HHW Package C / MEDWorks Premium
Hoosier Healthwise and MEDWorks Premium Payments
Notice: Effective 09/01/2022, the following alternate formats will be available for monthly and premium change notice vouchers for Hoosier Healthwise Package C and MEDWorks:
- Braille
- Large font letters
- Audio CD
For help with requesting an alternate format voucher, please call customer service at 800-457-4584.
Monthly premium payments are required for Hoosier Healthwise Package C and MEDWorks. These members will receive a bill for the monthly premium that must be paid. Failure to pay monthly premiums may result in loss of coverage.
Members have several options for making these required payments:
By Mail | Package C Premium (make changes payable to "Children's Health Insurance") P.O. Box 3127 Indianapolis, IN 46206-3127 MEDWorks Premium (make checks payable to "MEDWorks") P.O. Box 946 Indianapolis, IN 46206-0946 |
By Phone | 855-765-8672 |
Online |
Payment can be made using a credit card, debit card, or electronic check when calling or paying online. Your premium account number will need to be given for payment to be accepted. This can be found on your monthly voucher statement.
If you have questions about your monthly premium and wish to speak to a representative, call 1-800-457-4584.
WHAT ARE THE PREMIUMS FOR HOOSIER HEALTHWISE PACKAGE C?
If your child qualifies for Hoosier Healthwise Package C, you will be required to pay a small monthly premium for services. The table below summarizes the monthly premiums based on the number of children you have and your monthly income.
2024 Premium Chart
| Single CHIP Child in Family | $22 | $33 | $42 | $53 | ||||
|---|---|---|---|---|---|---|---|---|
| Multiple CHIP Children in Family | $33 | $50 | $53 | $70 | ||||
| Household Size | 151% | 175% | 176% | 200% | 201% | 225% | 226% | 250% |
| 1 | $1,895.05 | $2,196.25 | $2,196.26 | $2,510.00 | $2,510.01 | $2,823.75 | $2,823.76 | $3,137.50 |
| 2 | $2,573.04 | $2,982.00 | $2,982.01 | $3,408.00 | $3,408.01 | $3,834.00 | $3,834.01 | $4,260.00 |
| 3 | $3,249.52 | $3,766.00 | $3,766.01 | $4,304.00 | $4,304.01 | $4,842.00 | $4,842.01 | $5,380.00 |
| 4 | $3,926.00 | $4,550.00 | $4,550.01 | $5,200.00 | $5,200.01 | $5,850.00 | $5,850.01 | $6,500.00 |
| 5 | $4,602.98 | $5,334.58 | $5,334.59 | $6,096.66 | $6,096.67 | $6,858.74 | $6,858.75 | $7,620.83 |
| 6 | $5,279.97 | $6,119.17 | $6,119.18 | $6,993.34 | $6,993.35 | $7,867.51 | $7,867.52 | $8,741.68 |
| 7 | $5,956.95 | $6,903.75 | $6,903.76 | $7,890.00 | $7,890.01 | $8,876.25 | $8,876.26 | $9,862.50 |
| 8 | $6,633.93 | $7,688.33 | $7,688.34 | $8,786.66 | $8,786.67 | $9,884.99 | $9,885.00 | $10,983.33 |
WHAT ARE THE PREMIUMS FOR MEDWORKS?
If you qualify for MEDWorks, you will be required to pay a monthly premium for services. The table below summarizes the monthly premiums based your monthly income and whether you qualify as an individual (married or single) or qualify as a married couple (where both spouses qualify).
2024 Premium Chart
| Family Size | Monthly Gross Income Premium Amount | |||||
|---|---|---|---|---|---|---|
| 1 | 1,883 to $2,197 $48 | $2,198 to $2,510 $69 | $2,511 to $3,138 $107 | $3,139 to $3,765 $134 | $3,766 to $4,393 $161 | 4,394 and over* $187 |
| 2 | $2,555 to $2,981 $65 | $2,982 to $3,407 $93 | $3,408 to $4,259 $145 | $4,260 to $5,110 $182 | $5,111 to $5,962 $218 | $5,963 and over* $254 |
* While spousal income of a MEDWorks member is not included in the initial budget calculation, the gross income is used to calculate the amount, if any, of the premium. An amount paid for private health insurance that covers the MEDWorks member is deducted from the premium amount.