Tuesday, March 3, 2015

Information about Hoosier Care Connect Health Plans

On April 1, 2015, the new Hoosier Care Connect program will begin serving eligible aged, blind and
disabled Medicaid members.  Individuals enrolled in Medicare, and those residing in an institution or receiving services through a home and community-based services (HCBS) waiver, will not be eligible for Hoosier Care Connect.

As a Hoosier Care Connect member, you will receive all Medicaid covered benefits in addition to care coordination services. Care coordination services will be based on your needs.  You will need to choose a health plan that, along with your doctors, will coordinate your care. If you do not choose a health plan by June 15, 2015, a plan will be chosen for you.

You will still have Medicaid and will receive full Medicaid benefits as a member of Hoosier Care Connect.

You will continue to receive any services that have been authorized for up to 90 days or until the authorization ends.

What is a health plan?

A health plan is a group of doctors, pharmacies and hospitals that work together to help you get the health services you need. You may choose one of the following three health plans: Anthem, Managed Health Services (MHS) or MDwise. All plans offer the same Medicaid services but may work with different doctors or hospitals and may offer special programs that you would like.  A Health Plan Summary sheet with more information about the health plans is included below



Action Needed

 Review the Health Plan Summary Sheet to learn more about the different health plans (Anthem,
MHS and MDwise) and decide which is best for you. Call the Hoosier Care Connect Helpline to
learn more and to see if your doctor works with the health plan you choose.

 Call the Hoosier Care Connect Helpline to choose your health plan.  It is better for you to
choose, so you can get the care you need from your own doctor who knows your medical history.

 Choose a health plan by June 15, 2015, or one will be chosen for you.

 Continue to use your existing Medicaid card during this transition.

Need more information?

 Call the Hoosier Care Connect Helpline for more information at 1-866-963-7383.

 You can also attend a meeting to learn more or ask questions.  Meetings will be held in different
locations across the state.

4 comments:

Lmm said...

I screwed up trying to stay with my primary. I lost my pain management Doctor. In. The process. Now my health care has gone from so-so to horribly awful. I might as well not have insurance, it's not helping my quality of care. I'll probably end up dead because of no medical care having Hoosier me wise is just helping me to the grave.

Long Time Indianapolis Resident said...

Did you know that once you are in Care Connect, you cannot appeal for a Medicaid Waiver if health is declining? Once in Care Connect, you are stuck. No access to pain docs and limited specialists. Governor Pence and the Indiana General Assembly have created illegalities with CMS when they established Care Connect.

FV Indiana said...

Lmmm, please contact us if you still need help locating providers. 317 944 8982 info@fvindiana.org

FV Indiana said...

Long Term Resident,

You can apply for a Medicaid waiver at any time. You would probably be switched from Hoosier Care Connect to a different type of non-managed care Medicaid. If it's health related, Aged/Disabled might be most appropriate. You would contact the AAA in your area. If it's developmentally based, you could apply at BDDS. There is a waiting list for some services through BDDS. Please feel free to contact us if you need more info: 317 944 8982 info@fvindiana.org.