Indiana Medicare and Medicaid Information
Scroll to the bottom to see how Republican-led legislation could take away your coverage.
As of August, 2025, there are more than 12,000 residents of Hancock County on some type of Medicaid.
Coverage is at risk!
Many Hoosiers are enrolled in Medicare or Medicaid without realizing it—or how easily coverage can change. This page helps you understand your options, stay informed, and protect your healthcare.
Disclaimer:The information provided on this page is for general educational purposes only and does not constitute legal, financial, or medical advice. Medicare and Medicaid options vary based on individual circumstances, and coverage may be affected by changes in legislation or personal eligibility.We strongly recommend consulting with a licensed insurance agent or benefits advisor who is experienced in Medicare and Medicaid plans in Indiana. A qualified professional can help you understand your options, compare plans, and choose coverage that best fits your personal health needs and financial situation.What Is Medicare?
Medicare is a federal program for people 65 and older or those with certain disabilities. It helps cover hospital, medical, and prescription costs.
Part A – Hospital insurance (premium-free for most)
Part B – Medical insurance (doctor visits, outpatient care)
Part C – Medicare Advantage
Part D – Prescription drug coverage
Private plans that bundle hospital, medical, and often prescription coverage. Many include dental, vision, and wellness benefits.
Indiana Providers Include:
Aetna Medicare
Anthem Blue Cross Blue Shield
Cigna
Humana
UnitedHealthcare
Wellcare
Standalone plans for those on Original Medicare. Covers medications and can be bundled with Advantage plans.
What Is Medicaid?
Medicaid is a state and federal program for people with low income, regardless of age. It covers a wider range of services, often with little or no cost.
Many people qualify for both Medicare and Medicaid—this is called dual eligibility.
Hoosier Healthwise
Who it's for: Children, pregnant women, and low-income families
Key features:
Doctor visits
Prescriptions
Dental and vision care
Healthy Indiana Plan (HIP)
Who it's for: Adults aged 19–64 with income below 138% of the federal poverty level
Key features:
POWER accounts
Preventive care
Low monthly premiums
Medicaid for Aged, Blind, and Disabled (ABD)
Who it's for: Individuals with low income who are aged, blind, or disabled
Key features:
Traditional Medicaid coverage
Long-term care options
Hoosier Care Connect
Who it's for: Aged, blind, or disabled individuals not eligible for Medicare
Key features:
Managed care
Care coordination
Extra support services
Medicare Savings Programs (MSPs)
Who it's for: People who qualify for both Medicare and Medicaid (dual eligible)
Key features:
Help with Medicare premiums
Coverage for deductibles and coinsurance
In 2025, Indiana lawmakers passed Senate Bill 2 (SB 2) and Senate Enrolled Act 2 (SEA 2) - two major pieces of legislation that could significantly reduce Medicaid coverage across the state.
Legislative Changes That Could Impact Your Coverage
What’s Changing?
• Enrollment Cap: The Healthy Indiana Plan (HIP) will be capped at 500,000 people, nearly 200,000 fewer than current enrollment.
• Work Requirements: Able-bodied adults on HIP must work or volunteer at least 20 hours per week unless they qualify for an exemption (e.g., pregnancy, caregiving, substance abuse treatment).
• Stricter Eligibility Checks: The Family and Social Services Administration (FSSA) will conduct more frequent eligibility reviews and share data with other agencies to remove ineligible individuals.
• Hospital Restrictions: Hospitals that repeatedly offer short-term coverage (presumptive eligibility) to people who don’t qualify may lose the ability to do so in the future.
Why This Matters
These changes could result in:
• Loss of coverage for thousands of working Hoosiers
• Reduced access to care in rural areas
• Financial strain on local hospitals, especially in counties without hospital infrastructure
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Republican lawmakers say the goal is to control rising Medicaid costs, which have increased by $5 billion over the past four years.
We ask: If enrollment is increasing, doesn’t that mean there are more Hoosiers suffering and needing extra help? Shouldn’t we work on job creation, better education and ways to not need assistance as much instead of hurting our neighbors more?
These decisions will harm vulnerable populations and destabilize local healthcare systems. It is not right for Hoosiers. We deserve better.
What You Can Do
Check your eligibility regularly to avoid losing coverage
Talk to a licensed insurance agent who understands Medicaid and Medicare options
Contact Indiana SHIP for free counseling: in.gov/ship
Stay informed about future legislation and how it may affect your benefits
Contact your representatives—often
Call, email, or write to them multiple times a month
Tell them how these changes are hurting you, your family and your community
Tell them you want to vote for leaders who protect and nurture a healthy society
Make it clear: this legislation does not do that