Member Newsletter

Your MDwise Health Plan

Important Information in Your MDwise Member Handbook

There is important information in your Hoosier Healthwise and Healthy Indiana Plan member handbook. The most up-to-date version can be found at MDwise.org . It includes: Your Rights and Responsibilities MDwise provides access to medical care for all its members. We do not discriminate based on your religion, race, national origin, color, ancestry, handicap, sex, sexual preference or age. Hoosier Healthwise and HIP Member Benefits and Services The complete list of benefits and services, including what is...

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Transition to Adult Care

As your child gets older, help them keep track of their health. Parents schedule doctor visits, fill out paperwork and take care of insurance. You will also need to help your child do this as they become an adult. This includes finding an adult doctor. If your child sees a family medicine doctor, you still need to teach your child to take care of their health. This new time of life can be hard. MDwise is here to help. Here are some tips: Young adults should change to an adult doctor between 18 to 21 yea...

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Know Who to Call When You Have a Question

Call MDwise if: You need to change your or your child’s doctor. MDwise can help find doctors close to you. You have a problem getting in to see your doctor. You do not think your doctor is doing a good job. You want to learn more about Hoosier Healthwise or HIP benefits. You lose your member ID card or need a replacement. You change your address or phone number. For questions, call MDwise customer service at 1-800-356-1204. We can provide language services or an interpreter if needed. Visit FSSA’s Benef...

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Affirmative Statement About Incentives

MDwise Medical Management makes prior authorization decisions. These decisions are based on the appropriateness of care and coverage rules. MDwise Medical Management does not receive incentives or rewards, financial or otherwise, for making denial decisions. MDwise Medical Management is not rewarded for making Utilization Management decisions to decrease utilization of services by MDwise members.
How to Appeal a Decision

You have the right to appeal if you receive a denial from MDwise. An example of such a decision may be a denial of coverage or services. You will receive a letter with the decision and your right to appeal. This letter will also include the steps to start an appeal. You can ask someone like your doctor to help you. How to File an Appeal: Step 1. Submit your appeal . You may file a grievance at any time. You may send us a letter or appeal over the phone. You may call MDwise customer service at 1-80...
We Put Our Members First!

MDwise values everyone we serve. We pledge to give each member the best care possible regardless of race, ethnicity, gender identity, sexual orientation, cultural background or language. To ensure that we are meeting everyone’s needs, our team may ask you questions about your background and preferred language. You can update your information today by calling our customer service line 1-800-356-1204 or visiting your MyMDwise account . Your information is confidential. Sharing it is your choice. Remember,...
Stick with MDwise for Coverage that Goes Above and Beyond

All members must have their eligibility renewed every 12 months. This annual process is used by the State to determine if members remain eligible for another year of coverage. To keep your health coverage active, you need to: Update your demographic and income information in the FSSA portal. Upload any requested documents. Visit the FSSA portal at https://fssabenefits.in.gov/bp/#/ today to continue accessing high-quality healthcare and benefits through MDwise! Need assistance? Call 833-414-1997. Hoosier...

Questions about Your Plan?

Healthy Indiana Plan

Hoosier Healthwise

Benefits Beyond Health Insurance

NURSEon-call

MDwise would like to remind members that they have access to a Registered Nurse 24/7 by calling our toll-free Customer Service Line at 1-800-356-1204. Members can select option #1, then option #4. In addition to providing access to a Registered Nurse and triage, members can also access an audio library with over 100 topics.

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SMOKE-free

Have you been wanting or trying to quit smoking, vaping or using tobacco? By quitting you are making positive steps towards a healthier life. Quitting is not easy, so do not give up, because with determination and support it is possible. It is never too late to quit and there are resources available to help you.

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myMDwise Member Portal

Visit the member portal, myMDwise , at MDwise.org/myMDwise to learn more about your plan. On the portal, you can sign up to get more information about your coverage and claims. You can also call MDwise customer service at 1-800-356-1204 if you have questions about your benefits.

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MDwiseREWARDS

MDwiseREWARDS is a rewards program for every MDwise member. You don’t have to sign up to earn dollars. You are automatically enrolled. Earn dollars for a variety of activities, like going to your doctor appointments. Then shop for gift cards with your dollars. Visit the MDwiseREWARDS page to learn more.

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Steps to Wellness

Diabetes

Caring for yourself or someone you know with diabetes can be challenging. Understanding diabetes will help you understand the treatments that are recommended. You will learn how to manage your blood sugar, also called glucose. You’ll also learn how diet and exercise affect your glucose levels. Risk factors for diabetes include family history, weight, high blood pressure, high cholesterol and lack of exercise. Some groups of people including African Americans, Hispanic Americans and Native American...

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Managing Allergies and Asthma

When you have allergies, your body's defense system (immune system) reacts to certain things that are in the air you breathe or that you touch, like dust or pollen. These things are called allergens and they can trigger an allergic reaction. If you have allergy symptoms, your doctor may do a skin test to find the cause. To do this test, your doctor puts some possible allergens on your skin to see which ones cause a bump. This shows what you are allergic to. There is no cure for allergies. But you can ma...

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Pregnancy Care

Starting your pregnancy care in the first trimester (12 weeks) is very important. It is key for having the best outcome for your pregnancy. Here is a suggested schedule for prenatal visits during your pregnancy. One visit every four weeks until you are 28 weeks. From 28 weeks to 36 weeks, you should be seen once every two to three weeks. Once you are 36 weeks, you should have weekly appointments until you have the baby. Your provider may want to see you more often. It is important that you go to all you...
Talking with Your Doctor or Health Care Provider

You can play an active role in your health care by talking with your doctor or health care provider. Clear and honest communication between you and your physician or health care team can help you both make informed choices about your health. It’s important to be honest and upfront about your symptoms even if you feel embarrassed or shy. Have an open dialogue with your doctor or health care provider— ask questions to make sure you understand your diagnosis, treatment and recovery. Here are a few tips tha...
Eyes Open for Clear Vision

It is important to see an eye doctor, just like going to the doctor or dentist. The Center for Disease Control (CDC) recommends that children and adults get regular eye exams. Regular eye exams help catch issues early to avoid eye disease. Here are tips for healthy eyes and clear vision. Get routine eye exams. Know your family history. Eat healthy. Quit smoking. Limit screen time. Wear sunglasses. Control blood sugar levels if you have diabetes.
Have You Heard About 9-8-8 Crisis Line?

The 9-8-8 crisis line is a hotline created to help people who are having a hard time with their mental health. The hotline offers a direct connection to compassionate, accessible care and support for anyone experiencing mental health-related distress. Please call if you have thoughts of suicide, mental health crisis, substance use crisis or any other kind of emotional distress. The 9-8-8 crisis line is a phone number that is easy to remember and will be answered by trained crisis counselors who will lis...