State Insurance - FSSA

 

Always keep your authorized representative or navigator updated on your contact phone number, address and household changes.  

 

Confused on what health plan to choose?  There are four options: Anthem, CareSource, Managed Health Services & MDwise.  

First, call your doctors and ask who they take. Be sure to do this before you do your application so you can choose the right plan.  

If you don't have a physician, there is a comparison chart here to help

You can only change your plans from November 1st through December 15th for it to start the next calendar year.  If you had a MCE earlier in a calendar year, that is which one you will be in when you re-apply.  

 

Some Important Terms:

FSSA: Family & Social Services Administration is the Indiana state agency responsible for healthcare, food (SNAP) and wage assistance (TANF). 

MCE: Managed Care Entity (MCE) is your insurance company who has a contract with the state of Indiana to provide your insurance benefits directly to you. Indiana has four MCEs: Anthem, CareSource, Managed Health Services and MDWise.  Mediciad recipients, or fee for service Medicaid, do not have a MCE.

Power Account Contributions: A monthly fee paid to your insurance company based upon your income for Healthy Indiana Plan.  Is required to get PLUS benefits from the HIP and not fall into Basic coverage. 

Gateway to Work: Program to help consumers of the Healthy Indiana Plan gain access to employment and work training.  Some consumers will have to turn in work and volunteer hours to their insurance company. 

Authorized Representative: A person or company you have designated as somebody who can speak for you to the FSSA and will receive copies of your mail from the state. 

Case Status Release: A form allowing the designated person or company to add the client to their online client list.  Allows the company to see the entire case for the household including documents due, appointments and documents received and download fax cover sheet to turn in solicited items.

Presumptive Eligibility: Temporary insurance granted to you because the navigator or agency staff presumes you are eligible based upon the true information you have provided. It is active for the month you apply and one extra month to give you time to apply for the full insurance. If an application is submitted it will last until you are approved or denied. 

HIP Brochure > Click here.

 

Have more questions? Ask a Navigator?