Member Newsletter

Your MDwise Health Plan

MDwise Earns NCQA Health Equity Accreditation

The National Committee for Quality Assurance (NCQA) is a non-profit organization that works to improve health care quality in the United States. NCQA is nationally accepted as a leader in measuring quality and equity in health care. MDwise understands how critical it is for families in Indiana to have a fair opportunity to live quality, healthy lives. We are proud to announce that MDwise has earned NCQA Health Equity Accreditation. This recognition highlights our commitment to delivering high-quality, e...

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Where Can I Find More Information About My Pharmacy Benefits?

For more information about your pharmacy benefits, you can see the latest Hoosier Healthwise and Healthy Indiana Plan (HIP) member handbook on our website. For HIP members, visit us at HIP Pharmacy Benefits For Hoosier Healthwise members, visit us at HHW Pharmacy Benefits . The member handbook includes pharmacy benefit information and the following: Your rights and responsibilities as an MDwise member. Member benefits and services. Information on new health technology.

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Language Help and Your Rights

Do you need help with reading or speaking English? Is vision or hearing loss an issue when visiting your doctor? If you need a sign language interpreter or a native language speaker/interpreter, MDwise can help. MDwise can also send you printed materials in your language or a different format like large print or braille. Members can view the MDwise website in many languages. All these services are free to members. If you need help reading anything we have sent you or need to talk to someone in your lang...

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How Can You Better Understand Your Prescription Drug Coverage?

MDwise uses a company called MedImpact to provide quality and affordable prescription drug coverage for you and your family. This allows MDwise to get you the most from your Hoosier Healthwise (HHW) and Healthy Indiana Plan (HIP) benefits. Together with MDwise, MedImpact manages the list of covered drugs called a Formulary. It is important you understand what drugs are covered on the formulary. Using the formulary will help you work with your doctors to get the most out of your benefits for you and your...
What is Prior Authorization for Prescriptions?

When your doctor decides you should take a medicine that requires Prior Authorization (PA), he or she must ask about it first. This is called Prior Authorization because your doctor has to get approval before the medicine is covered. MDwise works with a company called MedImpact for pharmacy benefits and prior authorization. A team at MedImpact will review the PA request from your doctor. You can contact MedImpact at 844-336-2677 for more information about Prior Authorization. Your doctor can also contac...
MDwise Quality Improvement Program 2024

At MDwise, we strive to help you stay healthy and receive the best care possible. Our Quality Improvement program is always looking for new ways to help you improve your health. All MDwise members deserve health services that are high quality, safe and culturally appropriate. MDwise gathers information from claims, member surveys and provider surveys to understand what areas need improvement. This also helps us to work with doctors to make improvements and provide better information for members. In the ...
MDwise Annual Member Satisfaction Survey Results

As an MDwise member, it is important for you to know about our member survey, called CAHPS (Consumer Assessment of Healthcare Providers and Systems). We use CAHPS data to see if members are receiving the right type of care and how happy members are with the care they receive. Your opinions from the CAHPS survey help us in securing high quality, safe and culturally appropriate health care. Below are some of the ways MDwise works to help you stay healthy. Areas of strength for 2023/24: Highly rated health...
Open Enrollment for Hoosier Healthwise and HIP

Open Enrollment for Hoosier Healthwise Members Hoosier Healthwise members are often enrolled in their selected health plan for a one-year period. If you are currently enrolled in the MDwise health plan, you have 90 days from your initial enrollment to decide if you want to remain with MDwise or switch to another health plan. After this 90-day window, your next opportunity to change plans will be your annual open enrollment period. During open enrollment, you can review your options and choose a new heal...

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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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WEIGHTwise

MDwise's WEIGHTwise program offers tracking tools, calculators, and other resources to help you control your weight.

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Low-Cost Internet Service through HELPlink

Many internet providers across Indiana offer low-cost internet programs. MDwise members could qualify for these low-cost options. To find these programs in your area, visit HELPlink at MDwise.org/gethelp . If you do not have access to the internet, call customer service at 800-356-1204.

See if you qualify

Steps to Wellness

Have you been told that you have COPD or Emphysema?

By Dr. Jeffrey Wheeler, MDwise Chief Medical Director What is COPD? COPD (Chronic Obstructive Pulmonary Disease), often referred to as “emphysema” and “chronic bronchitis”, is a common breathing problem. COPD is caused by scarring and damage to your lung. Smoking is the most common cause of this damage. People with these problems may have a cough that is regular or comes and goes, shortness of breath that comes and goes or both. Sometimes people notice a wheezing sound, but this does not hap...

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MDwise Helps Members Manage Their Health

MDwise has special programs for members with certain health conditions. We call these programs INcontrol. These special programs are for: Chronic Obstructive Pulmonary Disease (COPD). Asthma. Diabetes. Coronary Artery Disease (CAD) High blood pressure. Depression. Congestive Heart Failure (CHF). Autism spectrum disorders. Attention Deficit Hyperactivity Disorder (ADHD). Post-Traumatic Stress Disorder (PTSD). Chronic kidney disease. Sickle Cell Disease. Smoking and tobacco use. Pregnancy (BLUEBELLEbeginn...

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Sudden Infant Death Syndrome (SIDS)

Sudden Infant Death Syndrome (SIDS), is the sudden death of a baby younger than one year of age where no known cause of death is found even after an investigation. It's important to note that when a baby unexpectedly passes away, SIDS is not always the cause. Other causes such as injuries or accidents are known as Sudden Unexpected Infant Death (SUID). There are several risk factors for SIDS that members should be aware of. These factors include: Sleep position. Birth-related factors. Prenatal/pre...

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Focusing on Health Literacy

MDwise believes it is important for our members to have a good understanding of health literacy. Health literacy is defined as, “the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions.” A lack of health literacy can affect your overall health and wellness. Having a better understanding of health literacy helps members self-manage their health. This helps members use health care services more ef...
Earned Income Credit

Did you know if you are single making less than *$18,591 per year and/or have children you may qualify for the Earned Income Tax Credit (EITC)? Low- to moderate-income workers and those with eligible kids may be able to get an Earned Income Tax Credit. Qualifying kids: Have a valid Social Security number . Cannot be claimed by more than one person . Meet all 4 tests for a qualifying child shown below. Age. Relationship. Residence. Cannot be claimed on any other tax return. Learn more c...
Understanding and Managing Depression

Feelings of sadness or a loss of interest is a mood disorder called Depression. People often say you can “snap out of it”, but it is not that easy. The good news: medication, talk therapy or both can help you feel better. In 2023, a national survey said nearly three in 10 adults have depression. The symptoms are different for everyone and are mild to severe. Depression can cause problems in the things you do each day, your relationships or have you feeling unhappy. A few symptoms are: Feeling sad or hop...
Flu Shot Season

Everyone older than 6 months old should get a flu shot every year. The flu can make you and your loved ones very sick. In some cases, it can cause death. The best protection you can get is with a flu shot every year. Flu season usually lasts from October through May. It is best to get the flu shot as soon as it is available. If it is still flu season, it’s not too late to get the flu shot. Some people are at higher risk for getting the flu and are more likely to have complications from the flu. Children...
Back-to-School Dental Tips

By Dr. Lisa Knowles, MDwise Director of Dental Programs It’s back to school time, and it’s back to having after school snacks on hand. There are many snacks to choose from as you work to fill your kids’ bellies. Some are better than others, especially when it comes to the health of their teeth. As a dentist, I can tell you many parents do not know how sugar can sneak into their kids’ diet. You would think fruit snacks are healthy because they contain fruit. However, the amount of real fruit in those kin...