Eligibility – Hoosier Healthwise
If you or any members of your family are uninsured and answer yes to any of the questions below, you may qualify for free or reduced-cost services through Hoosier Healthwise.
Are you pregnant?
Do you have uninsured children under the age of 19?
Do your children qualify for free/reduced lunch?
Is your family’s gross monthly income at or below:
Low-Income Families |
Pregnant Women |
Children |
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Family Size |
Income Presented |
(Package A) |
Pregnancy-related coverage (Package B) |
Full Coverage (Package A) |
Premium-free (Package A) |
Low-Cost Premiums (Package C) |
1 |
Monthly |
$139.50 |
*Not applicable |
*Not applicable |
$1,277 |
$1,702 |
2 |
Monthly |
$229.50 |
$1,712 |
$229.50 |
$1,712 |
$2,282 |
3 |
Monthly |
$288.00 |
$2,147 |
$288.00 |
$2,147 |
$2,862 |
4 |
Monthly |
$346.50 |
$2,582 |
$346.50 |
$2,582 |
$3,442 |
5 |
Monthly |
$405.00 |
$3,017 |
$405.00 |
$3,017 |
$4,022 |
For each additional member add: |
Monthly |
$58.50 |
$435 |
$58.50 |
$435 |
$580 |
Updated 8/1/07 |
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*A pregnant woman and her unborn child count as a family size of 2
Questions? Want to apply for Hoosier Healthwise?
The eligibility guidelines may not be correct for all situations. To find out what programs you qualify for and/or to apply, please contact a Benefit Advocate by e-mail at contactus@etfhc.org or by phone at (317) 474-0148. A Benefit Advocate will respond within 24-48 hours.
© 2008 Edinburgh/Trafalgar Family Health Centers, Inc.