Indiana’s NEW Healthy Indiana Plan, or “HIP 2.0,” is nearing the end of its first full year of implementation. This important milestone also marks some important redetermination activity that will begin soon, affecting many HIP members. HIP 2.0 began covering Hoosiers on February 1, 2015. By law, all HIP members must have their eligibility renewed every 12 months.
Beginning in November, individuals that were enrolled as of February 1, 2015, will begin their annual renewal period to determine if they remain eligible for another year of coverage beginning February 1, 2016. This is also one of the periods when a HIP Basic member can move to HIP Plus, and we need your help promoting the benefits of HIP Plus.
This process will involve a series of notices sent to the members by mail. The process outlined below will be the same starting in December for members with a March 1 renewal date, in January for April 1 renewals, and so on.
HIP members who began coverage February 1, 2015, will receive an initial letter in November that describes the redetermination process. This letter will also inform members that they may select a new plan option (managed care entity) for their coverage in 2016. (Going forward, all HIP members can expect to receive this redetermination letter within 90 days of the end of their current benefits. For example, members that began their coverage in March will receive this letter in December.) HIP members need to carefully read this letter, and all subsequent correspondence, and follow all instructions.
Individuals that want to select a different health plan for their next coverage year must do so 45 days prior to the end of their current benefit year. The initial notice contains instructions on how to change plans during this timeframe. Plan changes will be effective February 1, 2016, if the individual is confirmed as eligible for another year of HIP coverage.
Follow up notice:
After the initial notice, HIP members may fall into one of three categories.
HIP Plus Enrollment for Basic Members
During the first 60 days of their new benefit period all members that are currently in HIP Basic or HIP State Plan Basic will have the opportunity to begin making POWER account contributions to enroll in HIP Plus. HIP Plus members receive enhanced benefits such as vision and dental coverage and do not face copayments unless using the ER for a non-emergency. HIP Basic members would continue to receive HIP Basic benefits and have copayments applied for services until they make their POWER account contribution for HIP Plus. If you have any questions about this process, please email our team at HIP2.firstname.lastname@example.org.