Indiana Medicaid: An Overview of Indiana Medicaid Eligibility

 Think You Can't Afford Quality Health Insurance?

Indiana Medicaid is primarily focused on bettering access to health services among four at-risk groups for substandard care. The fees for the Medicaid services are calculated based on family income, and some people may be eligible for no fee service. The four groups targeted are: The blind and the disabled, pregnant mothers and families, the aged and the developmentally delayed.

The state of Indiana's mandate for Medicaid care, maintains that all people who show financial need, get the health care assistance that they need; and that the Medicaid program use the public monies it's allotted in a transparent and effective way. The state also strives to make certain that all care givers and health officials working in concert with Medicaid users get paid promptly and accurately.

The aged are defined as people 65 and older. All people nationwide are eligible to receive Medicare during the month of their 65th birthday, but Medicaid is only offered to those seniors who demonstrate a financial need. The financial need burden is further reduced for seniors who's spouse is currently residing in a long term care facility.

Families are a key priority for Indiana health officials, and as such they have recently unveiled their Hoover Health plan. This plan is hoped to improve the level of comprehensive care offered to families in need. The plan contains all standard Medicaid services, but has enhanced services that focus on preventative health and health education. The income levels for eligibility vary based on the size of your family.

When calculating whether or not you meet the requirements for eligibility, remember to make use of the available deductions. For example, a mother who works, can deduct 90$ from her monthly salary, and if she is paying for daycare as well, can deduct an additional $200 per child. These deductions can make the difference of access, and should not be overlooked.
Families that show extreme financial need are offered the Hoover Health Plan free of charge, and depending on your income level, monthly fees will rise from there.

The blind and disabled are also eligible for free Medicaid benefits, if they can prove that their disability will significantly hamper their abilities to earn a living over the course of the coming twelve month period.  The situation is the same for people with developmental delays. A registered physician will provide people with the documentation that they need after submitting to a medical evaluation.

The Indiana Medicaid health program is striving to ensure that all the citizens of Indiana have access to great health care and health education. Please call 1-800-889-9949, to speak with a health official and find out if you may be eligible.

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Filed under: Indiana Medicaid, State Medicaid Programs

60 Comments Add your own

  • 1. carolyn morris  |  July 11th, 2007 at 4:19 pm

    why does it take 4 months for my husband to get medicaid when he is termonialy ill and with hospice this has been a hardship for him and myself cause i am taking care of him my self.we applied back in march 2007 and we still dont know nothing

  • 2. admin  |  July 12th, 2007 at 1:16 pm

    Hi Carolyn,

    I’m sorry to hear about your difficulties. Unfortunatley, Medicare and Medicaid are both bureaucracies and sometimes people get lost in the mix. I would encourage you to continue to call Indiana Medicare (a list of numbers is available at http://www.indianamedicaid.com/ihcp/ProviderServices/pr_list_frameset.htm) and send them emails.

    A good place to visit is http://www.indianamedicaid.com.

    Good luck with your situation.

  • 3. Roberta Harrison  |  July 17th, 2007 at 4:55 am

    My sister is disabled. She is to the point now that she requires a wheelchair. She only has medicaid and recieves SSI. Will Medicaid help her with the expense of a wheelchair?

  • 4. admin  |  July 17th, 2007 at 3:10 pm

    Hi Roberta,

    I think there would be a good chance that Medicaid would cover a wheelchair for your sister. If you live in Indiana, you should call 1-800-889-9949 and talk to a Medicaid representative. You could also speak with your sister’s physicain and se if he or she would be willing to write a prescription for a wheelchair.

    Good luck.

  • 5. Deb McClear  |  July 24th, 2007 at 12:26 am

    How do I find out if my teeth can be fixed. Two more broke off and I don’t like my appearance. I am on social security and would like to have some teeth to eat with. It’s causing other health problems. I submitted all my info in April and still nothing. Help I need to help this pain in my mouth and look better and eat by chewing my food and not swallowing it whole.

  • 6. Pat  |  August 19th, 2007 at 3:46 pm

    My son is nineteen and does not live at home. He is not in school and does not have a job. He jumps from friend’s homes to friend’s homes. Would he be eligible for Medicaid?

  • 7. Robert Van WIele  |  September 6th, 2007 at 2:39 pm

    If you have to go on medicaid and you live in your own home what coverage would medicaid give you. Would it cover aides, hospital bed, hoyer lift, and any kind of physical therapy? Does the amount of your pension and disibility check come into play? If so how much is the maximum amount before no medicaid is allowed. What if it is less expensive to maintain a lifestyle at the age of 61 at home rather than be put in a nursing home facility. We believe medicaid will be needed the help defer the costs of home aides.

  • 8. amanda malhotra  |  September 8th, 2007 at 1:48 am

    My father lives in another state right now, but he needs someone to take care of him since he found out that he has stage four lung cancer. The doctors there says that he can not be left alone. We would like to move him here (Evansville, IN). He is disabled and and is currently on ssi and has unison medplus (a form of medicaid in the state of PA) insurance. From what I have read, he seems to qualify for medicaid. Now, if he did, would it be something transferable from state to state or do we apply here? Can we apply to see if he qualifies without losing the insurance that he has? I don’t want to move him here if we can not get proper medical attention.

  • 9. Brian  |  September 13th, 2007 at 11:51 pm

    My wife and I are college students (i’m part time, she is full) who are unable to afford good health insurance. Will we be eligible for medicaid? What are the factors that are looked at in deciding eligiblility?

  • 10. katie filic  |  September 17th, 2007 at 5:25 pm

    I am 19 and 4 months pregnant. I really need to apply for medicaid or some other form of insurance to help me with my medical bills because as of now I am not covered by any insurance and I am and have been stressing myself out over this. I would like an application sent to me please.

  • 11. geri westman  |  September 19th, 2007 at 2:32 pm

    My sister will be 50 this year. She is divorced and lives with one of my other sisters. She might make $200 a week in a good week. She is so sick, going to a open door clinic with no diagnois. She needs medical attention. She has lost 45 lbs in 6 months and is getting weaker. She continues to work because she just has to. She has a pinched nerve inher back, has had two neck surgeries and migraines. How can she get help before it’s too late. I am very worried. Please help.

  • 12. Justine  |  November 7th, 2007 at 3:14 am

    I’m a 20 year old female and i have been diagnosed with PCOS (Polycysticovariansyndrome) HypoThyroid and Insilin Resistance. I haven’t had health insurance for about 3 years now so that means no medicine deseases. I’m starting to suffer from depression because i don’t have my Thyroid medicine. I don’t work my mom supports me and I cant get on her isurance because it cost to much for her and I’m currently taking online college classes. People keep telling me to check out Medicaid but when I do it doesnt seem like I fit the requirments. Is there anything out there for me. Please someone help me out. I can’t live like this anymore. Is there any other low cost health insurance around in indiana? Bye

    -Justine

  • 13. Shelly  |  December 6th, 2007 at 12:45 pm

    Do you have to live in the county that you draw Medicaid benefits from? Thank you, Shelly

  • 14. vicki mues  |  January 29th, 2008 at 3:08 pm

    I have moved to Indiana from Florida where I have had medicaid for years, how do I apply for Indiana medicaid? I also have medicare parts A and B and I will be 65 in June, 2008. I have been disabled since 1993.

  • 15. lonny janes  |  February 2nd, 2008 at 5:51 pm

    can you send me any reading material to help me understand my spend-down? my caseworker hardly ever returns my call and when i ask for her supervisor, she has to get with the caseworker fisrt before getting back to me. this can take weeks! seriously, i have not understood how or what my spend-down is since january of 2007! my wife has even asked the caseworker to schedule us to come in and discuss what is going on and she says that isn’t necessary and she says she is always so far behind. like i said weeks of waiting, it gets very frustrating. now my medicare part d tells us we don’t qualify for extra help, so my prescriptions are costing more money we don’t have. i am stuck and confused, please help.
    thank you

  • 16. Kristi Cregar  |  February 7th, 2008 at 8:54 am

    I have 2 kids that are in the hoosier healthcare program and I have been unemployed since July last year. I have been trying unsuccessfully to reach someone at my local office to see if I would qualify for assistance. I can’t get anyone to return my phone calls. I have been calling for seven months. Please tell me who I could call to gey help with this. Thank You Kristi Cregar

  • 17. becky  |  February 29th, 2008 at 4:09 pm

    how is it that someone who lives with a person who makes well over 50 thousand a year, pays no bills because they are living with someone, only has their child half the time at most, is not responsible for any of that child’s expenses (ie: school books, insurance, school clothes, medical expenses, school lunch, extracurricular fees, etc), drives a new car, and claims to work 2 part time jobs (although I’m sure receives cash payments for the babysitting job) qualify for medicaid???????????????????

  • 18. Barbara Coovert  |  March 3rd, 2008 at 1:49 pm

    I have a neice that is confined to a wheelchair, can no longer write her name, cannot button buttons, cannot cook. She has been diagnosed with progressive MS and is in stage 2, whilch is the last stage. She has been told that she is being switched from Medicaid to Medicare. She will no longer have transportation to her Doc. She was told she will have to switch Doctors. Her income is only about 943. per month. Why are they doing this? They told her transportation would cost her from Muncie to her Doc s in Anderson $58. per trip if she goes on Medicare. After her rent and spend down she has very little left. Why is this happening?

  • 19. Denise  |  March 6th, 2008 at 8:45 am

    My sister is bi-polar and has been on ssi disability for 25 years. She is much worse now and is at the point that she needs assistant care. She has an income of $1400 a month from her disability. Is there a chance that she could qualify for medicaid.

  • 20. Jessica  |  March 18th, 2008 at 8:04 am

    My grandmother is terminally ill and as a family we have all taken care of her. Unfortunatley, it has come time to place her in a nursing home. She placed her house up for sale (about 8 months ago) to move closer to family, so we could care for her. The problem is her house is not selling, and she can’t afford to pay for the nursing home. She is 80 years old and has medicare, but is there any possibility she could still be eligible

  • 21. PEGGY MCCOY  |  March 26th, 2008 at 9:47 am

    WE KEEP GETTING THE COMMENT “ALERT! A MATCH WAS NOT ESTABLISHED BETWEEN YOUR NPI AND LPI. CONTACT YOUR MEDICAID FIELD CONSULTANT.

    PLEASE LET US KNOW WHAT WE NEED TO DO.

    DAVID W SMITH OFFICE
    PROVIDER # 100257090

  • 22. Barbara Stealy  |  April 3rd, 2008 at 10:57 am

    My parents are 87 and 89. If one is commited to nursing home facility and the other is at home and requies around the clock care, would they qualify for medicaid help and is so what is the first step I must do to get it?

  • 23. admin  |  April 3rd, 2008 at 11:02 am

    Barbara,

    Your best bet is to contact your local Medicaid Field Consultant in Indiana. You can view the map to find your agent by clicking here.

  • 24. Andrew  |  April 29th, 2008 at 4:18 pm

    I’m 53 years old and have had several illnesses in the past 3 years including, triple bypass. Pulmanary emboli, 2 recent hospital visits for sepsis.Both times I was in serious condition in icu.
    My Real Estate practice has droped of the past 3 years. Over the past several years my wife and I were paying 600.00 per month in insurance premiums, then it went to over 900.00 per month, which became unaffordable. All my Hospital expenses, surgical, doctor visits have totaled
    more than 100,000.00 Is there any help for us?. I’m sure at some point that the real estate market will improve along with my health. I’m hoping any help I receive will be temporary. Thanks

  • 25. cynthia harvey  |  April 30th, 2008 at 2:30 pm

    an adult in the state of indiana has to make less than 400 dollars a month to apply for medicaid. face it people, they do not want to give you health insurance. we are all expendable. the poor have no hope for their future. mitch daniels is an idiot, we have got to get that nazi out of office!

  • 26. Niquita  |  May 13th, 2008 at 1:06 pm

    i am a 21 years old and pregnant. My job had me thinking that i was signed up for insurance but when i went to the doctor recently i found out that i did not indeed have insurance. would i be eligible for medicaid?

  • 27. cindy  |  June 5th, 2008 at 9:14 am

    Does Medicaid in Indiana pay for translators?

  • 28. jrs  |  June 12th, 2008 at 8:54 pm

    are you required to give social security numbers of parents in order to get medicaid if you are pregnant?

  • 29. Norbert Wells  |  June 15th, 2008 at 7:21 am

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  • 30. Dayle Cantu  |  June 23rd, 2008 at 2:32 pm

    I have a friend whose son is Autistic. He says he doesn’t take him to therapy because he can’t afford it. Doesn’t Indiana Medicaid pay for this? And if not what type of assistance can he get for this situation?

  • 31. Toyya Durham  |  June 25th, 2008 at 6:06 pm

    I was diagnosed with MS in Aug 2005 and lost my job 2 years after that. Now because I have a pre-existing condition, I can’t get anyone to insure me. Do I qualify for medicaid?

  • 32. Toyya Durham  |  July 3rd, 2008 at 3:21 pm

    Hello, IS there anyone out there willing to help me? Your attention would be greatly appreciated. Thanks in advance

  • 33. Michele Short  |  July 7th, 2008 at 9:00 am

    I am currently unemployed and have lost my health insurance. My husband owns his own business and we have tried to get self employment insurance, we have been denied or the premiums are so high that we can not afford health insurance because I am a Type 2 Diabetic. Do I qualify for Medicaid?

  • 34. Frances  |  July 22nd, 2008 at 10:43 am

    I had West Nile Virus Encephilitis last year (2007). I lived in Ohio and was determined by SSA and Ohio Bureau of Rehabilation to be disabled. I was covered by Medicaid until the final determination, (it took 5 months), when the medicaid was back dated to August 29, 2007.
    I thought Indiana a quiet state, small town living, etc..etc. I faxed my application in on June 27, 2008. I still have yet to receive the release forms for my medical records. Yesterday I called and was told “it can take longer than 90 days”.
    I’m going to contact the Civil Rights regional office. I was told by an attorney that I am “categoricly eligible” and cannot be turned down, as all medicaid is federally funded.
    I just contacted Terry Austins office before I came to the library trying to search some more.

  • 35. Shelby  |  August 6th, 2008 at 12:21 pm

    Where do you report people who lied about income and number of household members in order to get Medicaid? I am sick of my tax dollars paying for perople like her who only want to scam the system.

  • 36. Barbara  |  August 20th, 2008 at 11:51 am

    I am just looking for advice. I work at a high school where we have a student that is 18 and fully emancipated. She had no contact with either of her parents, recently lived with an aunt and was kicked out. She has no insurance, car, etc. and is basically staying with friends or whoever will accept her.
    Is there any form of state aid available for her? She has a job and makes about $100.00/week. We are encouraging her to stay in school and graduate.

  • 37. Evelyn  |  September 21st, 2008 at 3:24 pm

    My sister who is 74 years old, had a stroke, and I am careing for her at home, which means I can’t work. She has a feeding tube, and is a bed patient. I do not have enough money to survive, and do not want her in a nursing home, Is there any help for the care giver in Indiana?

  • 38. Rebecca  |  October 9th, 2008 at 7:17 pm

    My boyfriend is 21 years old with a left leg amputation below the knee. He has applied for Medicaid and has heard nothing. His current prosthetic leg is slowly starting to fall apart, and we need help fast. He is a full-time college student, and his family has a very low income. Can he be eligible for Medicaid?

  • 39. Mary L. Faverty  |  November 20th, 2008 at 10:56 am

    I recently had surgery for left breast cancer which was in the lymph nodes
    and left breast. I thought my insurance would cover things but they do not.
    I am told I need heart scan, lung scan,brain scan to make sure it has not
    spread. Does medicaid help people like this? I also need radiation and
    chemotherapy as the follow-up from surgery. I am a 57 yr old single
    female. Do I qualify for any assisstance. Where can I go from here?
    Thank You! for your help!!

  • 40. Sharon  |  December 8th, 2008 at 6:09 am

    My husband had a heart transplant June, 2008. Because his pension (early retirement) is around 2,000 all the help he can get is a spend down. We are filing bankruptsy because we can’t afford his medicine and house payment too. When we call for advise we keep getting different answsers on out to go about meeting his spend down. Where can I find the correct information, without call the Govenor’s office again?
    Thank you,

  • 41. Adrienne  |  January 2nd, 2009 at 10:32 am

    I am now 35 weeks pregnant, I applied for medicade as soon as I found out which gay in May 2008. I continuosly checked my case status and made sure everything they needed was turned in. After calling several times and getting different information from a new person each time I called, I was told in Oct2008 that I had been denied for making too much money, I didn’t even have a job, I had no income, this made no sense to me.They sent me no notice or paper work explaining why or anything. When I asked them how could I make too much money with no income, noone could explain. I am now 35 weeks pregnant with no way of paying for my prenatel care or soon to be hospital bills. I have since reapplied and have yet to have any progress, what am I to do?

  • 42. Leigh  |  January 27th, 2009 at 3:27 am

    When a 16 yr old is living with his mom and the father has legal physical custody can the mother get him covered on medicaid under her

  • 43. Leigh  |  January 27th, 2009 at 3:27 am

    When a 16 yr old is living with his mom and the father has legal physical custody can the mother get him covered on medicaid under her in the state of IN

  • 44. Cathy  |  February 15th, 2009 at 8:54 pm

    I am 43 years old and single. My mom moved in with me and recently i quit my job and I am attending school full time. Am I eligible for medicaid?

  • 45. NIKKI  |  February 16th, 2009 at 1:04 pm

    I HAVE A QUESTION. I HAVE JUST BEEN REFERRED A 17 YEAR OLD CLIENT. HIS MOTHER IS ON MEDICAID AND HAS HAD TWO MAJOR SURGERIES, ONE IN NOVEMBER AND ONE IN DECEMBER. HER MEDICAL BILLS ARE IN EXCESS OF $100,000. HIS MOTHER WOULD LIKE TO OBTAIN A JOB, SO THAT SHE CAN FIND A PLACE OF HER OWN. HOWEVER, SHE IS WORRIED ABOUT LOSING HER BENEFITS, BECAUSE SHE SEES THE DOCTOR WEEKLY FOR HER MEDICAL PROBLEMS. WILL SHE IN FACT LOSE HER BENEFITS IF SHE STARTS WORKING?

  • 46. Shaina Dixon  |  February 25th, 2009 at 8:13 pm

    I just found out that I am pregnant. My husband and i make about 34,000 a year. He also has two kids which are with us from Thursday to Monday every other week and the week in between we get them on Thursday nights. He pays $164 a month is support. Will we qualify for medicaid?

  • 47. Marsha  |  March 30th, 2009 at 2:47 pm

    Can a college student on Medicaid maintain employment? If so, how much and can the student remain on this insurance?

  • 48. Marsha  |  March 30th, 2009 at 2:48 pm

    Can a college student on medicaid be employed? If so, is the insurance still valid?

  • 49. phyllis ward  |  May 4th, 2009 at 11:39 am

    my daughter has received a full scholarship in michigan for her masters program. she has a 5 yr old special needs daughter who receives traditional medicaid that will be staying here with us in indiana. what do we need as far as guardianship or power of attorney for my husband and i but that will not affect her medicaid?

  • 50. Suresh  |  May 18th, 2009 at 12:39 pm

    My mom (72 yrs) is an Indiana resident and is not eligible for Medicare. I see that she can apply for Medicaid as she has no income. But, the application asks for SSNs and DOB of family members (my wife, children and myself) in her Medicaid application. Will this infomation go in Public records? I don’t mind my mom’s. But, I don’t want mine or my family’s going into public records.
    Thanks…

  • 51. Suresh  |  May 19th, 2009 at 10:54 am

    My post has been deleted. Is there a need to furnish SSNs in the medicaid application of all family members of the applicant if they are not availing of any programs? Only the applicant is availing of “Health Coverage”. A reply will be greatly appreciated

    Thanks,

  • 52. Elizabeth  |  May 28th, 2009 at 9:52 am

    I am trying to find the income limits for a friend of mine. she is going to make about $400 per month and gets some child support for her 3 year old. She was told that the program was going to be underfunded because of the economy. Can you address this issue and give me income limits.

    thank you

  • 53. Kelsey  |  June 9th, 2009 at 8:57 pm

    I am 17 years old – the birth will be paid by my dad’s health ins – the baby will NOT be covered. Am I eligibile for health care for my baby. The baby will not qualify to be on my dad’s insurance.

  • 54. paulette martin  |  July 12th, 2009 at 8:12 pm

    i will be 62 in august 2009. I have applied for social secuirty for myself. My husband is i n a nursing home with terminal cancer receiving medicaid. i have dental problemss and need major repair(2900.00) what resources are available for me?

  • 55. Breeanna  |  July 24th, 2009 at 3:22 pm

    I am currently 5 month oregnant and am expecting in Nov. I have medicaid in Florida which i will cancel before i move on Sep. 1st 2009. I will need medicaid as soon as possible when i get to Indiana. Is there anyway i can speed up the process or even get a head start.

  • 56. carl  |  July 24th, 2009 at 6:04 pm

    My mother just was diagnose with pancreatic cancer medicare will cover 80% OF HER expense, now, the clinic said after medicare cover their portion a $6,000.00 this is $512.00 /treatment, the bill will be due 12 weeks after treatment. Our Famliy have been told to apply for medicaid.

    Income with mom and dad approx: 2,100-2,300 monthly my dad is a diabetic and he also need insulan shot which cost.

    Is thier any possiblilty that my mom would qualify for medicaid because of the cost of her medication in case her income exceeds the guidelines for medicaid.

    We still have not including her chemo bills, which are approx. 200.00/month after her discount 80% discount from medicare.

    Where is the compassion and care for the elderly after they have paid through the nose all their life.

    CAN ANYONE OFFER SOME SUGGESTION PLEASE?
    Thankyou!

  • 57. sophie young  |  July 26th, 2009 at 10:42 am

    I have a 13 year old who was dignosed with thyroid disease. My husband makes pretty good income however he has a $250.00.00 in student loan which he pays every month. After tax, after paying all the necessary bills like water , car insurance, etc. we have about $2,000.00 dollar left to eat and pay miscellaneous bills for family of six. We have a health insurance through his work but with $5,000 deductible. To buy other insurance, for our family it will cost $1,800 a month. Is there any way I can enroll my children in Hoosier Health Wise insurance? Thank you for your response.

  • 58. Brad  |  July 26th, 2009 at 1:23 pm

    why does it take 4 months for my husband to get medicaid when he is termonialy ill and with hospice this has been a hardship for him and myself cause i am taking care of him my self.we applied back in march 2007 and we still dont know nothing

    It took me 10 months to get Medicaid albeit I had to secure the help from Indiana Legal Services to obtain it and still a day late and a few dollars short. Because it took too long I now suffer permenant nerve damage because of the wait. So yes, the medical and legal communities let me down as my house was foreclosed upon and I now live in a 2 room apartment (far cry from 1500 sq. ft. 3 bedroom home). Yeah, I love this country too.

  • 59. Kristen  |  July 27th, 2009 at 10:10 am

    I was trying to find some way to get some form of insurance. I am a 19 year old working college student. I dont make that much and I have been having financial issues for a while now because I live with my boyfriend who just got a new job after being unemployed for 6 months. I was on my mothers insurance up until about a month ago because her insurance rates went up so high she can only afford to keep herself insured. I really dont think I can afford to pay for anything else and someone I worked with suggested medicaid

  • 60. Grandma55  |  August 7th, 2009 at 7:30 am

    I am all for helping those that actually need it. I have a niece that is perfectly capable of working but don’t, gets a support check, and unemployment benefits. Her children live with her mother. My husband and I live on 1 check a month and I have no health insurance because we just plain cannot afford it for me. I am 58 and my husband is 64. I would like someone to give me free health insurance too!! What about us older folks getting help istead of the “lazy” young ones?

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