More State Children's Health Insurance Programs
Eligibility Requirements
Hoosier Healthwise eligibility is based on family income. Children up to age 19 may be eligible for coverage with no premiums or for low-cost coverage under the Children's Health Plan Benefit Package C. Pregnant women can be eligible for full coverage under Package A, or for pregnancy-related coverage under Package B. Low-income families can be eligible for Hoosier Healthwise, if there are children under the age of 18 living with their parent(s). All applicants must be a resident of Illinois and non US-citizens who meet all financial and categorical requirements may be eligible for coverage, depending on their immigration status.
Waiting Periods
To apply for package C, you must have not had an employer group health plan in effect for the past 3 months. Certain situations may allow you to waive this waiting period.
Covered Services and Benefits
The Hoosier Healtwise plan provides coverage for:
Health Plan Options
There are three plans offered, each with similar benefits. Benefit Package A provides full coverage, Package B is maternity related coverage for pregnant women and Package C is similar to Package A but with member share-of-costs.
Premium Payments, Co-Payments and Coinsurance
Benefits Package A has no premiums or co-payments. For Package C, monthly premiums depend on the family's income level and there are minimal co-payments for certain covered services, such as prescription drugs.
Program Length, Enrollment and Renewal
The Hoosier Healthwise plan is good for 12 months. You may re-enroll in the plan but you will need to complete an eligibility review application to make sure you still qualify for the program. Changes in family income level may require changing to Package C if you are currently insured under Package A.
Indiana Family and Social Services Administration
Office of Communications
P. O. Box 7083
Indianapolis, IN 46207-7083
800-441-7837
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