405 IAC 10-4-2 - HIP Plus; HIP Basic

Authority: IC 12-15-44.5-9

Affected: IC 12-15-44.5

Sec. 2.

(a) Except as otherwise provided in this article, a member in HIP Plus or HIP State Plan Plus shall make regular monthly POWER account contributions in the amount set forth in 405 IAC 10-10-3(a). A member who fails to make the member's POWER account contributions shall be subject to the actions set forth in 405 IAC 10-10-12, unless the individual is excepted under 405 IAC 10-10 - 13.

(b) A member who is either:

(1) enrolled in HIP Basic or HIP State Plan Basic in accordance with 405 IAC 10-3-2 or 405 IAC 10-3-3; or

(2) transferred to HIP Basic or HIP State Plan Basic in accordance with 405 IAC 10-10-12;

shall not be required to make POWER account contributions but may be required to pay copayments at the time of service delivery in accordance with 405 IAC 10-10-3(b).

(c) A member shall have the opportunity to transfer from HIP Basic to HIP Plus or HIP State Plan Basic to HIP State Plan Plus under the following circumstances:

(1) Upon annual renewal as set forth in section 9(g) of this rule.

(2) For a member with a balance remaining in the member's POWER account at the end of the benefit period, upon rollover in accordance with 405 IAC 10-10-5.

Notes

405 IAC 10-4-2

Filed 5/18/2015, 12:34 p.m.: 20150617-IR-405140339FRA Readopted filed 8/18/2021, 9:55 a.m.: 20210915-IR-405210197RFA Readopted filed 10/16/2024, 11:20 a.m.: 20241113-IR-405230817RFA