Insurance Plans & Billing Codes
Print or email this form to patients who need to provide their insurance billing numbers (BIN, PCN, Member ID, Rx Group)
Patient handout explaining how to switch Hoosier Healthwise, HIP, or Hoosier Care Connect plans. Includes MDwise transition info.
Print-optimized handout for former MDwise members explaining their coverage transition and March 23, 2026 deadline.
Search Indiana Medicaid drug list with filters for tier, prior authorization, quantity limits, and step therapy
| Plan Name | Code | Group Number | Actions |
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| Plan Name | Code | Group Number | Actions |
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| Plan Name | Code | Group Number | Actions |
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| Description | Code | Usage | Actions |
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Covers medically necessary services, supplies, and durable medical equipment (DME). Requires Standard Written Order (SWO) for most items.
888-281-0590 - General Medicare Part B issues
888-380-4798 - Supplemental insurance issues
| Item | Usual Utilizer (Non-Insulin) | Usual Utilizer (Insulin) | High Utilizer Frequency |
|---|---|---|---|
| Test Strips & Lancets | 100 per 3 months (1x daily) | 300 per 3 months (3x daily) | >1x daily (non-insulin) >3x daily (insulin) |
| Lancet Device | 1 per 6 months | 1 per 6 months | Same |
| Blood Glucose Monitor | 1 per 5 years | ||