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Showing posts from November 24, 2019

Happy Thanksgiving

This Thanksgiving, Family Voices Indiana is thankful.......
Thankful for our board who volunteer their time to support our work
Thankful for our families and partner agencies who connect families who need our help
Thankful for our family leaders who juggle the needs of their own children with special health care needs to support the needs of others
Thankful for donors who support our efforts
From our families to yours....Happy Thanksgiving

Comparing Health Plans’ Benefits and Coverage Summaries

This fact sheet is intended to help Navigators answer specific questions that people with disabilities might ask about benefits and coverage available through the Health Insurance Marketplace Click here for a pdf version of this Fact Sheet Q1. What is the “Summary of Benefits and Coverage (SBC)”?A. All individual and group health plans participating in the Marketplace must use the same standard form, called “Summary of Benefits and Coverage (SBC).” Plans offered outside the Marketplace either through an employer or as individual coverage must also use the same standard form SBC. The standard form is an easy-to-understand, plain language summary about a health plan’s benefits and coverage. This information allows you to compare coverage for specific benefits offered by different plans. The SBC also includes details, called coverage examples, which allows you to see what the plan would cover in two common medical situations: diabetes care and childbirth. Q2. Why do I need to look at health…

IHCP enhances access to care for members with serious mental illness

IHCP enhances access to care for members with serious mental illness

The Indiana Health Coverage Programs (IHCP) will expand access to acute inpatient care for Medicaid members with serious mental illness (SMI) as part of an amendment to the current Section 1115 Healthy Indiana Plan (HIP) 2.0 demonstration waiver. Changes are scheduled to go into effect January 1, 2020, pending approval from the Centers for Medicare & Medicaid Services (CMS).

Changes will apply to all members who are between the ages of 21–64, which includes those enrolled in HIP, Hoosier Care Connect, Hoosier Healthwise, and traditional fee-for-service (FFS) Medicaid. The following eligibility groups are excluded from coverage:
  Limited Services Available to Certain Non-Citizens – Code of Federal Regulations 42 CFR 435.139
 Qualified Medicare Beneficiaries (QMBs) Only – Social Security Act 1902(a)(10)(E)(i); 1905(p)  Specified Low Income Medicare Beneficiaries (SLMBs) – 1902(a)(10)(E)(iii)
 Qualified Individ…

My kids are eligible for the Children’s Health Insurance Program. Can I enroll them in our Marketplace health plan and get premium tax credits for them instead?

My kids are eligible for the Children’s Health Insurance Program. Can I enroll them in our Marketplace health plan and get premium tax credits for them instead? You can add your children to your Marketplace plan, but because they are eligible for your state’s Children’s Health Insurance Program (CHIP), they are not eligible for premium tax credits. The exception to that is if you live in a state that has a waiting period for enrolling in CHIP. During the waiting period, your children are eligible for a premium tax credit; when the waiting period has ended they can enroll in CHIP and will become ineligible for the tax credit.