DON’T LET YOUR QUESTIONS
KEEP YOU FROM GETTING
THE INSURANCE YOU NEED.

Frequently Asked Questions

Q: What’s a health care Navigator?

A: Community Health Centers (CHCs) that receive federal funding staff a state Navigator as a free resource to you. The Individuals can help you through the entire process of enrollment and beyond, relieving the stress and confusion of the enrollment process. Find a CHC here or search directly for a Navigator here.

Q: How Does Health Insurance work?

A: Watch this short video.

Q: What is the Affordable Care Act and Obamacare?

A: You’ve probably heard of Obamacare. Obamacare is a name used for the Patient Protection and Affordable Care Act (ACA). The ACA is a health care law that improves health care and health coverage and adds new benefits and protections. The ACA makes health coverage mandatory for most Americans.

What does the ACA do?

A: The Affordable Care Act…

  • Makes health coverage available regardless of health status, illness, or pre-existing conditions
  • Provides access to free preventive services like vaccines, well visits, and screenings
  • Establishes an online Marketplace called HealthCare.gov for purchasing health coverage
  • Makes health coverage more affordable for Hoosiers with Cost Sharing Reductions and Premium Tax Credits
  • Sets a specific time during the year for health coverage enrollment called an Open Enrollment Period (November 1 – December 15, 2017)
  • Allows young adults to stay on a parent’s plan until age 26
  • Mandates coverage of 10 essential health benefits
  • Expands Medicaid (also called Indiana Health Coverage Programs) for Hoosiers up to 138% of the federal poverty level

Q: What is the Health Care Insurance Marketplace?

A: The Marketplace, at HealthCare.gov is a “one-stop shop” to find and compare affordable, quality, private health coverage options. You may be eligible for a tax credit that lowers your monthly cost for health coverage. Learn more

Q: What are the things my Health Insurance Plan must cover?

A: Free preventive care, prescription coverage, mental health services, emergency services & hospitalizations, maternity care, and infant & children’s care

Q: When is Open Enrollment for the MarketPlace?

A: Open Enrollment is November 1 РDecember 15, 2017, but you might be eligible for a special enrollment period.

Q: What is Medicaid?

A: Indiana Medicaid is a public health coverage program which provides free or low-cost health coverage to low-income children and adults, former foster children, and individuals who are blind, disabled, or aged.

Q: What kinds of health coverage options are there under Indiana Medicaid?

A: There are many health coverage options under Indiana Medicaid:

  • Hoosier Heathwise
  • Hoosier Care connect
  • M.E.D. Works
  • Healthy Indiana Plan
  • Traditional Medicaid
  • Waivers
  • Medicaid Pharmacy Benefits
  • Presumptive Eligibility (PE)
  • Presumptive Eligibility for Pregnant Women (PEPW)
  • Family Planning Eligibility Program
  • Home and Community-Based Programs

Q: What’s the Open Enrollment period for Medicaid?

A: Enrollment is always open for Medicaid. You can apply anytime.

Q: What if I don’t have insurance?

A: You’re required to apply for an exemption or pay a penalty. Learn more about Coverage Exemptions and Fees for Not Being Covered.

Q: Everything looks so expensive. Is there assistance available?

A: Financial assistance is available. In Indiana, 88.5% of Hoosiers receive a tax credit to help pay for health insurance. An Indiana Navigator can help you find out what you qualify for.

Q: What should I bring to my appointment with a Navigator?

A: You will need the following for your appointment:

  • Social Security Number for all those applying
  • Birth date for all those applying
  • Proof of income (pay stubs or W-2 forms work great)
  • Information about your employer (address and phone number)
  • Policy numbers for any current health coverage
  • Know your email address and password if you have one