Last updated: May 20, 2026
Bottom line
Indiana single mothers may be able to get health coverage through the Healthy Indiana Plan, Hoosier Healthwise, CHIP, pregnancy Medicaid, or a Marketplace plan. The best first step is usually to apply through the Indiana Benefits Portal, then answer any requests for proof quickly.
If you are pregnant, need care for a child, lost coverage, or cannot pay for a visit, do not wait until a bill gets worse. Indiana has separate paths for pregnancy coverage, children, WIC, medical rides, community clinics, mental health support, and appeals.
This guide focuses on health care help. For a wider list of rent, food, child care, and bill programs, use our Indiana help guide.
If you need medical help now
If you have chest pain, trouble breathing, severe bleeding, signs of stroke, suicidal thoughts, overdose danger, or another life-threatening emergency, call 911 or go to the nearest emergency room.
- For mental health or suicide crisis support, call or text 988.
- If you are pregnant and uninsured, ask a clinic, hospital, or prenatal provider about Presumptive Eligibility.
- For local help with clinics, food, shelter, transportation, diapers, and other needs, call Indiana 211.
- For questions about pregnancy, diapers, formula, finding a doctor, or health insurance, call Moms Helpline.
Where to start
Start with your most urgent need. You do not have to know the program name before asking for help. Indiana’s Division of Family Resources handles Medicaid, Hoosier Healthwise, HIP, SNAP, and TANF eligibility. You can also apply or get help at a local office through the DFR office locator.
I need coverage for myself
Adults ages 19 to 64 may be screened for the Healthy Indiana Plan. Check the HIP income chart, but still apply if you are unsure.
I need coverage for my child
Children may qualify for Hoosier Healthwise or CHIP. Indiana’s eligibility guide lists basic income rules, but the application is the final check.
I am pregnant
Pregnancy can change household size and eligibility. Ask about pregnancy Medicaid, HIP Maternity, and temporary prenatal coverage while your full case is being decided.
I was denied
Read the notice first. It should tell you why the action happened and how to appeal. Use our Indiana legal help page if you need help with a benefits problem.
Quick reference table
| Need | Best starting point | Reality check |
|---|---|---|
| Adult health coverage | Apply for HIP through the Benefits Portal. | HIP Plus may require a monthly POWER Account payment. |
| Child health coverage | Apply for Hoosier Healthwise or CHIP. | Some CHIP families pay a small premium or copay. |
| Pregnancy care | Ask about pregnancy Medicaid and presumptive eligibility. | Temporary coverage is not the same as full Medicaid approval. |
| Food during pregnancy or early childhood | Call Indiana WIC or a local clinic. | WIC has nutrition and income rules, but Medicaid, SNAP, or TANF may help you qualify. |
| No insurance | Try a community health center and check HealthCare.gov. | Sliding-fee clinics still may charge based on income. |
| Ride to care | Call your health plan or Verida for Traditional Medicaid. | Rides often need advance scheduling. |
Indiana Medicaid programs for single mothers
Indiana Medicaid is not one single program. It has different coverage groups, and the rules depend on age, pregnancy, disability, household size, income, and sometimes the kind of care you need. The state says the only way to know for sure is to apply.
Healthy Indiana Plan
The Healthy Indiana Plan, often called HIP, is Indiana’s main Medicaid coverage path for many low-income adults ages 19 to 64. HIP can help with doctor visits, hospital care, prescriptions, preventive care, and other covered services. Some HIP members also have dental and vision benefits, depending on the package.
Indiana’s 2026 HIP chart lists monthly income limits based on household size. For example, the HIP Plus eligibility limit is $1,835.50 for a household of 1, $2,489.20 for 2, $3,141.85 for 3, $3,795.50 for 4, and $4,449.20 for 5. These limits are based on the 2026 federal poverty level and can change in future years.
Reality check: HIP can include POWER Account payments. If you are pregnant, report the pregnancy to your plan right away because HIP Maternity has different cost rules and benefits.
Hoosier Healthwise and CHIP
Hoosier Healthwise covers many children and pregnant people. Indiana says it covers care such as doctor visits, prescriptions, mental health care, dental care, hospital care, and surgery at little or no cost for many families.
CHIP is part of Hoosier Healthwise for children whose family income is too high for regular Medicaid but still within CHIP rules. Package A generally has no cost sharing. Package C, the CHIP package, may include a monthly premium and small copays.
Reality check: A child may be eligible even when the parent is not. Do not skip the application just because your own income seems too high for adult Medicaid.
Basic 2026 income guide
The table below is a quick screen, not a guarantee. Income is generally before taxes, not take-home pay. Household rules can be different for tax filers, non-filers, pregnancy, disability, and other cases.
| Household size | HIP adult limit | Pregnancy limit | Child limit |
|---|---|---|---|
| 1 | $1,835.50 | Not listed | $3,391.50 |
| 2 | $2,489.20 | $3,841.20 | $4,599.20 |
| 3 | $3,141.85 | $4,849.85 | $5,805.85 |
| 4 | $3,795.50 | $5,857.50 | $7,012.50 |
| 5 | $4,449.20 | $6,866.20 | $8,220.20 |
For a national overview of how Medicaid and CHIP work, see our Medicaid guide.
Pregnancy and child health help
If you are pregnant, tell DFR, your doctor, and your health plan as soon as possible. The unborn child can count in household size for pregnancy Medicaid. If you already have HIP, the HIP Maternity program can change your benefits during pregnancy and the postpartum period.
If you need prenatal care before a full Medicaid decision, a qualified provider may be able to screen you for presumptive eligibility. This can help pay for some early pregnancy care while you complete the full Medicaid application.
For parent and baby support beyond insurance, Indiana’s My Healthy Baby program connects pregnant women to local family support providers. For Medicaid members affected by current or past substance use, Pregnancy Promise offers free, voluntary case management during pregnancy and after pregnancy.
For a broader family checklist, see our healthcare hub and our WIC guide.
WIC and baby support
Indiana WIC helps pregnant women, breastfeeding women, postpartum women, infants, and children up to age 5. WIC can provide healthy foods, nutrition help, breastfeeding support, and referrals. The WIC eligibility page says families receiving Medicaid, SNAP, or TANF are income-eligible for Indiana WIC, but they still must meet other WIC rules.
Call Indiana WIC at 1-800-522-0874 or ask a clinic to connect you. USDA WIC memo lists monthly fruit and vegetable benefit amounts of $26 for children, $48 for pregnant and postpartum participants, and $52 for fully or mostly breastfeeding participants through September 30, 2026.
Reality check: WIC is not the same as SNAP. WIC covers specific foods and nutrition support. SNAP is broader grocery help. If food is tight, also read our SNAP guide.
If you have no insurance or are over Medicaid limits
If Medicaid says no, you still have options. Use Find a Health Center to look for federally supported clinics. These clinics often provide primary care, prenatal care, pediatric care, behavioral health care, and sometimes dental care. Fees may be based on income.
Indiana uses the federal Marketplace at HealthCare.gov. The state’s Marketplace fact sheet says 2026 open enrollment ran from November 1, 2025 to January 15, 2026. Outside open enrollment, you may still qualify for a special enrollment period after certain life changes, such as losing coverage, moving, getting married, having a baby, or adopting a child.
If the forms feel confusing, use a certified navigator. Navigators can help with Marketplace, Medicaid, CHIP, and HIP applications. They should not charge you for help.
Some hospitals and clinics also have financial assistance policies. Ask the billing office for the plain-language financial aid policy before you set up a payment plan. Do not put a hospital bill on a credit card before asking for charity care or a discount.
Rides, prescriptions, dental, and special care
If you have Traditional Medicaid and need a covered ride to a non-emergency medical appointment, Indiana uses Verida. The state’s Verida transportation page lists the reservation line as 855-325-7586. If you are in HIP, Hoosier Healthwise, or another managed care plan, call your health plan instead.
Use the state Medicaid contacts page to find your plan’s member services number. Indiana’s managed care page also reminds members to check whether their doctors, clinics, hospitals, and pharmacies are in the plan network before choosing a plan.
Dental coverage depends on the program and age. Children in Hoosier Healthwise often have stronger dental benefits than adults. If you need low-cost dental care, use our dental help guide and ask your Medicaid plan for in-network dentists accepting new patients.
For breast and cervical cancer screening, Indiana’s IN-BCCP program helps eligible underserved and underinsured people get screening and diagnostic services. If cancer treatment is needed after program screening, ask the program how Medicaid treatment coverage works.
If you only need family planning services and do not qualify for full Medicaid, ask DFR about the Family Planning Eligibility Program. It is limited coverage, so it will not replace full health insurance.
Documents and information to gather
You can start an application even if you do not have every paper in front of you. Still, missing proof is one of the most common reasons a case gets delayed. Keep copies of anything you upload, mail, or drop off.
| Item | Why it may matter | Examples |
|---|---|---|
| Identity | Shows who is applying. | Driver license, state ID, school ID, birth certificate. |
| Residency | Shows you live in Indiana. | Lease, mail, utility bill, shelter letter. |
| Income | Used to screen benefits. | Pay stubs, employer letter, self-employment records. |
| Household | Helps count family size. | Names, birth dates, school records, tax household details. |
| Pregnancy | Can change eligibility. | Provider note, due date, clinic record. |
| Current insurance | Shows other coverage. | Insurance cards, employer plan notice, loss-of-coverage letter. |
Common mistakes to avoid
- Do not ignore mail, portal notices, texts, or calls from DFR or your health plan.
- Do not report take-home pay if the form asks for gross income before taxes.
- Do not assume a child is ineligible because the parent is denied.
- Do not wait to report pregnancy to your health plan.
- Do not miss a premium, POWER Account payment, or renewal notice without asking what happens next.
- Do not pay a medical bill in full before asking about Medicaid billing, plan coverage, or hospital financial assistance.
What to do if denied, delayed, or stuck
If your application is denied or your coverage is reduced, read the notice before you call. Look for the reason, the date, what proof is missing, and the appeal deadline. Indiana says members have the right to appeal eligibility decisions and some care decisions through the member appeals process.
If the problem is a missing document, upload or deliver it and keep proof. If the problem is a health plan denial, ask the plan for the written denial and appeal steps. If the issue involves a hospital bill, call the hospital billing office and ask whether Medicaid can be billed retroactively or whether financial assistance is available.
For non-medical problems that affect your health, such as food, rent, heat, or child care, use our local resource guide, emergency help page, and Indiana housing help.
Backup options while you wait
- Ask a community health center for a sliding-fee appointment.
- Ask your child’s school nurse or pediatrician about local clinics and vaccine clinics.
- Ask Indiana 211 for local health clinics, diapers, formula, food pantries, and rides.
- Ask your hospital for financial assistance before agreeing to a payment plan.
- Ask a navigator to check both Medicaid and Marketplace options.
- For child care that affects work or appointments, use our child care guide.
Phone scripts
Calling DFR about an application
“Hi, I applied for health coverage and I need to check my case. Can you tell me if anything is missing, the date it was requested, and the fastest way to send it in? I also need to know if my child or pregnancy can be reviewed separately.”
Calling a health plan
“Hi, I am a member and I need help finding a provider who is in network and accepting new patients. I also need to know if this service needs prior authorization and whether I can get a ride to the appointment.”
Calling WIC
“Hi, I am pregnant or caring for a young child and want to apply for WIC. What documents should I bring, where is the nearest clinic, and is there an appointment available soon?”
Calling a hospital billing office
“Hi, I cannot afford this bill. Please send me the financial assistance application and plain-language policy. Also, can you check whether Medicaid, HIP, or another coverage option can still be billed?”
Useful Indiana resources
- Benefits and Medicaid: Apply online, use DFR contact options, or visit a local DFR office.
- Health plan questions: Call the member services number on your card or use the state Medicaid contact list.
- Pregnancy and baby help: Moms Helpline can help with doctor locators, health insurance, diapers, formula, and local resources.
- Local referrals: Indiana 211 can help you search by ZIP code for health, food, housing, transportation, and crisis resources.
Resumen en español
Las madres solteras en Indiana pueden solicitar cobertura médica por Medicaid, Healthy Indiana Plan, Hoosier Healthwise, CHIP o cobertura del Mercado. Si está embarazada, pregunte por cobertura de embarazo y elegibilidad presunta para empezar cuidado prenatal mientras se revisa su solicitud completa.
También puede llamar a WIC para alimentos y apoyo de nutrición para embarazadas, bebés y niños pequeños. Si no tiene seguro, busque una clínica comunitaria con descuento según sus ingresos. Si recibe una carta de negación, lea la fecha límite y pregunte cómo apelar.
FAQ
Can a single mother get Medicaid in Indiana?
Yes, some single mothers qualify through the Healthy Indiana Plan, pregnancy Medicaid, Hoosier Healthwise, or another Indiana Medicaid category. Eligibility depends on income, household size, pregnancy, age, disability, and other rules. Applying is the only way to know for sure.
Can my child qualify if I do not?
Yes. Children may qualify for Hoosier Healthwise or CHIP even when a parent does not qualify for adult Medicaid. Apply for the whole household so Indiana can screen each person.
What if I am pregnant and uninsured?
Apply for coverage and ask a clinic, hospital, or prenatal provider about Presumptive Eligibility for Pregnant Women. It may help with early prenatal care while your full Medicaid application is reviewed.
Does Indiana Medicaid help with rides?
Sometimes. Traditional Medicaid rides are handled through Verida. Members in HIP, Hoosier Healthwise, or another managed care plan should call their health plan for transportation rules.
What if Indiana denies my Medicaid application?
Read the notice right away. It should explain the reason and appeal steps. You can also ask DFR what proof is missing, contact your health plan for care denials, or seek legal help if you do not understand the notice.
About this guide
This guide uses official federal, state, local, and other high-trust nonprofit and community sources mentioned in the article.
A Single Mother is independent and is not a government agency, benefits office, lender, law firm, medical provider, or tax advisor.
Program rules, funding, local availability, and eligibility can change. Always confirm details with the official program before you apply or make decisions.
Verification: Last verified May 20, 2026, next review August 20, 2026.
Corrections: If you see something wrong or outdated, email suggestions@asinglemother.org.
Disclaimer: This article is for general information only. It is not legal, financial, medical, tax, immigration, disability, safety, or government-agency advice.