Need Help with Health Insurance?
Franciscan Health can help you connect with coverage.
Franciscan Health can help you connect with coverage.
Having medical insurance provides peace of mind in the event of an illness, accident or other medical emergency. You can receive lower costs for services, such as visits with doctors who are on your plan, or on prescription medications that are on your formulary (or approved list of medications).
If you can afford health insurance but choose not to buy it, you must pay a fee called the individual shared responsibility payment. (The fee is sometimes called the "penalty," "fine," or "individual mandate.") This fee is paid when you file federal taxes for that year.
You will pay either the higher of 2.5 percent of your household income (up to the cost of the yearly premium for the national average price of a Bronze plan sold through the Marketplace) or a per-person fee of $695 per adult and $347.50 per child under 18, up to $2,085.
You owe the fee for any month you, your spouse, or your tax dependents don’t have qualifying health coverage.The fee is paid when you file your federal tax return for the year you don’t have coverage.
In some cases, you may qualify for a health coverage exemption from the requirement to have insurance. If you qualify, you won’t have to pay the fee.
Indiana’s health insurance program for Healthy Indiana Plan now covers households with incomes up to 138% of the federal poverty level. That works out to $16,243 a year for one person or $33,465 for a family of four.
What is Healthy Indiana Plan?
Healthy Indiana Plan, or "HIP 2.0," is offered by the State of Indiana and pays for medical costs for members and could even provide vision and dental coverage. It also rewards members for taking better care of their health. The plan covers Hoosiers ages 19 to 64 who meet specific income levels.
Healthy Indiana Plan covers Indiana adults who meet the following criteria:
The plan you enroll in determines whether you can use your local Franciscan Alliance hospital or physicians. To use your health insurance at Franciscan, you must choose one of the following insurance companies:
You can apply for HIP 2.0 any time of the year. Call 1-877-GET-HIP-9 to find more information about the application process or to locate your nearest Division of Family Resources (DFR) office. Send in the application with all required information. Apply online at in.gov/fssa/hip/2450.
You can apply for HIP 2.0 health insurance:
The Health Insurance Marketplace – called the “Marketplace” – can help you get health insurance coverage that meets your needs and fits your budget. You can enroll Nov. 1, 2016 through Jan. 31, 2017. You can enroll in or change plans outside of open enrollment only if you qualify for a Special Enrollment Period. This includes getting married, having a baby or losing other health coverage.
The Marketplace is one way to find affordable health insurance. It can help you if you don’t have coverage or if you have it but want to look at other options.
The Marketplace will tell you if you or your family members can get free or low-cost coverage through Medicaid (such as Healthy Indiana Plan – HIP 2.0) and Children’s Health Insurance Program (CHIP).
When you go online to the Marketplace at www.healthcare.gov, you can review all of the health insurance plans in your area and compare your options. If you currently have medical insurance, you can also find out if you qualify for health plans with a lower monthly payment and learn about plans with lower out-of-pocket costs for medical visits or prescription medications.
You may be able to buy health insurance through the Marketplace if you:
There are several insurance companies that sell medical plans on the Marketplace.The plan you enroll in determines whether you can use your local Franciscan Alliance hospital or physicians. To use your health insurance at Franciscan, you must choose one of the following insurance companies:
You can apply for Marketplace coverage:
Unlike other health insurance programs, you can apply for Medicaid any time of the year. You can find out if you qualify by contacting your state Medicaid agency or by filling out an application through the Health Insurance Marketplace.
In Indiana, there are several Medicaid programs:
Hoosier Care Connect covers a variety of individuals who are not eligible for Medicare, including:
There are many categories of eligibility and several different Medicaid programs. While different Medicaid programs have different eligibility criteria, in general four main criteria are used to determine eligibility.
The plan you enroll in determines whether you can use your local Franciscan Alliance hospital or physicians. To use Medicaid at Franciscan, you must choose one of the following insurance companies:
You can apply for Medicaid through the Markeplace or online or through the state of Indiana. by:
Even with healthcare reform, thousands of working Hoosiers struggle to afford basic health care or their employer’s health plan coverage.
There are options that may help.
HIP Link is a new premium-assistance program that helps eligible, working Hoosiers afford their employer-sponsored health insurance plans.
Employees who qualify for HIP Link must HIP eligibility requirements, and their employers must register their health plans with the state to participate. Once an employee is enrolled in the employer-sponsored health plan, the employer will deduct the cost of premiums charged from the employee’s pay, per normal procedures. In turn, the State will reimburse the employee directly for the amount of the deduction, minus a small contribution made by the employee.
If you enroll in Marketplace insurance and your estimated income falls between 100 percent and 400 percent of the federal poverty level for your household size, you qualify for a premium tax credit. These can be used to help lower your monthly premium.
Franciscan Insurance Services was founded in 2003 in response to a high demand for trustworthy advice on insurance, especially Medicare products. Staffed with licensed insurance agents at both our Indianapolis and Mooresville campuses, Franciscan Insurance Services is able to assist you in identifying which programs would best meet your individual needs. LEARN MORE and schedule a free consultation.
Before you become sick is the best time to learn your options for medical care. Regular checkups can help you catch problems sooner or get diagnosed more quickly when you are sick. Here’s how to get connected with your health care:
Continuing Christ's Ministry in our Franciscan Tradition. Each day, we commit ourselves to practicing the words of our mission in how we care for our patients.