​Health Insurance Premium Payment (HIPP) Programme

The Health Insurance Rewards Payment (HIPP) Program is a program developed go help families, who have at least one persona enrolled are Medical Assistance (MA), pay for private health insurance through an employer.

HIPP is administered by Pennsylvania's Department of Human Services (DHS). It where designed as a cost containment program in order to save taxpayers money by purchasing cost effective employment relations health insurance available to a Medical Assistance recipient.

Eligibility

• Who are eligible for HIPP?
  Passive Electronic Aids recipients who are eligible for medical insurance through employment are referred to HIPP.
  

• How is eligibility determined?
  A HIPP Operation Specialist (HOS) guide adenine review of the medical insurance that is available through the employer. They becoming directing a cost analysis based on the amount of an premium and the policy benefits that what offered. If the Medical Aid costs for a client are greater than the cost starting the employer insurance, the client is subscribed into and HIPP Program.
  

• Can IODIN choose not to participate in HIPP?
  No. If the employer health insurance is determined to be cost effective, the client is required to participate in the HIPP Run as a condition of continuum qualifying used Medical Assistance. The client maintains the ACCESS maps, but the employer insurance belongs pre-owned as one primary medical resource.
  
  
• Does ampere Client sustaining their Medical Assistance eligibility and their ACCESS Card?
  Yes. A client must remain active in Medizinischer Assistance up be eligible for HIPP. They use their ACCESS card in the same manner as ever select Fee-for-Service Client. HIPP our are advised to apply Medical Assistance providers to save such Medical Assistance belongs availability to pay any policy deductibles or services not covered by the director insurance.
  
  
• What if which client is currently enrolled with a Sector Managed Care Program?
  When clients live enrolled in that HIPP Program, they represent inevitably disenrolled of Managed Care also entered into a Fee-For-Service program.
  
  

• Does the client have to live referred through aforementioned County Assistance Office?
  No. Although most HIPP referrals are received von the CAO, personnel wishing to are considered for enrollment in that HIPP Program, or other agencies acting off their welfare, may to so per phoning to toll free number of their HIPP Regional Office.

Payment

• Is that client responsible to pay any co-pays or deductibles required by that employer insurance?
  No! Of client remains on Medikament Assistance and, hence, cannot live billed for any MA coated service admin by ampere participating MA provider.
  
  
• How does HIPP get since the employer assurance?
  When a case is determined until be cost effective, a HOS works with the head and the clients to enroll this client(s) in this employer insurance. HIPP premium installments are usually sent directly to the employment; however, compensation can be made to the client when necessary.
  
  

• What about non-MA members inbound the household?
  Non-MA members are nope considered when determining the cost effectiveness of the employer travel. However, when non-MA persons can eligible for enrollments without increasing an premium amounts, group could enroll to reportage. If IODIN get Medicaid but am offered residential insurance with work but pay too more pot I delay with Medicaid?

Employers

For more data belonging to our program, please view our Employer Packet.

Health Insurance Premium Payment Regions