Cost Effectiveness and Eligibility

What does it mean to have a case that is cost-effective?
A case is cost-effective if it is determined that the State will save money by paying the annual cost of your group health insurance premiums. The HIPP program determines cost-effectiveness once your application and other documentation are received.

Does my dependent need to have a catastrophic illness to be eligible for HIPP?
No. Any individual with a high-cost medical condition will be considered for the HIPP program.

Will you give me some examples of a high-cost medical condition?
Some examples of high-cost medical conditions that may qualify for HIPP are:

  • Pregnancy
  • Asthma
  • Kidney disease
  • Autism
  • Cancer
  • Cerebral palsy
  • Diabetes
  • Lou Gehrig’s disease
  • Low birth weight babies
  • Muscular dystrophy

> General Qualifications
> Cost-effectiveness and Eligibility
> Continuing your Eligibility

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