Title: Hoosier Care Connect Members Will Have Copays in 2016
Beginning January 1, 2016, all Hoosier Care Connect members will be responsible for paying a copayment for certain medical and pharmacy services, regardless of health plan selection. Members are responsible for copayments for transportation, non-emergent Emergency Room visits and pharmacy services at the time of service.
Copay Amounts
The following services will have a copay in 2016:
- Transportation - $1 one way/$2 round trip
- Prescription medication – $3 (per prescription)
- Non-emergent Emergency Room Visit – $3 (this means using the ER for non-emergency purposes)
Copay Exceptions
- Members who are pregnant, of Native American descent, less than 18 years of age or have already met their 5% cost sharing max will be exempt from copays.
- Medications for family planning will be exempt from copays.
- Transportation copays will be waived when transportation services are for an MHS education events or Member Advisory Council (MAC) meetings.
A Medicaid provider cannot deny care or services to an individual due to failure of payment.
Learn more about member copays in the MHS Provider Manual. [link to manual http://www.mhsindiana.com/for-providers/provider-guides/]