Indiana Medicaid: An Overview of Indiana Medicaid Eligibility 
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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21 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. 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?
18. 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.
19. 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
20. 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?
21. 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.
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