July 24, 2024

Serene Nest

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Indiana health insurance plan at risk after federal ruling

2 min read

An Indiana health insurance plan used by hundreds of thousands could be in danger after a Washington, D.C. judge ruled in favor of a lawsuit against the Department of Health and Human Services and vacated the plan’s federal approval.

Chief Judge James E. Boasberg found issues with specific premium requirements included in the program and the HHS’s approval of these premiums, as well as the program’s lack of retroactive coverage.

It’s not clear how the ruling will affect the program. As of Thursday night, a spokesperson with Indiana’s Family and Social Services Administration (FSSA) reported the agency was reviewing the ruling.

The Healthy Indiana Plan is a health insurance plan with two “pathways”: HIP Basic and HIP Plus. The “premium” HIP Plus requires monthly contributions to a POWER account, which earns users better benefits, and HIP Basic requires copayments for doctor or hospital visits. However, these payments have been paused since March 2020. They were set to restart July 1.


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