Indiana student health insurance is a necessary requirement for most full-time students. Rates are generally very affordable and often, purchasing a private medical plan is the best option. We help you find the most affordable policies offered on or off the Indiana Health Exchange. Whether you are full-time, part-time or post-graduate, you can still qualify for a policy.
You can easily request a free quote at the top of the page and we'll find the best options for your needs. Most plans can be kept short-term or long-term, depending on your specific need. And your policy provides benefits whether you are actively taking classes in college, or home for the summer. There are many low-cost Marketplace options that are guarantee-issue and also cover pre-existing conditions.
It is possible you may qualify for a federal subsidy that sharply reduces your rate. We calculate the amount of your subsidy and automatically reduce your policy premium. Often, this will result in prices that are under $50 per month. However, young dependents are also allowed to remain on a parent's policy until age 26.
Depending on your household income, the federal subsidy (acts as an instant tax credit) can also pay all of your premium, leaving you with a $0 balance. Last year, 9 out of 10 households that enrolled in a Marketplace plan, received a subsidy. Your deductibles, copays, and coinsurance can also substantially reduce, especially with Silver-tier contracts.
If you are listed as a dependent on a parent's tax return, then they are eligible to receive financial aid that is based on the Federal Poverty Level (FPL) guidelines. The more children (or qualified dependents) in the household, the higher the subsidy becomes. For example, a family of four (parents in their mid-40s) with household income of $64,000, can receive an Obamacare subsidy of up to $6,000 per year! If both adults are age 55, the annual subsidy can exceed $10,000. Regardless of which school or university you attend, it is easy to compare your choices. Shown below is a partial list of colleges we review:
Ivy Tech Community Community College
University Of Indianapolis
University Of Evansville
Medicaid And Healthy Indiana Plan 2
If you are eligible for Medicaid, we will explain your benefits, and how to quickly apply for free coverage. "Healthy Indiana Plan 2" (HIP 2.0) is unique to the Hoosier state. Unlike traditional Medicaid, it allows consumers to control their own healthcare treatment and decisions by utilizing a POWER account. This closely resembles a traditional HSA since it reduces costs and rewards many users. Maternity benefits are also provided.
If you are between the ages of 19 and 64, and are not disabled, you may qualify, depending on your total household income. The provider network allows you to choose a physician, specialist, hospital, and other medical facilities that are nearby your work or residence. This "customer-driven" type of coverage has become very popular. Individuals with income less than $16,842 may qualify. Couples with incomes less than $22,680 may also qualify.
Since usage of emergency room visits and name-brand drugs (generic prescriptions are utilized more) reduce, the cost to both government and patient, declines. Students who meet the Medicaid income guidelines will greatly benefit.
Hoosier Healthwise is a different program and is available for children up to age 19. Many of these programs are ideal for low-income students on a tight budget. Pregnant students can also qualify for benefits. The three available options are Package A (full-service coverage), Package C (CHIP benefits for children only), and Package P (for pregnant women who need prenatal care). Office visits, prescriptions, hospitalization, and family planning are several of the provided benefits.
Student Health Plans In Indiana
Indiana University - School of Denistry (IUSD) and School of Medicine (IUSM) students are required to purchase the plan, unless existing compliant coverage can be documented. The annual premium is $3,999 for a student, spouse, or child. The rate for multiple children is $7,998. The policy is underwritten by Aetna (Group Policy number 812801).
The annual deductible of $350 is waived for services completed at IU Student Health Centers. The maximum out-of-pocket expenses are $5,000 and office visit copays are $15 and $25 (Center and physician's office). Prescription copays are $10 for generic drugs, $40 for preferred brand drugs, and $60 for non-preferred brand drugs. The ER copay is $100.
Purdue University - UnitedHealthcare offers coverage at the following annual rates: Student only - $1,229. Student and spouse - $2,458. Student and child - $2,458. Student and all children - $3,687. Student, spouse, and child - $3,687. Student, spouse, and all children - $4,916.
The policy deductible is $200 with out-of-pocket maximum expenses of $1,500. Office visits and Urgent Care visits are subject to 10% coinsurance. The ER is also subject to a 10% coinsurance, along with a $50 copay. Generic and preferred brand drugs are subject to $20 and $40 copays respectively. Eye exams are covered with a $20 copay, and dental check-ups are also covered with 50% coinsurance.
Advantage Of Private Plans
When you have a private plan, you can also keep your policy after you graduate or are no longer enrolled in school. Of course you can also cancel coverage at any time. We realize that you may have a limited budget, so we focus on options that provide the benefits you need, but keep premiums reasonable. Often, by slightly raising your deductible, your rate will reduce.
If you are being treated for a chronic illness or condition, or are required to receive expensive treatment and/or therapy, it's important to choose a plan that provides these benefits with minimal out-of-pocket costs. Under the ACA legislation, many different types of plans are offered. Also, we expect President Trump's new programs to provide additional alternatives that could reduce premiums.
Specific Plan Options
If you are currently being treated for a condition that requires multiple expensive medications, choosing a plan with low drug copays and a smaller deductible is important. The Anthem Gold Pathway 1250 option may be ideal since it offers copays on Tier 1 and Tier 2 drugs, while specialty and and non preferred brand medications don't have a large deductible to meet. Primary-care physician (pcp) visits on this plan are also covered with a small $30 copay.
Conversely, if you are required to see a specialist every month (perhaps a therapist or chiropractor), small office visit copays with no coinsurance or deductible become your priority. In these types of situations, the MDWise Marketplace Silver Plus policy is one of several good choices, since it offers $0 and $60 copays (no other out-of-pocket expense) on pcp and specialist visits. Also, the Ambetter Balanced Care 2 plan offers $30 and $60 copays, while the Ambetter Balanced Care 10 option offers $20 and $40 copays.
Open Enrollment is now an annual event, so any significant change in your medical history will not result in a denial or cancellation of your policy. For 2017 effective dates, OE began on November 1 and ended January 31. However, you can qualify for an exception (if applicable, through a Special Enrollment Period) at any time throughout the year. Popular exemptions include pregnancy or adopting a child, divorce, losing qualified benefits provided by an employer, and moving to a different service area.
Part of the Affordable Care Act legislation (Obamacare) requires companies to accept all pre-existing conditions without any surcharges or waiting periods, and to accept all applicants without asking medical questions. With the exception of "catastrophic" policies, maternity is included on all student plans.
So regardless if you have a chronic condition (such as asthma or diabetes) that requires continuous treatment, or an old knee or shoulder injury that may require surgery, your medical conditions will not be excluded. Medications, treatments and therapy are also covered without paying a higher premium. If you move out-of-state, or attend college or a post-graduate program that is outside of Indiana, pre-existing conditions will continue to be covered.
Get Custom Benefits
We customize a policy so it best meets your personal situation and the requirements of your school or university admissions office. A PPO or HMO plan will provide the broadest benefits. An HSA would not be needed since accumulating savings and obtaining a tax deduction are not priorities. However, once you begin working for an employer, an HSA or MSA may be appropriate.
If you need specialized treatment, a smaller regional carrier may be able to furnish the best localized facilities for your specific situation. However, if you live in the northern portion of the state (perhaps LaGrange or Noble counties), PHP (Physician's Health Plan) no longer offers plans, and an alternative carrier must be selected. In another county, Anthem, CareSource, or MDwise may be a better fit.
We show you the lowest published prices from the top health insurers for college, university and graduate students in the state. Plans from Anthem Blue Cross and Blue Shield, CareSource, Ambetter, and MDwise are provided that will include comprehensive and catastrophic (if available) benefits at the most reasonable cost.
In the past few years, companies that ceased offering Marketplace plans include UnitedHealthcare, Aetna, Medical Mutual, IU Health Plans, and Physician's Health Plan. When considering any carrier, it is important to verify that your current physicians and hospital are members of their provider network. It is possible they won't have a large member list in all areas of the state.
There are also options for international citizens who may be visiting the state. Although citizenship and residency requirements may be different, quality benefits are offered by specialty carriers. Many low cost policies will save you a substantial amount of money.You can view details on the Anthem plans here.
Office Visit Coverage
All policies include recognized preventive services that are covered at 100%. An annual routine physical has no waiting period, and no out-of-pocket expenses. Other office visits can be covered with small copays, typically ranging from $25 to $40. Depending on the policy, specialist office visits are also covered without having to meet a deductible. Lower copays are sometimes offered, although generally, they are available on Silver-tier and Gold-tier plans, which are more expensive than the economical Bronze-tier options. Platinum-tier options are typically not cost-effective unless a chronic condition is present.
Prescription coverage is included on all student medical insurance plans in Indiana. Although it is often a better option to pay generic drugs out-of-pocket, usually there is a copay available for expensive generic drugs. Non-generic or “brand name” drug costs are the most expensive, so it is important to review the specific benefits on personal plans. If you take multiple brand-name drugs on a regular basis, staying on a parent's plan should be considered, or choosing a Marketplace plan with no deductible or coinsurance on Tier 3 and Tier 4 drugs. For a prescription drug comparison, please contact us.
College And University Requirements
Each college and university in the state has their own requirements. Whether you’re attending Indiana State, Notre Dame, Ball State, IU, a community college or a specialized medical or trade school, you probably will be required to purchase medical coverage. Occasionally, a previously-approved plan is no longer offered.
For example, the Indiana State University plan that was originally underwritten and offered by Nationwide Life, is now not available for students or faculty. This blanket accident and sickness policy had a $1,000 deductible and a maximum out-of-pocket of $6,350. Undergraduate, graduate, graduate assistant, and international students enrolled in six or more credit hours were eligible to apply for coverage. The cost of $5,410 per year (more than $16,000 per year for a family of three) was very expensive.
Several university policies are cheap and some are not. Certain college plans offer great benefits and others don’t. Perhaps that’s where we can help most. When you view policies on our website, it will be easy to compare the best available medical coverage with the plans offered by the school.
You can also pay monthly instead of having to pay for a full semester. If you are covered under a different plan for the summer months, we will help you re-apply for benefits, when and if it is needed again.
Another variable is that many schools offer multiple plan options, instead of just one. Indiana University, for example, features voluntary choice for all campuses, along with international, postdoctoral and fellowship policies. We can explain specific details about the policies available to you and how they compare to Exchange coverage.
Advantages Of Having Your Own Plan
Selecting your own benefits can have many advantages. Of course, the premium may be lower, which will provide a healthy savings over the years you are required to keep coverage. But the benefits on a policy you purchase may be substantially different than a school-provided policy.
Often, the major medical and prescription benefits are much greater which would be critical if you have a major illness or accident. You may also have much more extensive specialist benefits in case that type of treatment is needed. If you change schools, your policy still continues. And once you graduate, if you become self-employed or unemployed (hopefully not!), you can keep your policies.
Purchasing your own private plan will likely provide a much broader network of covered physicians and hospitals. For example, larger carrier networks extend throughout the entire US…not just in-state. Anthem Blue Cross has a very large network, and offers both PPO and HMO plans. Many University-sponsored policies may require you to use campus or local facilities.
Will A Private Student Plan Satisfy The Requirements That I Have To Meet?
If you are required to have medical coverage through a university or school, often there are several “requirements” you must meet. It may be meeting a specific maximum deductible, or a specified benefit your policy must have, such as preventive or mental illness coverage. You also may be required to have maternity, mental illness, counseling, diagnostic testing, and all "essential health benefits."
Each university or school requirement is different and we will take the time to determine what coverages you must have and what the least expensive way is for you to show proof that you have them. It is possible that a school may want to view a copy of "credible coverage," which verifies your policy meets the University standards. You may also be required to have malpractice coverage.
If you are currently enrolled under your parent's group health insurance contract through their employer, you may be able to be listed (and covered) as a dependent. If you are under the age of 26 and meet certain requirements, you could be added. However, those benefits should be carefully reviewed before applying for inclusion.
When you reach age 26 (if you are still covered under a parent's policy), you qualify for a "Special Open Enrollment Event," that allows you to purchase guaranteed benefits without qualifications. Pre-existing conditions will be covered and all applicable federal subsidies will be applied. Typically, you have about 60 days after your birthday to enroll.
There will be instances when the contract offered to you from where you are taking classes, will be a “better deal.” It may be because of a local school medical clinic or the offer you receive is perhaps partially paid by a graduate school and is a very competitive offer. Part of our job is to help you understand your choices so that you can obtain the most coverage at the least possible cost.