St. Joseph Hospital and CANI Partner to Aid Residents Applying for State-Funded Health Programs

Fort Wayne, Ind. (Thursday, Dec. 1, 2011) – Area residents seeking health insurance coverage can apply for state-funded programs at the Healthy Indiana Plan (HIP) Information Fair, from 4 to 7 p.m. on Thursday, Dec. 8. Organized by St. Joseph Hospital and Community Action of Northeast Indiana, the fair will take place at Anthony Medical Center, located at 5717 S. Anthony Blvd.

Participants are invited to ask questions to determine what each program includes. Assistance will also be available to complete the required paperwork and to apply for health insurance programs. If all necessary documentation is presented and forms are completed, residents can submit applications to determine if they qualify for HIP, Hoosier Healthwise, Medicaid or other programs. Completed applications from the fair will be submitted to the state. Spanish and Burmese interpreters may be available.

“Helping our community understand and access state-funded medical coverage reinforces St. Joe’s mission and Christian foundation,” said Eric Looper, CEO, St. Joseph Hospital. “Hosting the HIP event at Anthony Medical Center, which happens to be owned by St. Joe, furthers our efforts to extend a hand to individuals with limited healthcare. We are proud to partner with CANI to offer this service.”

The documentation requirements for these applications can be lengthy. Representatives will be on hand to expedite the entire process. Representatives will answer questions about coverage and help applicants complete their paperwork, which expedites the process and enables them to become insured more quickly.

Applicants must bring specific information to apply for health insurance coverage. Each adult and child seeking coverage must provide a social security number, identification and proof of U.S. citizenship or immigration status.

Papers reflecting all money received in the home by the applicant, spouse and dependent children must also be provided. Potential income includes wages, self-employment income, child support, disability, unemployment or other benefits, and loans or contributions of any kind.

Medical documentation of pregnancy and proof of guardianship or power of attorney are also needed, if applicable.


About HIP and Hoosier Healthwise

The Healthy Indiana Plan is a state-sponsored health plan for adults ages 19 to 64. Eligible individuals must be without health insurance for six months or more and not have had access to an employee-sponsored health plan. Parents of children on Hoosier Healthwise are likely candidates for HIP.  Hoosier Healthwise is the state-sponsored health plan for children and pregnant women.  Low-income adults with children may also qualify for Hoosier Healthwise. Both of these plans cover a wide range of health benefits including doctor visits, prescriptions and more.

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 Social Security Numbers for everyone living in the household

 Identification for each applicant and parent or guardian

   Valid driver’s license, State Identification Card, student ID, Military ID. If you have someone  
   acting on your behalf, that person will need to provide proof of his or her identity also. If child
   is under the age of 16 the Identity Affidavit for Children under Age 16 must be submitted.


 US Citizenship for each applicant

    Legal birth certificate, Certificate of Naturalization, Certificate of Citizenship or U.S. passport if
 it was issued without restrictions.

 Money received by applicant, spouse, and dependent children in the home

   1. Wages: Pay stubs, paychecks, or statement from employer for the past 30 days. You will need 60 days of pay stubs if you want coverage to retroactivate be   retroactive to 60 days prior.

   2. Self-employment: Last year’s signed tax return or personally kept self-employment records for the past 90 days.

   3. Child Support, Social Security, VA, SSI, Workers Compensation, disability, sick pay, unemployment, or other benefits: Court order, award letter, or other proof of payment from the source of income.

   4. Loans, gifts or contributions: Promissory note; loan agreement; or statement from the person providing the money that includes the person’s name, address, phone number, signature and date.

   5. Financial aid award letter for the current year (if applicant is currently in college and receiving any grant or financial aid).

   6. Wage verification from unemployment office (if currently unemployed and not receiving an income)

 Guardianship or Power of Attorney

    If someone has legal authority to act on your behalf, provide a copy of the Power of Attorney, Guardianship Order, Court Order, or similar documents.

 Immigration status

    A copy of your alien registration card, permanent resident card or other documentation from    the Bureau for Citizenship and Immigration Services (formerly the INS).

Documentation of pregnancy from a medical provider

Spanish and Burmese interpreters may be available.


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