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 health plan. Once the open enrollment period closes, you will stay with your selected health plan for the next 12 months, unless your Hoosier Healthwise eligibility changes. However, you can change your health plan doctor at any time by contacting MDwise customer service.
How to Renew Your Healthy Indiana Plan (HIP) Coverage
HIP members have the opportunity to change their health plan once a year during the Health Plan Selection Period (November 1 - December 15). This is a separate process from redetermination. For more information, visit the official FSSA HIP website.
You must complete a yearly redetermination process to maintain uninterrupted access to your Healthy Indiana Plan (HIP) benefits. This article will explain the Benefit Year, Redetermination Period and steps you need to follow to keep your HIP coverage active.
Understanding Your Benefit Year and Redetermination Period
Benefit Year
The HIP Benefit Year runs from January 1 to December 31. Other key points include:
- No change if you return during the year:
If you leave the HIP program and return within the same year, your Benefit Year remains unchanged.
Your benefit limits and POWER Account will reset each January.
- Health Plan Selection Period:
From November 1 to December 15, you can choose to stay with your current health plan or switch to a different one for the next Benefit Year.
Staying with MDwise
If you want to continue with MDwise as your health plan provider, no action is needed. Your coverage will automatically roll over to the next Benefit Year. MDwise is dedicated to serving your health care needs year after year.
If you wish to change your health plan, you can contact the enrollment broker at 1-877-438-4479 during the Health Plan Selection Period (November 1 - December 15).
Important Reminder on POWER Account Rollovers
To qualify for a rollover of any funds left in your POWER Account, you must complete your preventive services within the Benefit Year. Learn more about managing your MDwise POWER Account.
Redetermination
The Redetermination Period is separate from the Benefit Year. This period occurs every 12 months from when you were approved for coverage. During this time, you have the option to buy into HIP Plus.
Steps for the Redetermination Process
- Watch for mail from FSSA:
Approximately 45 days before your Redetermination ends, you’ll receive a letter from the Family and Social Services Administration (FSSA) with a redetermination review form.
- Review the form carefully:
If your health coverage is not automatically redetermined, you’ll need to review the information on the form. If anything has changed, update the form with the correct information.
- Return the form:
If you made changes to the form, be sure to return it to FSSA promptly.
Don’t Lose Your Coverage
Medicaid members need to act quickly to keep their MDwise coverage active. Failing to complete your redetermination can result in a lapse in coverage.
Keep Your Contact Information Updated
It’s essential to keep your address and contact information up-to-date with the FSSA. This ensures you receive important communications about your benefits. If you’ve moved or changed your phone number, notify your local Division of Family Resources office as soon as you can.
For further assistance or questions, contact your local Division of Family Resources or call the enrollment broker at 1-877-438-4479.