Indiana Health Insurance Consumer Help

Indiana does not operate a Consumer Assistance Program under the Affordable Care Act. The new consumer protections and benefits of the law still apply to you, however. 

The agencies listed below can help you take advantage of some of these new protections and benefits. They can answer your questions about different types of coverage.

If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder.  It will help you find and compare health care coverage options in your area.

If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in Indiana, contact:

Indiana Department of Insurance

311 W. Washington Street, Suite 100
Indianapolis, IN 46204
(800) 622-4461
idoi@idoi.in.gov
http://www.in.gov/idoi/

If you have a hard time affording health coverage and you have questions about eligibility or current Medicaid benefits, go to:  

Hoosier Healthwide (Indiana Medicaid and Children’s Health Insurance Programs)
Eligibility: http://member.indianamedicaid.com/am-i-eligible.aspx
Application: http://member.indianamedicaid.com/apply-for-medicaid.aspx
Benefit Questions (dependent on your health plan):

Anthem
http://www.anthem.com
(866) 408-6131

MDwise
http://www.mdwise.org
(317) 630-2831
(800) 356-1204

Managed Health Services (MHS)
http://www.managedhealthservices.com
(877) 647-4848

If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to:

Hoosier Healthwide (Indiana Medicaid and Children’s Health Insurance Programs)
Eligibility: http://member.indianamedicaid.com/am-i-eligible.aspx
Application: http://member.indianamedicaid.com/apply-for-medicaid.aspx
Benefit Questions (dependent on your health plan):

Anthem 
http://www.anthem.com
(866) 408-6131

MDwise
http://www.mdwise.org
(317) 630-2831
(800) 356-1204

Managed Health Services (MHS)
http://www.managedhealthservices.com
(877) 647-4848

If you have a question, complaint, or dispute regarding insurance you get through a “self-insured”  employer (typically a large company or one with locations in multiple states or countries), go to: 

U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 4-USA-DOL (866-487-2365)
http://www.dol.gov/ebsa/consumer_info_health.html

If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact: 

State Health Insurance Assistance Program (SHIP)
Toll Free: (800) 452-4800
Local: (765) 608-2318
http://www.in.gov/idoi/2495.htm

If you have been denied health insurance by private insurance companies because of a pre-existing condition, you may be eligible for a Pre-Existing Condition Insurance Plan (PCIP). Go to:

PCIP
National Finance Center
Pre-Existing Condition Insurance Plan
P.O. Box 60017
New Orleans, LA 70160-0017
(866) 717-5826
http://www.healthcare.gov/law/provisions/preexisting/states/in.html

If you are a veteran and have a question or concern about veterans’ health care benefits, go to: 

US Department of Veterans Affairs
(877) 222-VETS (8387)
http://www1.va.gov/health/

If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.

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