Health Insurance Premium Payment (HIPP)
Overview
Virginia has two Medicaid-related premium assistance programs that help pay for employer-sponsored health insurance: HIPPA cost-saving program for Medicaid members that reimburses some or all of the employee portion of the group health insurance premium for members who have employer-sponsored group health insurance available to them through their own or their family member’s employment. More and Hipp for Kids. You or a member of your family must first be enrolled in a Medicaid program to be eligible to apply for the HIPP programs. These are cost saving programs administered by Virginia Medicaid.
HIPP (19 and over)
For the HIPP program, eligibility criteria include, but are not limited to the following:
- A family member must be enrolled in full coverage Medicaid.
- The health plan must meet cost effectiveness evaluation.
- Must be enrolled in a health plan that meets the definition of an a “qualified employer sponsored plan” that qualifies as creditable coverage under the section 2701(c) (1) of the Public Health Service Act and must be offered to all people in a manner that would be considered nondiscriminatory eligibility.
- Must not be a plan with deductibles that are equal to or exceed IRS High Deductible Health Plan limits.
HIPP for Kids (18 and younger)
For the HIPP for Kids program, eligibility criteria include, but are not limited to the following:
- A family member must be enrolled in full coverage Medicaid and be less than 19 years of age.
- The employer must pay at least 40% of the cost of the health insurance premium.
- Must be enrolled in a health plan that meets the definition of an a “qualified employer sponsored plan” that qualifies as creditable coverage under the section 2701(c) (1) of the Public Health Service Act and must be offered to all people in a manner that would be considered nondiscriminatory eligibility.
- Must not be a plan with deductibles that are equal to or exceed IRS High Deductible Health Plan limits.
Useful Links
Virginia Sites
- Cover Virginia: Program Overview
- Department of Medical Assistance Services (DMAS)
Additional Resources
Contact Information
Phone: (800) 432-5924
