Planes de salud de Medicaid en Indiana

Servicios para miembros: 1-866-408-6131

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• Dental exams, cleanings, and fillings

  Each year HIP Plus members can get two oral exams and two cleanings, one set of bitewing x-rays, a full set of x-rays every five years, and coverage for extractions and minor fillings.

• Eye exams for HIP members

  Vision benefits cover one eye exam per year for members under 21, and an eye exam every two years for members 21 and older, depending on your HIP plan.

• Healthy meal delivery

  Members can get healthy meals delivered to their doorstep, and pregnant or nursing members can get a produce box of fresh fruits and vegetables delivered home.

• Chiropractic care

  HIP Plus members can get six spinal therapy visits a year from a chiropractor. A doctor referral is not needed and Anthem does not require preapproval.

• Anthem Obtenido el 2026-07-17
• Anthem Obtenido el 2026-07-17

This file models the shared mainstream managed care roster for the Healthy Indiana Plan (HIP, the adult Medicaid expansion program) and Hoosier Healthwise (the children and pregnant individuals program). Indiana Medicaid's own member pages show HIP and Hoosier Healthwise use the identical three-plan managed care organization roster (Anthem, CareSource, Managed Health Services), so one statewide file covers both programs rather than forcing a choice between them; Hoosier Care Connect (aged/blind/disabled) and Indiana PathWays for Aging (60 and older) are separate programs with different rosters (Hoosier Care Connect adds UnitedHealthcare and drops CareSource; PathWays uses Anthem, Humana, and UnitedHealthcare) and are out of scope for this file. A fourth MCE, MDwise, exited both HIP and Hoosier Healthwise effective January 1, 2026, per the state's own HIP enrollment page, which is why only three plans appear here. enrollment.portal_url, enrollment.portal_name, enrollment.phone, and areas.statewide.plans are quote-gate verified against captured snapshots of three in.gov pages (the Managed Care Health Plans hub, the HIP how-to-enroll page, and the Hoosier Healthwise program page); the enrollment.phone value used is the HIP enrollment broker helpline (877-438-4479), confirmed verbatim on two separate in.gov pages. Hoosier Healthwise callers reach the same broker, Maximus, at a different helpline; the state's own HIP how-to-enroll page prints that Hoosier Healthwise number as 1-800-899-9949, while the state's Managed Care Health Plans hub page prints it as 800-889-9949 (the two in.gov pages disagree on a single transposed digit) -- flagged here for a human to resolve with the state rather than guessed. Per-plan member_phone numbers for all three plans were independently cross-checked against a state-published contact table (Table 1 on the HIP how-to-enroll page and the separate Contact Us page) as well as each plan's own site, so those numbers carry two independent tier-1/tier-2 confirmations even though they are informal citations rather than quote-gated facts, consistent with TX/CA/NY/FL's existing convention that only load-bearing enrollment and roster fields carry facts[] entries. Indiana runs pharmacy through a Statewide Uniform Preferred Drug List (SUPDL): all three plans must apply the same preferred and non-preferred drug status and prior authorization criteria on IHCP's SUPDL, but each plan still administers its own pharmacy benefit and formulary lookup tool through its own PBM rather than one shared state portal (unlike New York's NYRx carve out), so each plan's formulary_url below points to that plan's own formulary/PDL page and each plan's quality.note says so; this is not "no restriction," it is a shared statewide baseline applied by three separate plan-run pharmacy benefits. Provider directory URLs, formulary URLs, carrier legal names, and extra_benefits for all three plans were verified live on each plan's own official Indiana Medicaid page as part of this authoring pass but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json, CA.json, NY.json, and FL.json today.

Servicios para miembros: 1-844-607-2829

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• Routine eye exams and glasses

  Members up to age 20 get one routine eye exam and one pair of glasses each year. Members over 20 get a routine eye exam every two years.

• Dental exams and cleanings

  Covered dental services include oral exams, x-rays, and cleanings, along with restorative work and extractions when needed.

• Rides to medical visits and the pharmacy

  Non emergency transportation is an added CareSource benefit for rides to medical visits, the pharmacy, and to pick up food.

• Chiropractic care

  CareSource covers up to six chiropractic office visits a year.

• CareSource Obtenido el 2026-07-17
• Indiana Department of Insurance Obtenido el 2026-07-17

This file models the shared mainstream managed care roster for the Healthy Indiana Plan (HIP, the adult Medicaid expansion program) and Hoosier Healthwise (the children and pregnant individuals program). Indiana Medicaid's own member pages show HIP and Hoosier Healthwise use the identical three-plan managed care organization roster (Anthem, CareSource, Managed Health Services), so one statewide file covers both programs rather than forcing a choice between them; Hoosier Care Connect (aged/blind/disabled) and Indiana PathWays for Aging (60 and older) are separate programs with different rosters (Hoosier Care Connect adds UnitedHealthcare and drops CareSource; PathWays uses Anthem, Humana, and UnitedHealthcare) and are out of scope for this file. A fourth MCE, MDwise, exited both HIP and Hoosier Healthwise effective January 1, 2026, per the state's own HIP enrollment page, which is why only three plans appear here. enrollment.portal_url, enrollment.portal_name, enrollment.phone, and areas.statewide.plans are quote-gate verified against captured snapshots of three in.gov pages (the Managed Care Health Plans hub, the HIP how-to-enroll page, and the Hoosier Healthwise program page); the enrollment.phone value used is the HIP enrollment broker helpline (877-438-4479), confirmed verbatim on two separate in.gov pages. Hoosier Healthwise callers reach the same broker, Maximus, at a different helpline; the state's own HIP how-to-enroll page prints that Hoosier Healthwise number as 1-800-899-9949, while the state's Managed Care Health Plans hub page prints it as 800-889-9949 (the two in.gov pages disagree on a single transposed digit) -- flagged here for a human to resolve with the state rather than guessed. Per-plan member_phone numbers for all three plans were independently cross-checked against a state-published contact table (Table 1 on the HIP how-to-enroll page and the separate Contact Us page) as well as each plan's own site, so those numbers carry two independent tier-1/tier-2 confirmations even though they are informal citations rather than quote-gated facts, consistent with TX/CA/NY/FL's existing convention that only load-bearing enrollment and roster fields carry facts[] entries. Indiana runs pharmacy through a Statewide Uniform Preferred Drug List (SUPDL): all three plans must apply the same preferred and non-preferred drug status and prior authorization criteria on IHCP's SUPDL, but each plan still administers its own pharmacy benefit and formulary lookup tool through its own PBM rather than one shared state portal (unlike New York's NYRx carve out), so each plan's formulary_url below points to that plan's own formulary/PDL page and each plan's quality.note says so; this is not "no restriction," it is a shared statewide baseline applied by three separate plan-run pharmacy benefits. Provider directory URLs, formulary URLs, carrier legal names, and extra_benefits for all three plans were verified live on each plan's own official Indiana Medicaid page as part of this authoring pass but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json, CA.json, NY.json, and FL.json today.

Servicios para miembros: 1-877-647-4848

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• Dental care with HIP Plus

  HIP Plus includes more benefits than the standard HIP package, including dental care.

• Vision care with HIP Plus

  HIP Plus includes more benefits than the standard HIP package, including vision care.

• My Health Pays rewards

  Members can earn My Health Pays rewards for completing healthy activities like a yearly wellness exam or a Health Needs Screening, then use the rewards to help pay for things like utilities, transportation, and childcare.

• MHS Indiana Obtenido el 2026-07-17
• MHS Indiana Obtenido el 2026-07-17

This file models the shared mainstream managed care roster for the Healthy Indiana Plan (HIP, the adult Medicaid expansion program) and Hoosier Healthwise (the children and pregnant individuals program). Indiana Medicaid's own member pages show HIP and Hoosier Healthwise use the identical three-plan managed care organization roster (Anthem, CareSource, Managed Health Services), so one statewide file covers both programs rather than forcing a choice between them; Hoosier Care Connect (aged/blind/disabled) and Indiana PathWays for Aging (60 and older) are separate programs with different rosters (Hoosier Care Connect adds UnitedHealthcare and drops CareSource; PathWays uses Anthem, Humana, and UnitedHealthcare) and are out of scope for this file. A fourth MCE, MDwise, exited both HIP and Hoosier Healthwise effective January 1, 2026, per the state's own HIP enrollment page, which is why only three plans appear here. enrollment.portal_url, enrollment.portal_name, enrollment.phone, and areas.statewide.plans are quote-gate verified against captured snapshots of three in.gov pages (the Managed Care Health Plans hub, the HIP how-to-enroll page, and the Hoosier Healthwise program page); the enrollment.phone value used is the HIP enrollment broker helpline (877-438-4479), confirmed verbatim on two separate in.gov pages. Hoosier Healthwise callers reach the same broker, Maximus, at a different helpline; the state's own HIP how-to-enroll page prints that Hoosier Healthwise number as 1-800-899-9949, while the state's Managed Care Health Plans hub page prints it as 800-889-9949 (the two in.gov pages disagree on a single transposed digit) -- flagged here for a human to resolve with the state rather than guessed. Per-plan member_phone numbers for all three plans were independently cross-checked against a state-published contact table (Table 1 on the HIP how-to-enroll page and the separate Contact Us page) as well as each plan's own site, so those numbers carry two independent tier-1/tier-2 confirmations even though they are informal citations rather than quote-gated facts, consistent with TX/CA/NY/FL's existing convention that only load-bearing enrollment and roster fields carry facts[] entries. Indiana runs pharmacy through a Statewide Uniform Preferred Drug List (SUPDL): all three plans must apply the same preferred and non-preferred drug status and prior authorization criteria on IHCP's SUPDL, but each plan still administers its own pharmacy benefit and formulary lookup tool through its own PBM rather than one shared state portal (unlike New York's NYRx carve out), so each plan's formulary_url below points to that plan's own formulary/PDL page and each plan's quality.note says so; this is not "no restriction," it is a shared statewide baseline applied by three separate plan-run pharmacy benefits. Provider directory URLs, formulary URLs, carrier legal names, and extra_benefits for all three plans were verified live on each plan's own official Indiana Medicaid page as part of this authoring pass but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json, CA.json, NY.json, and FL.json today.