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Medicare & Medicaid in Indiana

Indiana hosts both Medicare and Medicaid programs. Medicare is aimed towards the elderly, whereas Medicaid is administered towards the financially needy. Where Medicare is administered by the federal government, Medicaid is administered by each individual state. Like all states, Medicare and Medicaid eligibility in Indiana depend on income levels.

  1. Medicare Eligiblility

    • Medicare is directed towards those aged 65 or over as well as the disabled. It pays for a portion of medical bills and is divided into four parts. Some patients receive one or all parts of medicare coverage. Part A, called hospital insurance, pays for costs associated with inpatient care at hospitals, psychiatric centers and nursing care facilities. Part B, known as medical insurance, covers all costs not covered in the first part. Part C is known as Medicare Advantage, is only available in some parts of the state and includes all services in parts one and two. Part D covers prescription drug coverage.

    Medicare Costs

    • The cost for medicare in Indiana is no different from the criteria in other states as it is regulated directly by the federal government. The cost for Part A is based on an individual's and spouse's social security credits. Part A is free for those with 40 credits or more. A monthly fee is charged for those with under 40 credits. Those already eligible for Part A may qualify for Part B for paying an additional premium. Part C is eligible to all who receive A and B, the premiums of which vary depending on the individual's medical needs. The prices for Part D depend on the prescription costs of the patient.

    Indiana Medicaid for Adults

    • The level of Medicaid coverage in Indiana, like all states, depends on an individual's financial need. For adults, Medicaid in Indiana is only available for pregnant women and those with cervical or breast cancer. Pregnant women may qualify if they have an income that is less than or equal to 150 percent of the Federal Poverty Line (FPL), which fluctuates every year. The coverage includes delivery, postpartum, family planning services and any treatment of medical conditions that may complicate pregnancy. Those with cervical or breast cancer must be under the age of 65 and have a family of income of less than 250 percent of the FPL.

    Indiana Medicaid for Children

    • All children under the age of 19 in Indiana qualify for Medicaid if their family income does not exceed 150 percent of the federal poverty line. In Indiana, Medicaid is administered as the Hoosier Healthwise program. No fees or premiums are charged for those who qualify under Medicaid. The services covered under Hoosier Healthwise include checkups, dental care, transportation, hospital care and doctor visits, prescription drugs and therapies, among others.

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