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Virginia Hipp Program Insurance

12.09.2019 
  1. Hipp Insurance Program Pa

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  • Virginia has two Medicaid related premium assistance programs that help pay for employer-sponsored health insurance. You or a member of your family must first be enrolled in a Medicaid program to be eligible to apply for the HIPP programs.
  • Virginia Department of Medical Assistance Services. Health Insurance Premium Programs (HIPP). The department offers 2 premium assistance programs for Medicaid members without Medicare coverage, the first is known simply as the HIPP program and the second is known as the HIPP For Kids program.

Online Application for WV HIPP - West Virginia's Health Insurance Premium Payment Program Fill out this form. Then click Submit to send it to us. Apply Now. These are required fields. Make sure you fill in these boxes. Tell us about the health insurance or COBRA benefits the person in Step 2 can get.

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Health insurance premium payment (hipp) program virginia

The Health Insurance Premium Payment (HIPP) Program is a MO HealthNet Program that pays for the cost of health insurance premiums for certain MO HealthNet participants. The program purchases health insurance for MO HealthNet-eligible participants when it is determined cost effective. Cost effective means that it costs less to buy the health insurance to cover medical care than to pay for the same services with MO HealthNet funds.The HIPP Program cannot find health insurance policies for MO HealthNet participants, rather it purchases policies already available to participants through employers, former employers, labor unions, credit unions, church affiliations, other organizations, or individual policies. Certain participants may have to participate in this program as a condition of their continued MO HealthNet eligibility.

Other participants may voluntarily enroll in the program. Program Information.

The Health Insurance Premium Payment (HIPP) Program is a program developed to help families, who have at least one person enrolled in Medical Assistance (MA), pay for private health insurance through an employer.HIPP is administered by Pennsylvania’s Department of Human Services (DHS). It was designed as a cost containment program in order to save taxpayers money by purchasing cost effective employment related health insurance available to a Medical Assistance recipient. Who is eligible for HIPP?Active Medical Assistance recipients who are eligible for medical insurance through employment are referred to HIPP. How is eligibility determined?A HIPP Operation Specialist (HOS) conducts a review of the medical insurance that is available through the employer.

They will conduct a cost analysis based on the amount of the premium and the policy benefits that are offered. If the Medical Assistance costs for a client are greater than the cost of the employer insurance, the client is enrolled into the HIPP Program. Can I choose not to participate in HIPP?No. If the employer health insurance is determined to be cost effective, the client is required to participate in the HIPP Program as a condition of continued eligibility for Medical Assistance. The client maintains the ACCESS card, but the employer insurance is used as the primary medical resource. Does a Client maintain their Medical Assistance eligibility and their ACCESS Card?Yes!

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A client must remain active in Medical Assistance to be eligible for HIPP. They use their ACCESS card in the same manner as every other Fee-for-Service Client. HIPP clients are advised to use Medical Assistance providers to ensure that Medical Assistance is available to pay any policy deductibles or services not covered by the employer insurance. What if the client is currently enrolled in a Department Managed Care Program?When clients are enrolled in the HIPP Program, they are automatically disenrolled from Managed Care and entered into a Fee-For-Service program. Is the client responsible to pay any co-pays or deductibles required by the employer insurance?No!

The client remains on Medical Assistance and, therefore, cannot be billed for any MA covered service administered by a participating MA provider. How does HIPP pay for the employer insurance?When a case is determined to be cost effective, a HOS works with the employer and the client to enroll the client(s) in the employer insurance.

HIPP premium payments are usually sent directly to the employer; however, payment can be made to the client when necessary. What about non-MA members in the household?Non-MA members are not considered when determining the cost effectiveness of the employer insurance. However, when non-MA persons are eligible for enrollment without increasing the premium amounts, they may enroll in coverage. Does the client have to be referred through the County Assistance Office?No. Although most HIPP referrals are received from the CAO, persons wishing to be considered for enrollment in the HIPP Program, or other agencies acting on their behalf, may do so by phoning the toll free number of their HIPP Regional Office. EmployersFor more information pertaining to our program, please see the Other Information Section at the bottom to access the Employer Packet. Current and Prospective ClientsFor more information or an application, please contact your local HIPP Office or e-mail ra-hipp@pa.gov.

Hipp Insurance Program Pa

You may also download and print the application that is located at the bottom of the page under the Other Information section.Health Insurance Premium Payment Regions RegionAddressCountiesChestnut Ridge Regional OfficeP.O. Box HTorrance, PA 1-800-684-7730Allegheny, Armstrong, Beaver, Clarion, Elk, Greene, Jefferson, WashingtonClarks Summit Regional Office1451 Hillside Drive - Newton HallClarks Summit, PA 184111-888-819-9206Bucks, Chester, Delaware, Lackawanna, Luzerne, Monroe, Montgomery, Northampton, Philadelphia, Pike, Susquehanna, Wayne, WyomingHarrisburg Regional OfficeP.O. Box 8195Harrisburg, PA 1-800-644-7730Adams, Armstrong, Bradford, Carbon, Centre, Clinton, Columbia, Cumberland, Dauphin, Lancaster, Lebanon, Lehigh, Lycoming, Mifflin, Montour, Northumberland, Perry, Schuylkill, Snyder, Sullivan, Tioga, Union, YorkTorrance Regional OfficeP.O. Box HTorrance, PA 1-800-684-7730Bedford, Blair, Cambria, Cameron, Clearfield, Fayette, Franklin, Fulton, Huntington, Indiana, Juniata, Potter, Somerset, WestmorelandWarren Regional Office589 Hospital Drive, Suite DWarren, PA 163651-800-440-9391Butler, Crawford, Erie, Forest, Lawrence, McKean, Mercer, Venango, WarrenOther Information.