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Qualifications for Indiana Medicaid

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    Pregnant Women

    • A pregnant woman with a family of two may receive full coverage if her monthly income does not exceed $229.50 after eligible deductions. A pregnant woman in a family of two with income at or below $2,429 monthly may receive Medicaid pregnancy coverage only. Unborn children are included when calculating household size. Additionally, you may have up to $1,000 in assets such as bank accounts or property. A vehicle valued at $5,000 or less, your home and household goods are excluded from asset limits.

    Adults

    • As of 2010, adults in a family of three with dependents may qualify for Medicaid if their monthly income is $288 or less after deductions, and the $1,000 asset limit applies. Uninsured adults age 19 to 64 without dependents may qualify for the Healthy Indiana Plan (HIP) if their income does not exceed 200 percent of the Federal Poverty Level (FPL). You are responsible for HIP member contributions and co-pays based on a sliding scale depending on your income.

    Children

    • Children up to age 19 may qualify for the Hoosier Healthwise Package A if their monthly income does not exceed $1,822 for a family of two, as of 2010. Hoosier Healthwise Package C candidates may have a monthly income at or below $3,036 for a family of two. With the Hoosier Healthwise C package, you are responsible for some premium payments and co-pays based on your income.

    Medicare and Medicaid

    • Individuals enrolled in Medicare may be eligible for Medicaid. If your income is 100 to 120 percent of the FPL and you have assets valued at $4,000 or less, Medicaid pays a portion of your Medicare premiums, deductibles and coinsurance costs. Married couples may have assets valued at $6,000. If your income is between 120 and 135 percent of the FPL, Medicaid pays for part of your Medicare Part B premium. Additionally, working disabled individuals may receive Medicaid coverage if their income does not exceed 200 percent of the FPL and they are enrolled in Medicare.

    Waivers

    • Medicaid waivers are available to disabled and elderly individuals with complex health problems or developmental conditions if their income does not exceed 300 percent of their current Supplement Security Income (SSI). The waivers provide health care if you are not eligible for traditional Medicaid due to income.

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