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The document is an application form for the Hoosier Healthwise program, designed to provide health coverage for children and pregnant women in Indiana. It collects personal information about family members, their income, and current health insurance status. The form outlines eligibility criteria for different benefit packages, including comprehensive care and emergency services, while emphasizing the importance of accurate information and the assignment of medical rights. Additionally, it provides guidance on reporting changes in circumstances and addresses discrimination complaints.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the qualifications for the Healthy Indiana Plan?

Welcome to the Healthy Indiana Plan! Individuals with annual incomes up to $21,603.00 may qualify. Couples with annual incomes up to $29,197.80 may qualify. A family of four with an annual income of $44,376.00 may qualify.

Can you enroll for Medicaid at any time?

You may qualify for your states program, especially if you have children, are pregnant, or have a disability. You can apply for Medicaid and CHIP any time of year.

How long does it take to get approved for Medicaid in Indiana?

Hoosier Care Connect is a health care program for individuals who are aged 59 years and younger, blind, or disabled and who are also not eligible for Medicare. Hoosier Care Connect covers a variety of individuals who are not eligible for Medicare, including: Blind individuals. Disabled individuals.

What is the income limit for Hoosier Healthwise?

Hoosier Healthwise Income Requirements Household SizeFamily Income* 1 $2,792 2 $3,772 3 $4,752 4 $5,7322 more rows

How to apply for Hoosier Healthwise insurance?

Apply for Hoosier Healthwise To apply: To get a list of enrollment centers where you can apply in person go to . To apply online go to . To apply over the phone, call 1-800-403-0864.

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