Indiana Legal Services is a non-profit, free, legal service provider covering all of Indiana. As you may know, Indiana plans to change HIP 2.0. These changes may affect your eligibility for the insurance. All of your answers to this survey and any communication we have with you is of no cost to you, and confidential.

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* 1. Are you currently covered under the Healthy Indiana Plan 2.0 (HIP 2.0)?

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* 2. If you are covered under HIP 2.0, do you pay monthly premiums?

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* 3. If you are covered under HIP 2.0, do you pay co-pays for doctor visits or medication?

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* 4. What is your work schedule like?

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* 5. Are you considered "medically frail?"

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* 6. Have you had any ER visits or problems getting to or from doctor visits?

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* 7. Have you experienced any delays or problems with using your HIP 2.0 insurance benefits?

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* 8. May we contact you?

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