Big Changes Are Coming to the Healthy Indiana Plan. Here’s What You Need to Know.

If you or someone in your family gets insurance coverage through the Healthy Indiana Plan (HIP), there’s an important change on the horizon. Starting January 1, 2027, most HIP members between the ages of 19 and 64 will need to complete 80 hours a month of work, school, job training, or community service to keep their coverage.

Indiana Health Centers is committed to helping our patients adjust to these changes, and if you have any questions, our certified care navigators can help you understand what’s needed in your specific circumstance.

What’s changing with the Healthy Indiana Plan in 2027?

HIP members will need to show they’re doing one of the following each month:

  •  Working a job
  •  Attending school part time (or more)
  •  Participating in job training
  •  Volunteering or doing community service

Any combination of these adds up toward your 80 hours. You can also meet the requirement by earning a certain amount of income or attending school at least half time.

Who’s exempt from changes to the Healthy Indiana Plan?

Not everyone will need to meet this requirement. You may be exempt if you’re pregnant, caring for young children, living with a disability or serious health condition, or enrolled in a drug or alcohol treatment program, among other qualifying circumstances. If you think you might qualify for an exemption, it’s worth confirming your status sooner rather than later.

How will this be checked?

The state will review compliance every three months. If your hours or exemption status can’t be confirmed, you’ll get a notice asking for more information. If the requirement isn’t met, coverage will stop and you’ll need to reapply, which also means you won’t be able to get Marketplace financial help during that gap.

Renewals for HIP still happen every six months, but keep in mind hours are checked more frequently, every three months.

What should patients do right now?

  1. Set up an FSSA Benefits Portal account. This is the easiest way to report your hours, check your case status, and stay on top of any notices. You can create one at FSSABenefits.in.gov.
  2. Check if you qualify for an exemption. If you’re pregnant, a caregiver, managing a health condition, or in treatment, don’t assume you’re automatically covered. Confirm it.
  3. Make a plan. If you’re not already working, in school, or volunteering, start thinking now about how you’ll meet the 80-hour requirement before it takes effect.
  4. Keep your information current. Any changes to your job, school status, health, or family situation need to be reported within 10 days through the Benefits Portal, by phone, by mail, or in person at your local Division of Family Resources office.

We’re here to help

Change like this can feel overwhelming, especially if you’re juggling work, family, and health all at once. The Indiana Health Centers team is here to help you understand what applies to you and connect you with the resources you need to stay covered. Reach out to your care team or visit your local clinic to talk through your specific situation.

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