HIP Power Account
What is a POWER Account?
(Personal Wellness and Responsibility)
As a member of the HIP program, the first $2,500 of covered health costs are paid with a special savings account called a Personal Wellness and Responsibility (POWER) Account. The state will fund most of this amount, but you may owe a small amount each month. To learn more about the POWER Account, watch this short video.
Fast Track to HIP
You may be eligible to join Indiana’s Fast Track program. If you are eligible, you will get a notice from the state with instructions on using the Fast Track option. Fast Track may allow you to start your benefits sooner. To learn more about Fast Track, visit the Fast Track section on the HIP Home webpage.
How to Use Your POWER Account
Your POWER Account will be used to pay each health claim for the first $2,500 of your health bills. If you use all of your $2,500 POWER Account funds, additional covered health costs for the year will be paid for you.
Tracking and Rolling Over Your POWER Account
It is important to track the funds in your POWER Account. By using your POWER Account wisely, you can save on future health care costs. If your yearly health care costs are less than $2,500 per year, the amount left in your POWER Account may lower your monthly payment for the next year. This is called a rollover.
If you are a HIP Plus member, any rollover funds will be applied toward the next year’s POWER Account Contribution, reducing the amount you owe for HIP Plus next year. If you get recommended preventive health care services, the state will reward you by doubling your rollover funds.
If you are a HIP Basic member, have rollover funds and get recommended preventive services, you can use these rollover funds to upgrade to HIP Plus at a discounted POWER Account Contribution.
You will get a monthly statement to track your POWER Account funds. You can also see your POWER Account balance on My CareSource. One way to keep your costs down is to follow preventive care guidelines for men or women. This also can be found on your MyHealth account. For more information about rollover funds, call Member Services: 1-844-607-2829 (TTY: 1-800-743-3333), 8 a.m. to 8 p.m., Monday – Friday.
Using your POWER Account with HIP Basic
When you are in HIP Basic, the first $2,500 of your health care expenses each year are paid from the POWER Account. You will be responsible to pay for copays. When you need health care, you will make your copay to the health care provider and then the funds in the POWER Account will be used to pay for in-network health care services.
In HIP Basic, after you have exceeded $2,500 in covered benefits, all future covered benefits will be fully paid for; but you will still need to make the copays to the doctor or pharmacy.
Using your POWER Account with HIP Plus
The first $2,500 of your health care expenses each year are paid from the POWER Account for HIP Plus members too; however, HIP Plus members pay a small portion of their POWER account each month. This is called a POWER Account Contribution (PAC). HIP Plus members do not pay copays, except if they use the ER for non-emergencies.
The amount of your PAC varies based on where your income and family size fall on the Federal Poverty Level (FPL). It can be $1, $5, $10, $15 or $20 per member per month for an individual. HIP Plus members who use tobacco may also be charged a 50 percent increase on their PAC.
Make Payments On-Time
What happens if HIP Plus members stop paying their PAC depends on whether their income is above or below the Federal Poverty Level (FPL). Note, the FPL is updated yearly in late January. You can see the full FPL chart for more information.
HIP Plus Members
- Earning Less than FPL: If you are in HIP Plus, have an income that is less than the federal poverty level and stop making your monthly PAC, you will be moved to HIP Basic. HIP Basic does not include vision, dental or chiropractic services. You will also have to make copays for most health services you get.
- Earning More than FPL: If you are a HIP Plus member with income that is more than the federal poverty level and stop making your monthly PAC, you will be locked out of HIP for six months.
HIP State Plan Plus Members
- Earning Less than FPL: If you are a HIP State Plan Plus member with income equal to or less than the federal poverty level and stop making your monthly PAC, you will be moved to HIP State Plan Basic. You will need to make a copay at each visit for medical services.
- Earning More than FPL: If you are a HIP State Plan Plus member with income above the federal poverty level and stop making your monthly PAC, your plan will be changed to HIP State Plan Plus with copays. You will need to make copays and you will keep getting billed for your monthly PAC. Copays will be required until the next redetermination period. And, in order to become eligible for HIP State Plan Plus (without copayments), your contributions must be paid to date.
Please call Member Services: 1-844-607-2829 (TTY: 1-800-743-3333), 8 a.m. to 8 p.m., Monday – Friday if you have questions about making payments and using your POWER Account.
- Pregnant women, Native Americans and Native Alaskans are exempt from copays and cost sharing.
- When cost sharing is more than 5 percent of a family’s household income, your out-of-pocket expenses will be reduced. You will be notified by CareSource when this happens.
- If you meet the 5 percent cost share, you will still owe $1 per month for your POWER Account Contribution until the next quarter. Members who must pay the tobacco use surcharge will owe $1.50. The state will monitor your cost share quarterly and notify you if the cost share is met. POWER Account Contribution invoices will show the amount you owe each month.