• Indiana Medicaid Information
• Medicaid and Medicare Part D
• Indiana Medicare
• Indiana HIV Services
• Hepatitis Resources
• Medicaid Verification Form (PDF)
• AIDS Treatment Data Network
• The Access Project
• Request Information

Contacts

• Neal Carnes
  HIV Medical Services Program Manager
  HIV/STD Division
  Indiana State Department of Health
  Phone: 317-233-7450
  Fax: 317-233-7663
  


• Shawn Carney
  RWCA Title II Grant Manager
  Division of HIV/STD
  Indiana State Department of Health
  Phone: 317-233-7189
  Fax: 317-233-7663
  


• Jerry V Burkman, RN, MPH
  Director, Division of HIV/STD
  Indiana State Department of Health
  Phone: 317-233-7867
  Fax: 317-233-7663
  


• Barbara Burcham
  HIV Prevention Program Director
  Indiana State Department of Health
  Phone: 317-233-7840
  


• Erika Chapman
  Adult Viral Hepatitis Prevention Coordinator
  Division of HIV/STD
  Indiana State Department of Health
  Phone: 317-233-7743
  Fax: 317-233-7663
  

The HIV Medical Services Program

The HIV Medical Services Program offers four different insurance plans: Health Insurance Assistance Plan (HIAP), AIDS Drug Assistance Plan (ADAP), Early Intervention Plan (EIP), and Medicare Part D Assistance Plan (MDAP). Indiana's HIV benefits are insurance-based and are maintained in association with the State's high-risk insurance pool. The HIV Medical Services Program pays the premium, deductible, co-pay and any co-insurance cost associated with covered services and medications.

The ADAP and EIP formularies fill-in-the-gap programs during the high-risk insurance pool's 3-month pre-existing condition period.To see if you qualify, call the HIV Medical Services office toll free at 1-866-588-4948, or contact an HIV care coordinatorfor an application. Each coordinator is specially trained to help you access all available benefits and services.

Health Insurance Assistance Plan

HIAP pays your premiums, deductibles and co-insurance for covered services, which include doctor visits, hospital expenses, skilled nursing facilities, surgical expenses, home care services, prescription drugs, mental illness and other professional services. As soon as you are approved for the program, you will receive the HIV Medical Services Program card and a list of all enrolled medical service providers and pharmacies. Your care coordinator will detail your covered services and benefits.

Early Intervention Plan (EIP)

Early Intervention Plan (EIP) will help cover the costs associated with medical services such as doctor visits, laboratory services, pneumococcal vaccines and flu shots during a possible three-month waiting period before your HIV services are covered by your insurance. Extended ADAP/EIP makes available medications and services listed on the two program formularies to those unable to meet the State's high-risk insurance pool 1 year residency requirement, at which point the client must apply for coverage, paid for by The HIV Medical Services Program, through the high-risk insurance pool. You do not have to wait until Medicaid denial is received, but you do have to submit a Medicaid Verification Form, signed and dated by a Medicaid representative, at the time of the HIV Medical Services' application verifying a Medicaid application has been submitted. Once a client is on the program they receive an insurance card which allows them to go to any pharmacy willing to accept the benefit to receive their medications; this functions the same with regards to medical appointments.

AIDS Drug Assistance Plan (ADAP)

If there is a waiting period before your HIV insurance coverage begins ADAP will assist you in obtaining limited FDA approved therapeutic drugs. To be eligible for ADAP:

• must be documented as a person living with HIV (by medical provider certification)
• living at or below 300% of the federal poverty level
• an Indiana resident (those accessing full medical coverage must be able to document 1 year of Indiana residency, all others have access to a limited array of medical services and medications specifically addressing their HIV care and treatment)
• must be currently uninsured, not eligible for other coverage or in some cases inadequately insured (determination made by the State's high-risk insurance pool)
• and currently and continually enrolled in a sanctioned HIV Care Coordination Program.

Medicare Part D Assistance Plan

MDAP works like HIAP and helps you afford Medicare Part D Prescription coverage. This plan covers deductibles and co-insurance, but not premiums. This plan is only offered to those over age 65. For questions or more information, call toll free 866/588-4948.

Patient Assistance Programs

Sometimes you must look for other programs to meet your needs. Don't drop your insurance coverage or COBRA premiums without first seeing if your state will cover part or the whole premium or drug cost co-pays. Apply to get Medicaid or Medicare or private insurance with the help of your case manager. You might also need to try a Patient Assistance Program. The pharmaceutical industry has set up programs that offer medications for free, or sometimes at a very low price. You may have to apply directly to a specific company. Your doctor or another member of your health care team like a case manager will usually help you out to apply, and you may need to apply to more than one company for the treatments you need. If you have HIV and/or chronic hepatitis, we can usually help you.