Covering Kids & Families
Children's Special Health Care Services (CSHCS) provides supplemental medical coverage to help families of children who have serious, chronic medical conditions, age birth to 21 years of age, who meet the program's financial and medical criteria, pay for treatment related to their child's condition. Income Eligibility: The gross household income must be less than or equal to 250% of the federal poverty income guidelines. Household means a group of related or non-related individuals who are not residents of an institution, but who are living as one economic unit. CSHCS defines a pregnant woman as one family member. The applicant must also be medically eligible to receive services.
Lake County Division of Family Resources - Crown PointGovernment
Zip Codes: 46303, 46307, 46311, 46341, 46355, 46356, 46373, 46375, 46376, 46377
Lake County Division of Family Resources - East ChicagoGovernment
Zip Codes: 46312, 46319, 46322, 46394
Lake County Division of Family Resources - HammondGovernment
Zip Codes: 46320, 46321, 46323, 46324, 46325, 46327
Lake County Division of Family Resources - HobartGovernment
Zip Codes: 46342, 46405, 46410, 46411
Lake County Division of Family Resources - Gary (Broadway)Government
Zip Codes: 46401, 46402, 46403, 46404
Lake County Division of Family Resources - Gary (Ridge)Government
Zip Codes: 46406, 46407, 46408, 46409
1313 W Chicago Ave
East Chicago, In 46312
Regional Health Clinic - East ChicagoNonprofit
Regional Health Clinic - Hammond - Hohman AveNonprofit
Regional Health Clinic - Hammond - State StNonprofit
Regional Health Clinic - MerrillvilleNonprofit
Community HealthNet strives to service the medical needs of all individuals and families regardless of their ability to pay. You do not need to be a patient to access free assistance to enroll, retain and understand healthcare coverage. Our Licensed Navigators can help you enroll in, understand, and use coverage and assistance programs. * Medicaid *Hoosier Healthwise *HIP *Federal Marketplace *SNAP *TANF CALL US AT 219-359-4826 FOR FREE, UNBIASED, LOCAL HELP!
Covering Kids & Families
OPEN ENROLLMENT is November 15th – December 15th The Marketplace is a way to find health coverage that fits your budget and meets your needs. With one application, you can see all your options and enroll. When you use the Healthcare Insurance Marketplace, you will fill out an application and find out if you can get lower costs on your monthly premiums for private insurance plans. You will also find out if you qualify for lower out-of-pocket costs. The Marketplace will also tell you if you qualify for free or low-cost coverage available through Medicaid or the Children's Health Insurance Program (CHIP). Our local Covering Kids & Families office can help you apply or answer questions after you have applied. You may enroll outside of open enrollment if you have a qualifying event, such as the birth of a child. If you experience trouble with the website, you can call for information at 1-800-318-2596 or contact your local Covering Kids & Families office. If you need help signing up for insurance, a local Covering Kids & Families office will help you through the application process.
Covering Kids & Families
The Hoosier Healthwise Program is a health care program for low income families, pregnant women, and children. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, and family planning at little or no cost to the member or the member's family. Hoosier Healthwise covers many different types of people: Children up to age 19 Pregnant women Parents/Guardians of children under the age of 18. The Children's Health Insurance Plan (CHIP) for children up to age 19, falls under the Hoosier Healthwise program. In CHIP your child may be covered by paying a low-cost monthly premium. This option is available to members who may earn too much money to qualify for the standard Hoosier Healthwise coverage. There are several benefit packages in Hoosier Healthwise. When you submit an application, the state will determine your eligibility and select the Package that is right for you. Most children will fall into the Hoosier Healthwise Program Package A or C. You may qualify for one of these two benefit packages based on income. Package A - Standard Plan is a full-service plan for children, pregnant women, and families. Members have no premiums to pay but may have a $.50 to $3.00 co-pay for pharmacy, transportation and emergency services. Eligibility Criteria: Income up to 150% FPL (Federal Poverty Level) Does not count resources Can have private insurance Comprehensive plan No co-payments for children or pregnant women Over the Counter (OTC) drugs covered Coverage goes back 90 days prior to date of application Package C - Children's Health Insurance Program (CHIP) is a full-service plan for children only. There is a small monthly premium payment and co-pay for some services based on family income. Eligibility Criteria Income up to 250% FPL (Federal Poverty Level) Does not count resources Limited benefit plan Premiums and co-pays based on income Cannot have private insurance Caps on Durable Medical Equipment of $2000/yr or $5000/lifetime Over the Counter (OTC) drugs not covered Coverage goes back to the 1st of the month the application was made You cannot have private health insurance to qualify for Package C.
Covering Kids & Families
Traditional Medicaid is a healthcare program for low-income individuals with disabilities that offers medical care such as doctor visits, prescription drugs, dental and vision care, family planning, mental health care, surgeries and hospitalizations. When you apply for Medicaid Disability, you will need to apply at the Social Security Administration office to determine disability eligibility. Once that has occurred, then Medicaid will be notified and you will be informed about insurance options. Eligibility Criteria Must meet disability requirements Does count resources/assets over $2000 Single or $3000 Couple, allowing for house and 1 vehicle Resources include savings, retirement (401K) plans, life insurance with cash value, land, farming equipment, etc. Does not count parent's income/resources for children over age of 18, regardless of school status Comprehensive plan with no cap for Durable Medical equipment (DME) Children CAN be enrolled in Medicaid Disability (MAD) Who is eligible? Like other health care programs, eligibility and coverage are based on the member's aid category. The following members will be covered by Traditional Medicaid: Aged Blind Physically and mentally disabled Members in the waiver program Members dually eligible for Medicare and Medicaid Members in nursing homes, intermediate care facilities for the mentally retarded and state-operated facilities Members in the hospice program Undocumented aliens Traditional Medicaid Services Generally, the following services are covered by Traditional Medicaid. This list does not include everything Medicaid covers. Preventive Services - This includes medical services like: Family Planning Prescription Drugs Doctor Office Visits Behavior and Mental Health Services - Coverage includes outpatient mental health services you receive from: Physicians Local Center for Mental Health Social workers in your community Eye Care - Coverage includes exams and glasses every two years Diabetes Self Care Management Training - Activities include: Nutrition Medication counseling Blood glucose self-monitoring Insulin injection Foot, skin and dental care Inpatient/Outpatient Hospital Care - Services include: Rx Drugs Laboratories, X-rays Other diagnostic tests that are considered medically necessary Home Health Care & Services - Medicaid covers: Durable Medical Equipment (DME) Incontinence Supplies Medical supplies, equipment, and appliances Transportation - Medicaid will pay for up to 20 one-way trips without prior authorization. Dental - Covered services include annual exams and preventive care. Pregnancy Care - Medicaid covers: Prenatal Care Delivery Midwife Services Emergency Care - Medicaid benefits include Hospital Admittance Transportation Medically necessary screening services Hoosier Care Connect Hoosier Care Connect is a health care program that is designed to serve Medicaid recipients who may have special health needs or benefit from specialized attention. In Hoosier Care Connect you pick a primary doctor and a health plan by choosing one of the Care Management Organizations (CMOs) contracted with the state to coordinate your health care needs. The CMO will assist you in coordinating your health care benefits and tailor them to your individual needs, circumstances and preferences. Hoosier Care Connect is for Medicaid Enrollees: Aged (65 and older) Blind Disabled Individuals receiving Supplemental Security Income Wards and Fosters M.E.D. Works enrollees Hoosier Care Connect members receive all Medicaid covered benefits in addition to care coordination services. Care coordination services will be individualized based on an enrollee’s assessed level of need determined through a health screening.
Regional Health Systems
Meet one of our Navigators and sign up for Medicaid if qualified or find information for insurance on the Marketplace
8555 Taft Ave
Merrillville, IN 46410
Jasper & lake & laporte & porter & Pulaski & Stark County