How to indiana application healthy plan 2026

1. Click ‘Get Form’ to open the Healthy Indiana Application in the editor.
2. Begin by selecting your health plan in Section 1. Mark the box next to your chosen plan, ensuring you have reviewed available provider directories.
3. In Section 2, provide details about adult members of your household. Fill in names, dates of birth, marital status, and Social Security numbers as required.
4. Complete Section 4 with your address and contact information. Ensure accuracy for timely communication regarding your application.
5. If applicable, fill out Section 5 regarding children living in your home. Include their names, dates of birth, and caregiver information.
6. Answer all Health Screening Questions in Section 12 truthfully to ensure a complete application process.
7. Finally, sign and date the application on page 4 (Section 13) before submitting it through our platform for processing.

Start filling out your Healthy Indiana Application today for free using our platform!