Hoosier Healthwise or the Healthy Indiana Plan (HIP) may be the answer.

GOTHEALTH COVERAGE?

You could qualify for Hoosier Healthwise if:

• You are a child under the age of 19 living in a low-income household.

• You qualify for Temporary Assistance for Needy Families (TANF) and/or food stamps (SNAP).

• You are a pregnant women not already enrolled in or eligible for the Healthy Indiana Plan.

You could qualify for HIP if you meet all of the following requirements:

• You are between the ages of 19–64. • You are not eligible for other Indiana Health

Coverage Programs or Medicare. • You are a pregnant woman.

How do I apply?

Contact an enrollment center near you to help complete your application. The central Indiana locations are listed inside this brochure. To apply online, go to in.gov/fssa/dfr/2999.htm and click on your county.

Take with you to the enrollment center the following documents:

• Social Security numbers for all applicants. • Proof of identification: driver’s license, state-issued ID or school ID. • Proof of U.S. citizenship/residency: birth certificate, U.S. passport or

Alien Registration card. • Proof of all income: pay stubs, child support, employer statements,

unemployment, disability payments, income tax forms. • Proof of private health insurance: insurance card or policy number

(if applicable). • Proof of pregnancy: written statement from medical professional

(if applying for pregnancy coverage).

HHW-HIPM0148 (3/12) (12/16)

GET HEALTH COVERAGE!

Barton Annex501 N East St. • 317-880-5175

Covering Kids and Families of Central Indiana (walk-ins welcome)2951 E. 38th St. • 317-221-2041

Riley Hospital for Children Indiana University Health702 N. Barnhill Dr. • 317-944-5000

Indiana University Health Methodist Hospital1701 N. Senate Blvd. • 317-962-2000

Sidney and Lois Eskenazi Hospital720 Eskenazi Ave. • 317-880-0000

Eskenazi Health Center Primary Care720 Eskenazi Ave. • 317-880-7000

CENTRAL/NEAR DOWNTOWN

Action Health Center (walk-ins welcome) 2868 N. Pennsylvania St. • 317-221-3400

Martindale-Brightwood Health Center2855 N. Keystone Ave. • 317-957-2300

Pecar Health Center6940 N. Michigan Rd. • 317-266-2901

Pediatric/Adolescent Care Center1633 N. Capitol Ave., Suite 236 • 317-962-3807

Raphael Health Center401 E. 34th St. • 317-926-1507

St. Vincent Hospitals and Health Services2001 W. 86th St. • 317-338-2273

NORTH

Barrington Health Center3401 E. Raymond St. • 317-957-2676

Cottage Corner Health Center (walk-ins welcome)1434 S. Shelby St. • 317-655-3200

Southeast Health Center901 S. Shelby St. • 317-957-2400

SOUTH

See next page for more enrollment center locations

INDIANAPOLIS ENROLLMENT CENTER LOCATIONS

MDwise.org

For more information about Hoosier Healthwise, visit member.indianamedicaid.com, or call 1-800-889-9949. To check the status of your application or to make changes call 1-800-403-0864.

For more information about the Heathly Indiana Plan (HIP), visit HIP.in.gov or call 1-877-GET-HIP-9 (1-877-438-4479).

Forest Manor Health Center (walk-ins welcome)3840 Sherman Dr. • 317-541-3412

Grassy Creek Health Center (walk-ins welcome)9443 E. 38th St. • 317-890-2127

Hasbrook Building 3838 N. Rural St. • 317-221-2306

Jane Pauley Community Health Center (by appointment only)8931 E. 30th St. • 317-355-9320

North Arlington Health Center (walk-ins welcome)2505 N. Arlington Ave. • 317-554-5215

Peoples Health Center2340 E. 10th St. • 317- 957-2200

EAST

WEST

Si usted, o alguien a quien usted está ayudando, tiene preguntas acerca de MDwise, tiene derecho a obtener ayuda e información en su idioma sin costo alguno. Para hablar con un intérprete, llame al 1-800-356-1204. 如果您，或是您正在協助的對象，有關於MDwise 方面的問 題，您有權利免費以您的母語得到幫助和訊息。洽詢一位翻譯員，請撥電話1-800-356-1204.

MDwise complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. MDwise does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Blackburn Health Center (walk-ins welcome)2700 Dr. Martin Luther King Jr. Dr. 317-931-4300

Shalom Health Care Center3400 Lafayette Rd., Suite 200 • 317-291-7422

West Health Center6029 W. 10th Street • 317-957-2550

Southwest Health Center1522 W. Morris St. • 317-957-2500

Westside Health Center (walk-ins welcome)2732 W. Michigan St. • 317-554-4606

West 38th Street Health Center 5515 W. 38th St. • 317-880-3838

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@MDwiseInc.