Frequently Asked Questions

What is the difference between Medicare and Medicaid?

Medicare is the federal health insurance program for:

  • People who are 65 or older
  • Certain younger people with disabilities
  • People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
Medicaid is a joint federal and state program that, together with the Children’s Health Insurance Program (CHIP), provides health coverage to over 72.5 million Americans, including children, pregnant women, parents, seniors, and individuals with disabilities. Medicaid is the single largest source of health coverage in the United States.



What is the difference between an HPE, a Pregnancy HPE and annual forms of HIP?

Presumptive eligibility (PE) is a process that offers short-term coverage of health care services for those with limited incomes who are not currently receiving Medicaid.

  • If you qualify as a pregnant woman, you will be eligible for doctor visits, tests, lab work and other care for your pregnancy through fee for service. You will also have coverage for prescription drugs, and transportation services to doctor appointments. This will not cover labor and delivery costs.

The HIP Plus program provides comprehensive benefits including vision, dental and chiropractic services for a low, predictable monthly cost. With HIP Plus, members do not pay every time they visit a doctor or fill a prescription. HIP Plus allows members to make a monthly contribution to your POWER account based on income.



How does the healthcare Marketplace work?

The Health Insurance Marketplace (also known as the “Marketplace” or “exchange”) provides health plan shopping and enrollment services through websites, call centers, and in-person help. ... When you apply for individual and family coverage through the Marketplace, you'll provide income and household information.



What is a Qualifying Life Event?

Qualifying Life Event (QLE): A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period.



How long does it take for a HIP application to be approved?

The HIP application can take from 30 to 45 days to be approved. Getting all requested documentation to the FSSA in a timely manner will help to expedite the process of approval.



What do I need to turn in for state program eligibility?

Proof of all sources of income (paystubs or tax return, Social Security, Supplemental Security Income, Veteran's benefits, retirement accounts, and any other income). Proof of assets and other resources: include copies of bank statements or other financial resources if directed on your Medicaid application.



Where can I find the WellFund?

The WellFund has offices in each Community Health Hospital (North, South, East and Kokomo). They work from 8 to 4:30pm Monday thru Friday.

There is also a Call Center located in Greenwood IN that can answer your questions by phone at 855-365-9300 Monday thru Friday 8 to 5pm.



What is the best number to call when I want to follow up on my case?

  • The WellFund Call Center 855-365-9300

  • The FSSA 800-403-0864



What is a Medicare Savings program?

Medicare Savings Programs (MSP) are federally funded program administered by each individual state. These programs are for people with limited income and resources and help pay some or all of their Medicare premiums, deductibles, copayments and coinsurance.



I am not a citizen- is there help available to me?

Immigrants who are “qualified non-citizens” are generally eligible for coverage through Medicaid and the Children's Health Insurance Program (CHIP), if they meet their state's income and residency rules. ... Lawful Permanent Residents (LPR/Green Card Holder)

You may also be eligible for The Healthcare Marketplace if you are a Lawful Permanent Resident.