Get the free Hoosier Healthwise

This form is used to request prior authorization for the use of specific medications for the treatment of Hepatitis C, including ribavirin and interferons, and outlines the necessary patient and physician

How to fill out hoosier healthwise

How to fill out Hoosier Healthwise

1. Visit the Hoosier Healthwise website or contact your local office.
2. Gather necessary documents such as proof of income, identity, and residency.
3. Complete the application form online or through paper application.
4. Provide information about all household members needing coverage.
5. Review the application for accuracy and completeness.
6. Submit the application online or mail it to the designated address.
7. Await confirmation and any follow-up requests for additional information.

Who needs Hoosier Healthwise?

1. Low-income families and children.
2. Pregnant women seeking health coverage.
3. Individuals with disabilities.
4. Parents or caregivers of eligible children.
5. Residents of Indiana who do not have health insurance.

People Also Ask about

Is MDwise the same as Hoosier Healthwise?

MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. MDwise has a large network of doctors, specialists and hospitals throughout the State of Indiana.

Who is eligible for the Hoosier Health Card in Indiana?

Am I Eligible? Families with income up to 250% of the federal poverty level can qualify for the Children's Health Insurance Program through HHW. Pregnant women and children up to age 19 are also eligible for benefits.

What is the monthly income limit for Medicaid in Indiana?

Income & Asset Limits for Eligibility 2025 Indiana Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (both spouses applying) Income Limit Asset Limit Institutional / Nursing Home Medicaid $2,901 / month* $3,000 Medicaid Waivers / Home and Community Based Services $2,901 / month† $3,0001 more row • Jun 4, 2025

What is traditional Medicaid called in Indiana?

Traditional Medicaid, also called fee-for-service (FFS), provides full health care coverage to individuals with low income.

What is the maximum income for a healthy Indiana plan?

The plan covers Hoosiers ages 19 to 64 who meet specific income levels. See below if your 2025 income qualifies. Individuals with annual incomes up to $21,603.00 may qualify. Couples with annual incomes up to $29,197.80 may qualify.

How much does a two-person household have to make to qualify for Hoosier Healthwise?

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

For pdfFiller’s FAQs

What is Hoosier Healthwise?

Hoosier Healthwise is a state-sponsored health insurance program in Indiana designed to provide health coverage for low-income families, pregnant women, and children.

Who is required to file Hoosier Healthwise?

Individuals and families who meet certain income criteria and are residents of Indiana are required to file for Hoosier Healthwise to receive health coverage.

How to fill out Hoosier Healthwise?

To fill out Hoosier Healthwise, applicants can complete an online application through the Indiana Family and Social Services Administration website or submit a paper application by downloading it from the website and mailing it to the appropriate office.

What is the purpose of Hoosier Healthwise?

The purpose of Hoosier Healthwise is to provide affordable health coverage to eligible low-income individuals and families, ensuring access to necessary medical services and healthcare.

What information must be reported on Hoosier Healthwise?

Applicants must report personal information such as household income, family size, social security numbers, and proof of residency to qualify for Hoosier Healthwise.