What income range makes a HIP member subject to a lockout period?

A HIP (Healthy Indiana Plan) member becomes subject to a lockout period when their income is greater than 100% and less than 138% of the Federal Poverty Level (FPL). This income range is significant because it places members in a specific eligibility category related to Medicaid expansion under the Affordable Care Act.

Individuals in this income bracket are typically eligible for HIP coverage but may face additional requirements or limitations, such as the lockout period, which can occur if they do not make their required contributions or if they fail to comply with other program rules. Being between 100% and 138% FPL means that these members are above the threshold for traditional Medicaid yet still not above the upper limit set for certain other assistance programs, creating this specific condition.

The other income ranges, such as those below 100% FPL or above 138% FPL, either fall under different eligibility conditions or do not trigger the lockout period as defined in HIP policies. This is essential for understanding the structure of health coverage options available in Indiana and the implications of income levels on access to those services.