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HIP to Medicare
Healthy Indiana Plan (HIP) members lose HIP eligibility when they turn age 65 or become enrolled in Medicare for another reason (disability, end stage renal disease, and others). There are many considerations and actions needed to successfully make the transition and avoid higher healthcare costs.
For example, members who are no longer eligible for HIP may be eligible for a Medicaid category change to the Medicare Savings Program (MSP). While the income limits for MSP may be higher, the resource limits can create a barrier for Hoosiers to make a smooth transition. It is important for HIP members who enroll in Medicare to contact the Family & Social Services Administration (FSSA) by phone or in person at the beginning of the month before their Medicare starts to request a Medicaid category change.
While Indiana Certified Navigators should feel equipped to assist with MSP applications, State Health Insurance Assistance Program (SHIP) counselors are the best referral for the needed Medicare decisions. SHIP counselors can also help with MSP applications. You can contact SHIP at 800-452-4800.
SHIP’s article, Healthy Indiana Plan (HIP) members will lose HIP eligibility when they turn age 65 or become enrolled in Medicare, includes a checklist for HIP members to successfully make the transition.
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