Health insurance program


 
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Health Insurance Program (HIP)

HIP stands for the Health Insurance Program and covers insurance plan premiums as well as non-drug copays, coinsurance and deductibles for insured individuals. It is a federally funded program through the Office of Public Health’s STD/HIV/Hepatitis Program.

There are several different community-based organizations and clinics across LA which receive federal Ryan White funding to provide case management and other support services free of charge to eligible applicants. Find a case manager in your city on the LA HAP website.


Please note:

  • Full Medicaid individuals are not eligible for HIP

  • All New Applications and Re-certifications for Insurance Premium, Copayment and Deductible assistance must be completed using the LA HAP application and the application must be sent to LA HAP via fax to 504-568-3157 (preferred) or by mail to 1450 Poydras Street, Suite 2136 New Orleans, LA 70112.

  • The LA HAP application can be found on the LA HAP website (LAHAP.org) or you can download the application here (the latest version is 11/10/2016). Para descargar aplicación en Español de click aquí.

  • Enrollment in LA HAP is subject to program availability and requires annual recertification. For all questions about eligibility or application status contact LA HAP at 504-568-7474.

 

Patient Information


The program helps cover the following expenses

  • Physician Visits

  • Laboratory Work

  • Diagnostic Tests

  • Dental and Vision Premiums, Co-Pays and Deductibles


HIP Eligibility Requirements

  • HIV+ Diagnosis

  • Louisiana Residency

  • Proof of Income (Income cannot exceed 500% of the federal poverty guidelines.) 2022-FPL.pdf (lahap.org)

  • Proof of Insurance/Copy of Policy

  • Schedule/Summary of Benefits from Insurance Provider

  • Proof of current Low Income Subsidy application (Medicare benefit recipients)

  • Cannot be eligible for Medicaid

 

HIP Program Exclusions

  • In-patient hospital stays

  • Erectile Dysfunction Drugs

  • Discount Health and Pharmacy Plans

  • Products or services not covered by the primary insurance carrier

  • Medicare Part D premium penalty payments


New Member Patient Information


Patient documents


For all questions about billing and payment, including premium payment verification and claims status contact HIP at 225-424-1799 or 888-647-1269.

 
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Provider Information


HIP Quick Facts & How to Invoice HIP

  • In order to be eligible for HIP, consumers must have a primary insurance provider (Medicare or commercial insurance).

  • HIP pays for co-payments/coinsurance/cost-share and deductibles for program participants.

  • If the services/medications rendered are not covered or denied by the primary insurance carrier then they are NOT eligible for reimbursement by HIP.

  • HIP will not reimburse consumers for payments made directly to providers.

  • To file a claim with HIP please mail a HCFA-1500 (Health insurance claim form) or bill as well as an EOB from the primary insurer to Health Insurance Program, PO Box 66913, Baton Rouge, LA 70896 or fax to (225) 927-1267.

 

For more information, please feel free to download the following two provider packets:

 
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