How Does HIPP Work?

When you are in HIPP, you don’t lose your Medicaid benefits. HIPP pays your private health insurance costs.

• It pays the premiums for everyone who gets HIPP.
• Medicaid pays the co-pays and deductibles when people with HIPP and Medicaid see a Medicaid doctor.

Those who don’t get Medicaid must pay their co-pays and deductibles. Learn more about premiums, co-pays, and deductibles.

What HIPP pays for:

	HIPP pays the premiums.	Medicaid pays the co-pays when services are given by a Medicaid doctor.	Medicaid pays the deductibles when services are given by a Medicaid doctor.
Family member who gets HIPP and Medicaid.
Family member who gets HIPP, but doesn’t get Medicaid.

How the Payments Work

Premium payments:

1. Your employer will take the premium out of your paycheck each month.
2. You will send us a copy of your paycheck stub as proof you paid your premium. Learn more about what you can send as proof.
3. We will send you a check for the premium amount.

Your employer might accept direct payment from us. Learn more.

Co-pay and deductible payments:

• If a family member with HIPP and Medicaid sees a Medicaid doctor:

  You don’t have to pay any co-pays or deductibles. The Medicaid doctor will bill Medicaid directly.

• If a family member with HIPP and Medicaid sees a doctor who doesn’t take Medicaid:

  You have to pay the co-pays and deductibles.

• If a family member who doesn’t have Medicaid sees a doctor:

  You have to pay the co-pays and deductibles.