State Government Insurance Programs Offered

Health Insurance Plan of Iowa (HIPIOWA)

877-793-6880

Health Insurance Plan of Iowa (HIPIOWA) offers health insurance for individuals with serious health conditions who may have been denied coverage. Applicants can choose among the five different comprehensive preferred provider plans available under the program each with a pharmacy benefit and a Medicare carve out plan. Eligibility: 1. Must be a resident of Iowa for at least 60 days; denied health coverage within the last 9 months because of a pre-existing condition, or insurance offered has fewer benefits or more expensive premiums, or previous insurance was not lost due to failure to pay premiums. 2. Must be living in Iowa (regardless of length of stay) provided applicant is a beneficiary of TAA, HIPAA-eligible, Basic and Standard Policy plan holder.

HIPIOWA-FED

877-505-0513

This plan is a temporary high-risk pool created by the Health Care Reform and operated by HIPIOWA. This program provides coverage for individuals with a pre-existing condition who have a hard time finding private coverage. Coverage includes a wide range of benefits which includes hospital care, primary care, specialty care, and prescription drugs. Eligibility: 1. Must be a U.S. resident living in Iowa. 2. Must be uninsured for at least six months. 3. Must have a qualified pre-existing health condition.

Medicaid

515-281-6899

Medicaid offers coverage to low-income individuals and families who cannot pay for their medical care. Applicants for this program should meet financial and other eligibility requirements. Medicaid benefits include physician services, hospital services, prescribed drugs, medical and surgical dental services, dental services, vision, optometrists, chiropractors, podiatrists, psychologists, nurse and midwife services, therapy (physical, occupational, speech), mental health and more. Eligibility: 1. Must be U.S. citizens or legal residents living in Iowa. 2. Must not exceed income limits: Pregnant women: 300% FPL. Children aged 0-5: 133% FPL. Children aged 6-19: 100% FPL. Aged, blind, and disabled: Singles earning 75% FPL with asset limit of $2,000. Couples earning 83% FPL with asset limit of $3,000.

Medicaid for Employed People with Disabilities (MEPD)

800-338-8366, 800-972-2017

Medicaid for Employed People with Disabilities (MEPD) aims to assist individuals with disabilities to work and have access to medical assistance. MEPD offers physician services, hospital services, prescribed drugs, medical and surgical dental services, dental services, vision, optometrists, chiropractors, podiatrists, psychologists, nurse and midwife services, therapy (physical, occupational, speech), mental health and more. Eligibility: 1. Must have a disability (determined by the Department of Human Services). 2. Must be under 65 years. 3. Must be employed or self-employed. 4. Must not exceed income limit of 250% FPL and asset limits of $12,000 for singles and $13,000 for couples.

IowaCare

800-338-8366 515-256-4606

Iowa Care offers limited coverage to qualified adults who are not eligible for Medicaid. This program aims to provide some health coverage to those who would otherwise not get it. Iowa Care covers inpatient and outpatient services, physician or advanced registered nurse practitioner, and dental services.

Healthy and Well Kids in Iowa (Hawk-i)

800-257-8563 TDD: 888-422-2319

Hawk-i in Iowa is created to provide quality health insurance to uninsured children under 19 years living in the state. Benefits covered include doctor visits, outpatient hospital services, hospital services, inpatient prescriptions, emergency care, nursing care services, immunizations, chiropractic care, vision, dental, hospice, speech and physical therapy, mental health and substance abuse. Eligibility: 1. Must be U.S. citizen or qualified resident living in Iowa. 2. Must be under 19 years old.  3. Must have no other health insurance and ineligible for Medicaid coverage. 4. Income must not exceed 300% of the federal poverty level.

Medicare

(Age 65 and up) 800-633-4227

Medicare is administered by the federal government and provides health insurance coverage to Americans aged 65 and above or those younger than 65 but have a disability or end-stage renal disease. Coverage has four parts: Part A: provides inpatient care in hospitals and rehabilitative centers. Part B: provides doctor and some preventive services and outpatient care. Part C: provides Medicare benefits through Medicare Advantage. Part D: provides prescription drug coverage. Eligibility: 1. Must be a U.S. citizen or permanent U.S. resident. 2. Must be 65 years or older, with you or your spouse having worked in a Medicare-covered employment for at least ten years; or have a qualified disability or end-stage renal disease, regardless of age.