What is a reason a HIP member would no longer be eligible for HIP?

A Health Indiana Plan (HIP) member could lose eligibility for various reasons, which encompasses all listed scenarios.

When a member fails to complete redetermination, they do not provide the necessary information to continue their coverage at the end of their eligibility period. This process is crucial for assessing ongoing eligibility based on factors such as income and household composition.

If a member moves out of state, they would typically become ineligible since HIP is a state-specific program designed to serve residents of Indiana. The member would need to seek health coverage options available in their new state.

An increase in income above 138% of the Federal Poverty Level (FPL) would also result in loss of eligibility because HIP is intended for individuals with low to moderate incomes. Once a member's income exceeds this threshold, they would no longer qualify for the program.

Each of these circumstances directly impacts a member's eligibility status, confirming that a member could indeed become ineligible for several valid reasons collectively. Therefore, understanding these criteria is essential for both navigators and members to maintain continuous access to health coverage options.