Eligibility for Participation
Indiana State Hemophilia Insurance Program
The Indiana State Hemophilia Insurance Program (ISHIP) is operated by the Indiana State Department of Health through its Division of HIV/STD/VH. It provides insurance premium assistance for eligible individuals with hemophilia and other related conditions through participating Indiana Qualified Health Plans.
- Residency. The applicant must reside in Indiana (currently and for the past twelve months).
- Age. The applicant must be 64 years of age or younger.
- Diagnosis. The applicant must be diagnosed with either hemophilia or von Willebrand disease.
- Income. The applicant must document income that is equal to or less than total liabilities, including the cost of factor. Total liquid assets cannot exceed $10,000 (excluding retirement fund, 401K, deferred compensation, federal thrift savings program, and Ricky Ray settlement).
- Health Care Coverage. The applicant must not be eligible for Medicare, Medicaid, or private insurance. If the applicant has, or has access to, any health insurance coverage (e.g., insurance coverage offered by an employer) but has chosen to decline the coverage, that applicant is not eligible for ISHIP.
Below are answers to a series of commonly asked questions about the program, its benefits, and its limitations.
Q: Why should I apply for this insurance program?
A: ISHIP can help eligible individuals afford quality medical care. The average cost to the consumer on ISHIP is only a fraction of the potential out-of-pocket cost for treating hemophilia and related conditions without insurance coverage.
Q: What is the Indiana Comprehensive Health Insurance Association Program?
A: ICHIA is the state’s high-risk insurance pool. It was created by State law and became effective on July 1, 1982. and dissolved on January 31, 2014. It existed to provide comprehensive insurance coverage to those who are otherwise ineligible for traditional insurance.
Q: If I have insurance now, should I drop it?
A: No, you should not cancel your existing coverage.
Q: Will I have to pay for anything?
A: Yes, enrollees are responsible for the cost of all co-payments, deductibles, out-of-network charges, and the cost of non-covered services.
Q: When would my insurance coverage begin?
A: Once the applicant is determined to be eligible, the coverage generally becomes effective on the first day of the month following the date of the eligibility determination...
Q: How often is my eligibility reviewed?
A: Eligibility is reviewed annually. Each year, the applicant, or person(s) responsible for the applicant, will receive a letter requesting the submission of the previous year’s signed income tax return and relevant W-2 forms, written verification of any IRS extension(s), or proof of lack of income. Other documentation may also be requested to verify current residency, age, health care coverage, living expenses, and current cost of factor.
Q: Why is the Department of Health helping to pay for insurance?
A: The Indiana State Department of Health is committed to assisting all persons diagnosed with hemophilia and related conditions and strives to help provide the most comprehensive health care services available. The Indiana State Hemophilia Insurance Program is an important and cost- effective component in this effort.
This fact sheet contains information regarding the Indiana State Hemophilia Insurance Program only. The benefit documents provided by the insurance carrier explain the actual terms of the insurance policy, your rights, obligations, and benefits. For more information regarding ISHIP, you may contact the Enrollment Specialist at 866-588-4948 (option 1).