Frequently Asked Questions
We believe health coverage shouldn't be stressful. See below for answers to the most common questions from members.
Signing up is quick and easy. Go to the Secure Member Portal, then choose the “Sign Up Now” button link. If you need help getting through your registration, use our step-by-step guide, available at member guides.
Use the portal to:
- View your summary of benefits
- Find explanation of benefits statements
- Find/change your doctor
- See doctor quality reports
- View your claims (health services you’ve gotten and the cost of those services)
- Review HIP POWER Account payments and other information
- Communicate with MHS Member Services
Please call the Department of Family Resources (DFR) directly at 1-800-403-0864 to update your personal information. The DFR will then automatically update MHS. You do not need to do anything else.
Or, you may update your information. But, you will still need to call DFR to make the changes permanent. Log in to the Secure Portal. On the homepage, click the Profile button and click the Change button to update:
- Phone Number
- Account Information
- Dependent Information
Then, call DFR at 1-800-403-0864 and report which changes you made.
It’s important to tell your state caseworker of any changes in your income or family (marriage, head of household changes, etc.). You can call 1-800-403-0864. Or, you can visit your local Division of Family Resources (DFR) office to report a change. When you report the change, you may be able to request a recalculation of your payments for Healthy Indiana Plan or CHIP.
You can download a copy of the Report of Change Form on Member Forms. Your case worker will ask you to complete this form.
- Find providers in your area.
- Pick your doctor from the list. You can choose from the following types of MHS doctors:
- Family Practice
- General Practice
- Internal Medicine
- Endocrinologist (HIP only)
- Last, tell us! You can tell us one of two ways:
- Choose your doctor through your Secure Member Portal.
- Call Member Services at 1-877-647-4848.
If you need help choosing a doctor, call MHS Member Services at 1-877-647-4848.
If you have a question about your health, call the MHS 24 hour nurse advice line at 1-877-647-4848. This is a free medical advice phone line. It is staffed by licensed nurses that speak English and Spanish. The nurse advice line is open 24 hours a day, every day of the year. Here are some questions you might ask:
- Questions about pregnancy
- What to do if your baby is sick
- How to deal with asthma
- How much medicine to use/give
- When to go to the emergency room
If you are not sure if you should go to the emergency room for a non-life threatening event, call the nurse advice line. If the nurse tells you to go to the emergency room, your visit will be covered at 100%. You will not pay an emergency room copay.
What if you are told to go to a doctor, but you don’t have one yet? What if you are having a medical problem that is not life-threatening, but need to see a doctor right away? In these cases, please consider using a walk-in clinic or urgent care clinic instead of going to the emergency room.
Walk-in clinics provide high-quality care when quick medical attention is needed for non-life-threatening conditions such as:
- Sprains, strains, fractures and cuts
- Flu and cold symptoms
- Work-related illness or injuries
- Minor burns
- Stings or bites
- Ear ache, sore throat and fever
Many clinics are open later in the evening and have weekend hours. Urgent care clinics help you get care without waiting in the emergency room of the hospital. Find a clinic near you. You must always show your MHS member ID card before you get any healthcare services. This includes a walk-in or urgent care clinic.
Be sure to choose a primary medical provider (PMP) as soon as possible.
MHS offers full health benefits including preventive care, hospital services, behavioral health care and prescriptions. You can find all of your covered services in your Member Handbook. Find these on the Benefits and Services tab.
Dental and vision are covered benefits for members enrolled in Hoosier Healthwise and Hoosier Care Connect, as well as Healthy Indiana Plan (HIP) State Plan and HIP Plus members. HIP Basic members do not have dental or vision coverage. Read more in your Member Handbook.
Paying your bill online is quick and easy. Click here to reach the online payment site. You can create an account for future payments. Or, choose the ‘Pay Now’ button to make a quick, one-time payment.
MHS rewards members for making healthy choices. Members can earn dollar rewards by completing a Health Needs Screening. And, by staying up to date on preventive care. Pregnant members can earn additional rewards. These rewards will be added to a My Health Pays™ Visa® Prepaid Card. Use your My Health Pays rewards to help pay for everyday items at Walmart*, utilities, transportation, telecommunications (cell phone bill), childcare services, education and rent. Your My Health Pays™ Visa® Prepaid Card is different from your POWER Account card. Visit mhsindiana.com/rewards to learn more.
Reward dollars will be put on your My Health Pays™ Visa® Prepaid Card after we receive the claim for your healthy activity. If it’s your first reward, a card will be mailed to you.
Please be patient. It can take up to 4-6 weeks for the money to be added to your card after you complete your Health Needs Screening. It can take up to 3 months for rewards to appear on the card after getting preventive services. This is because MHS has to get a claim from the provider before we can give a reward. You can check your My Health Pays balance on the Secure Member Portal. You can also call 1-866-809-1091.
Yes! On the Secure Member Portal homepage, you can view your current eligibility status, including:
- Begin Date
- End Date-(current means ending in 9999)
Further down the page, you can view your current:
- Member ID#
- Primary Medical Provider (PMP)
- Copays (yes/no)
On the Secure Portal, member eligibility information should update within 3 business days.
Healthy Indiana Plan (HIP)
We want you to keep getting benefits if you need them. One calendar year after you begin your benefits through the Healthy Indiana Plan, you will need to renew your benefits.
Seventy-five days before the end of your 12-month enrollment period, the state will begin a process to see if you are still eligible for HIP. During this period the State will ask for information from you. You must complete and return the requested information to remain eligible.
If you are currently in the HIP Basic program, you will have the opportunity to “Power Up” from HIP Basic to HIP Plus by paying a contribution to your POWER Account.
If you receive a request for more information, you must return it on time. If you do not return the requested information on time, you may be disenrolled from HIP. You may be subject to being locked out for up to six months.
Do you know the date of your next benefits renewal? Call your state caseworker or the FSSA Service Center at 1-800-403-0864 for help.