Changes to Cost Sharing

A recent Indiana Health Coverage Programs (IHCP) bulletin announced that when cost-sharing resumes (no earlier than January 1, 2024) there will be some changes as a result of House Enrolled Act (HEA) 1513 (2023).

• Except for the Healthy Indiana Plan (HIP) and the Children's Health Insurance Program (CHIP), copayments will NOT be reinstated for nonemergency medical transportation or pharmacy services (including presumptive eligibility)
• Medicaid for Employees with Disabilities (MED Works) will continue to have premiums, but copayments will NOT be reinstated.
• When cost sharing starts again, only HIP and CHIP will have copayments.  However, COVID-19 vaccines, testing, or treatment will be exempt until September 2024.

Read the full bulletin below

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