If you or someone in your immediate family is already enrolled in an employer’s group health insurance, and there is a Medicaid dependent present in your immediate family, the next step is to apply to HIPP. “What if I am already enrolled in my employer’s healthcare plan?” Once you are enrolled in a health insurance plan, send in your monthly proof of premium deductions (monthly paystubs), and you will begin to receive payment reimbursements from HIPP. When you qualify for HIPP, your employer is required by law to enroll you in their benefits program-even if your employer’s open enrollment period has passed. Profiles in Coverage: Pennsylvanias HIPP. HIPP will tell you what type of policy you may qualify for. The HIPP program was established under Section 1906 of the Social Security Act, with changes to the program effective October 1, 2009, as directed by the Virginia 2009 Appropriation Act, Chapter 781, and Item 306AAA. You can get this information from your Human Resources department or benefits coordinator. If you have not yet enrolled in your employer’s health benefits, you can start the application process by asking for your employer’s insurance rate sheet. “I have access to employer-sponsored insurance but I am not yet enrolled.” If you are not yet enrolled in your employer’s healthcare benefits, this qualifying event makes it mandatory for them to make enrollment options available to you from the first day you qualify for HIPP until 60 days after. This law applies to all employers so that HIPP eligible employees and their families can enroll in group health insurance at any time of the year. Federal law states that employers must consider eligibility for HIPP as a qualifying event. Along with your application, you must provide an official list of policy tiers and rates that includes information about the policy you are currently enrolled in or wish to be enrolled in once you are found eligible for HIPP.“Can I apply for HIPP outside of my employer’s open enrollment period?”.The health insurance policy must cover the Medicaid dependents listed on your HIPP application.It can be self-funded, or available through a job or through COBRA. Facebook gives people the power to share and makes the world more open and connected. Someone in your immediate family must have access to health insurance. Join Facebook to connect with Virginia Hipp and others you may know.> Click here to visit the WV Medicaid website. The chances of qualifying for HIPP increase when you have two or more Medicaid dependents in your immediate family, or if one or more of them has a high-cost healthcare condition. Someone in your immediate family must qualify for WV Medicaid.

To qualify for the HIPP program, your application must prove that the current health insurance policy rates available to you for the year are less than the entire cost of your or your Medicaid dependent’s medical expenses for the year. The West Virginia HIPP program is specifically for qualifying Medicaid recipients who have access to health insurance and their families.

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