dental and vision care.

How to Apply for Medicaid in Indiana

To apply for Medicaid in Indiana, you can:

  • Apply online at the FSSA website
  • Apply by mail by downloading and completing an application form from the FSSA website
  • Apply in person at your local FSSA office

You will need to provide the following information when you apply for Medicaid:

  • Your name and contact information
  • Your Social Security number
  • Your income and resource information
  • Information about your household members

Once you have submitted your application, the FSSA will review it and determine if you are eligible for Medicaid. If you are approved for Medicaid, you will receive a Medicaid card in the mail.

Medicaid Coverage for Different Groups

GroupServices Covered
Pregnant womenPrenatal care, delivery, and postpartum care
Children under the age of 19Regular checkups, immunizations, and treatment for illnesses and injuries
Parents or caretakers of children under the age of 19Limited coverage for medical services
Individuals with disabilitiesMedical services necessary to treat their disability, as well as personal care services and home health care
Seniors 65 and olderNursing home care, home health care, and prescription drugs
Individuals who need long-term careNursing home care, home health care, and personal care services

Services Covered by Medicaid in Indiana

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

  • Medical Services: Medicaid covers a wide range of medical services, including:
    • Doctor visits
    • Hospital care
    • Prescription drugs
    • Mental health services
    • Dental care
    • Vision care
    • Hearing aids
    • Durable medical equipment
  • Long-Term Care Services: Medicaid also covers long-term care services, such as:
    • Nursing home care
    • Home health care
    • Personal care services
    • Adult day care
  • Other Services: In addition to medical and long-term care services, Medicaid also covers a variety of other services, such as:
    • Transportation to medical appointments
    • Interpreter services
    • Case management
    • Health education

The following table provides a summary of the services covered by Medicaid in Indiana:

ServiceCovered?
Doctor visitsYes
Hospital careYes
Prescription drugsYes
Mental health servicesYes
Dental careYes
Vision careYes
Hearing aidsYes
Durable medical equipmentYes
Nursing home careYes
Home health careYes
Personal care servicesYes
Adult day careYes
Transportation to medical appointmentsYes
Interpreter servicesYes
Case managementYes
Health educationYes

Medicaid Coverage in Indiana

Medicaid is a government-sponsored 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). Medicaid covers a wide range of medical services, including doctor visits, hospital care, prescription drugs, and mental health services.

Applying for Medicaid in Indiana

To apply for Medicaid in Indiana, you can either submit an online application or download and mail a paper application. You can also apply for Medicaid in person at your local county office. To be eligible for Medicaid in Indiana, you must meet certain income and asset requirements. You must also be a resident of Indiana and a U.S. citizen or qualified immigrant.

  • Online Application:
  • You can apply online at the Indiana Family and Social Services Administration (FSSA) website.
  • Paper Application:
  • You can download a paper application from the FSSA website.
  • In-Person Application:
  • You can apply in person at your local county office.

Medicaid Coverage in Indiana

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

  • Doctor visits
  • Hospital care
  • Prescription drugs
  • Mental health services
  • Substance abuse treatment
  • Dental care
  • Vision care
  • Hearing aids
  • Durable medical equipment
Medicaid Coverage in Indiana
ServiceCovered
Doctor visitsYes
Hospital careYes
Prescription drugsYes
Mental health servicesYes
Substance abuse treatmentYes
Dental careLimited
Vision careLimited
Hearing aidsLimited
Durable medical equipmentYes

For more information about Medicaid coverage in Indiana, you can visit the FSSA website or call the Medicaid Customer Service Center at 1-800-403-0864.

Medicaid Managed Care in Indiana

In Indiana, Medicaid managed care is provided through the Healthy Indiana Plan (HIP) program. HIP is a state-run program that contracts with private health insurance companies to provide Medicaid benefits to eligible individuals.

  • Eligibility: HIP is available to Indiana residents who meet certain income and other eligibility requirements.
  • Benefits: HIP covers a wide range of benefits, including doctor visits, hospital care, prescription drugs, and mental health services.
  • Costs: HIP members typically pay a monthly premium and may also have to pay copayments and deductibles for certain services.

If you are interested in enrolling in HIP, you can apply online or by calling the Indiana Family and Social Services Administration (FSSA) at 1-800-403-0869.

BenefitCovered Services
Doctor visitsRoutine checkups, sick visits, and specialist visits
Hospital careInpatient and outpatient hospital care
Prescription drugsA wide range of prescription drugs, including generics and brand-name drugs
Mental health servicesCounseling, therapy, and medication management

Hey there, folks! I appreciate you taking the time to learn more about what Medicaid covers in Indiana. I hope this article has been helpful in clearing things up for you. Remember, if you have any further questions or need assistance applying for Medicaid, don’t hesitate to reach out to the Indiana Family and Social Services Administration for guidance. Keep in mind that coverage and eligibility criteria can change over time, so be sure to check back later for any updates or modifications to the program. Thanks again for reading, and I hope you have a fantastic day!