Latest on COVID-19: Testing & Vaccines
IU Health has a COVID-19 Resource Center with the latest information on testing, vaccines and more at iuhealth.org/covid19.
Connect with our Customer Solutions team
At IU Health Plans, we’re available to address all of your questions in a
timely and efficient manner. Our Customer Solutions team is here to assist
with any questions regarding your IU Health Plan benefits during this time.
Refill of a Prescription Medication
IU Health Plans has taken steps to design the best care for you during this
COVID-19 outbreak. You may now take advantage of:
- Relaxed refill restrictions
For our Commercial and Medicare customers, IU Health Plans is waiving early
refill limits on up to three, 30-day prescription supplies for maintenance
medications at any in-network pharmacy, in all states. This change applies to
maintenance medications only. 30-day overrides are not available for specialty
medications or controlled substances.
- Free home delivery
Participating CVS Pharmacies in our network have waived charges for home
delivery of all prescription medications. The Centers for Disease Control and
Prevention (CDC) encourages people at higher risk for COVID-19 complications
to stay at home as much as possible, so this convenient option can help you
avoid leaving your home for refills or new maintenance prescriptions. As
always, there is no charge for delivery of prescriptions filled by the CVS
Caremark Mail Service pharmacy, when you choose the mail order service.
CVS Caremark mail order form
Contact your doctor’s office for a prescription. If you need your
prescription filled anytime within the next week, you will need to ask your
doctor to write two prescriptions for your long-term medicines, one that you
can fill immediately at a participating pharmacy, and the second for the mail
order to be mailed to CVS Caremark.
Mail the order form, along with your prescription(s) to be shipped by mail. Include your payment to the CVS Caremark Mail Service Pharmacy address printed on the form. You will be required to make your prescription drug payments using an electronic check, Bill Me Later®, or a credit card (VISA®, MasterCard®, Discover® or American Express®). You can also pay by check or money order. You should not send cash.
Latest on COVID-19: Testing & Vaccines
IU Health has a COVID-19 Resource Center with the latest information on testing, vaccines and more at iuhealth.org/covid19.
Connect with our Customer Solutions team
At IU Health Plans, we’re available to address all of your questions in a
timely and efficient manner. Our Customer Solutions team is here to assist
with any questions regarding your IU Health Plan benefits during this time.
Refill of a Prescription Medication
IU Health Plans has taken steps to design the best care for you during this
COVID-19 outbreak. You may now take advantage of:
- Relaxed refill restrictions
For our Commercial and Medicare customers, IU Health Plans is waiving early
refill limits on up to three, 30-day prescription supplies for maintenance
medications at any in-network pharmacy, in all states. This change applies to
maintenance medications only. 30-day overrides are not available for specialty
medications or controlled substances.
- Free home delivery
Participating CVS Pharmacies in our network have waived charges for home
delivery of all prescription medications. The Centers for Disease Control and
Prevention (CDC) encourages people at higher risk for COVID-19 complications
to stay at home as much as possible, so this convenient option can help you
avoid leaving your home for refills or new maintenance prescriptions. As
always, there is no charge for delivery of prescriptions filled by the CVS
Caremark Mail Service pharmacy, when you choose the mail order service.
CVS Caremark mail order form
Contact your doctor’s office for a prescription. If you need your
prescription filled anytime within the next week, you will need to ask your
doctor to write two prescriptions for your long-term medicines, one that you
can fill immediately at a participating pharmacy, and the second for the mail
order to be mailed to CVS Caremark.
Mail the order form, along with your prescription(s) to be shipped by mail. Include your payment to the CVS Caremark Mail Service Pharmacy address printed on the form. You will be required to make your prescription drug payments using an electronic check, Bill Me Later®, or a credit card (VISA®, MasterCard®, Discover® or American Express®). You can also pay by check or money order. You should not send cash.
Thank you for visiting the IU Health Plans website, we value your opinion on how we can improve your online experience. After you complete your visit, would you be willing to answer a few questions to help us improve our website? Please complete this survey after you have completed your online session.
Yes Maybe Later Never| 2022 Non-HSA | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
|---|---|---|
| Non-HSA 10001A | Download | Download |
| Non-HSA 10001AS | Download | Download |
| Non-HSA 10002A | Download | Download |
| Non-HSA 10002AS | Download | Download |
| Non-HSA 10003A | Download | Download |
| Non-HSA 10003AS | Download | Download |
| Non-HSA 10004A | Download | Download |
| Non-HSA 10004AS | Download | Download |
| Non-HSA 10005A | Download | Download |
| Non-HSA 10005AS | Download | Download |
| Non-HSA 10006A | Download | Download |
| Non-HSA 10006AS | Download | Download |
| Non-HSA 10007A | Download | Download |
| Non-HSA 10007AS | Download | Download |
| Non-HSA 10008A | Download | Download |
| Non-HSA 10008AS | Download | Download |
| Non-HSA 10009A | Download | Download |
| Non-HSA 10009AS | Download | Download |
| Non-HSA 100010A | Download | Download |
| Non-HSA 100010AS | Download | Download |
| Non-HSA 100011A | Download | Download |
| Non-HSA 100011AS | Download | Download |
| Non-HSA 100012A | Download | Download |
| Non-HSA 100012AS | Download | Download |
| Non-HSA 100013A | Download | Download |
| Non-HSA 100013AS | Download | Download |
| Non-HSA 100014A | Download | Download |
| Non-HSA 100014AS | Download | Download |
| Non-HSA 100015A | Download | Download |
| Non-HSA 100015AS | Download | Download |
| Non-HSA 12001 | Download | Download |
| Non-HSA 12001S | Download | Download |
| Non-HSA 12002 | Download | Download |
| Non-HSA 12002S | Download | Download |
| Non-HSA 12003 | Download | Download |
| Non-HSA 12003S | Download | Download |
| Non-HSA 12004 | Download | Download |
| Non-HSA 12004S | Download | Download |
| Non-HSA 12005 | Download | Download |
| Non-HSA 12005S | Download | Download |
| Non-HSA 12006 | Download | Download |
| Non-HSA 12006S | Download | Download |
| Non-HSA 12007 | Download | Download |
| Non-HSA 12007S | Download | Download |
| Non-HSA 12008 | Download | Download |
| Non-HSA 12008S | Download | Download |
| Non-HSA 12009 | Download | Download |
| Non-HSA 12009S | Download | Download |
| Non-HSA 12010 | Download | Download |
| Non-HSA 12010S | Download | Download |
| Non-HSA 12011 | Download | Download |
| Non-HSA 12011S | Download | Download |
| Non-HSA 12012 | Download | Download |
| Non-HSA 12012S | Download | Download |
| Non-HSA 12013 | Download | Download |
| Non-HSA 12013S | Download | Download |
| Non-HSA 12014 | Download | Download |
| Non-HSA 12014S | Download | Download |
| Non-HSA 12015 | Download | Download |
| Non-HSA 12015S | Download | Download |
| Non-HSA 13001 | Download | Download |
| Non-HSA 13001A | Download | Download |
| Non-HSA 13001AS | Download | Download |
| Non-HSA 13001S | Download | Download |
| Non-HSA 13003 | Download | Download |
| Non-HSA 13003A | Download | Download |
| Non-HSA 13003AS | Download | Download |
| Non-HSA 13003S | Download | Download |
| Non-HSA 13005 | Download | Download |
| Non-HSA 13005A | Download | Download |
| Non-HSA 13005AS | Download | Download |
| Non-HSA 13005S | Download | Download |
| Non-HSA 13007 | Download | Download |
| Non-HSA 13007A | Download | Download |
| Non-HSA 13007AS | Download | Download |
| Non-HSA 13007S | Download | Download |
| Non-HSA 13009 | Download | Download |
| Non-HSA 13009A | Download | Download |
| Non-HSA 13009AS | Download | Download |
| Non-HSA 13009S | Download | Download |
| Non-HSA 130011 | Download | Download |
| Non-HSA 130011A | Download | Download |
| Non-HSA 130011AS | Download | Download |
| Non-HSA 130011S | Download | Download |
| 2022 Non-HSA |
|---|
| Non-HSA 10001A |
| Non-HSA 10001AS |
| Non-HSA 10002A |
| Non-HSA 10002AS |
| Non-HSA 10003A |
| Non-HSA 10003AS |
| Non-HSA 10004A |
| Non-HSA 10004AS |
| Non-HSA 10005A |
| Non-HSA 10005AS |
| Non-HSA 10006A |
| Non-HSA 10006AS |
| Non-HSA 10007A |
| Non-HSA 10007AS |
| Non-HSA 10008A |
| Non-HSA 10008AS |
| Non-HSA 10009A |
| Non-HSA 10009AS |
| Non-HSA 100010A |
| Non-HSA 100010AS |
| Non-HSA 100011A |
| Non-HSA 100011AS |
| Non-HSA 100012A |
| Non-HSA 100012AS |
| Non-HSA 100013A |
| Non-HSA 100013AS |
| Non-HSA 100014A |
| Non-HSA 100014AS |
| Non-HSA 100015A |
| Non-HSA 100015AS |
| Non-HSA 12001 |
| Non-HSA 12001S |
| Non-HSA 12002 |
| Non-HSA 12002S |
| Non-HSA 12003 |
| Non-HSA 12003S |
| Non-HSA 12004 |
| Non-HSA 12004S |
| Non-HSA 12005 |
| Non-HSA 12005S |
| Non-HSA 12006 |
| Non-HSA 12006S |
| Non-HSA 12007 |
| Non-HSA 12007S |
| Non-HSA 12008 |
| Non-HSA 12008S |
| Non-HSA 12009 |
| Non-HSA 12009S |
| Non-HSA 12010 |
| Non-HSA 12010S |
| Non-HSA 12011 |
| Non-HSA 12011S |
| Non-HSA 12012 |
| Non-HSA 12012S |
| Non-HSA 12013 |
| Non-HSA 12013S |
| Non-HSA 12014 |
| Non-HSA 12014S |
| Non-HSA 12015 |
| Non-HSA 12015S |
| Non-HSA 13001 |
| Non-HSA 13001A |
| Non-HSA 13001AS |
| Non-HSA 13001S |
| Non-HSA 13003 |
| Non-HSA 13003A |
| Non-HSA 13003AS |
| Non-HSA 13003S |
| Non-HSA 13005 |
| Non-HSA 13005A |
| Non-HSA 13005AS |
| Non-HSA 13005S |
| Non-HSA 13007 |
| Non-HSA 13007A |
| Non-HSA 13007AS |
| Non-HSA 13007S |
| Non-HSA 13009 |
| Non-HSA 13009A |
| Non-HSA 13009AS |
| Non-HSA 13009S |
| Non-HSA 130011 |
| Non-HSA 130011A |
| Non-HSA 130011AS |
| Non-HSA 130011S |
| 2022 HSA |
|---|
| HSA 00001A |
| HSA 00001AS |
| HSA 00002A |
| HSA 00002AS |
| HSA 00003A |
| HSA 00003AS |
| HSA 00006A |
| HSA 00006AS |
| HSA 00007A |
| HSA 00007AS |
| HSA 00008A |
| HSA 00008AS |
| HSA 00009A |
| HSA 00009AS |
| HSA 000010A |
| HSA 000010AS |
| HSA 000011A |
| HSA 000011AS |
| HSA 02001 |
| HSA 02001S |
| HSA 02002 |
| HSA 02002S |
| HSA 02003 |
| HSA 02003S |
| HSA 02006 |
| HSA 02006S |
| HSA 02007 |
| HSA 02007S |
| HSA 02008 |
| HSA 02008S |
| HSA 02009 |
| HSA 02009S |
| HSA 02010 |
| HSA 02010S |
| HSA 02011 |
| HSA 02011S |
| HSA 03003 |
| HSA 03003A |
| HSA 03003AS |
| HSA 03005A |
| HSA 03005AS |
| HSA 03007 |
| HSA 03007A |
| HSA 03007AS |
| HSA 03007S |
| HSA 03008 |
| HSA 03008S |
| Non-HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
|---|---|---|
| Non-HSA 10001A | Download | Download |
| Non-HSA 10001AS | Download | Download |
| Non-HSA 10002A | Download | Download |
| Non-HSA 10002AS | Download | Download |
| Non-HSA 10003A | Download | Download |
| Non-HSA 10003AS | Download | Download |
| Non-HSA 10004A | Download | Download |
| Non-HSA 10004AS | Download | Download |
| Non-HSA 10005A | Download | Download |
| Non-HSA 10005AS | Download | Download |
| Non-HSA 10006A | Download | Download |
| Non-HSA 10006AS | Download | Download |
| Non-HSA 10007A | Download | Download |
| Non-HSA 10007AS | Download | Download |
| Non-HSA 10008A | Download | Download |
| Non-HSA 10008AS | Download | Download |
| Non-HSA 10009A | Download | Download |
| Non-HSA 10009AS | Download | Download |
| Non-HSA 10010A | Download | Download |
| Non-HSA 10010AS | Download | Download |
| Non-HSA 10011A | Download | Download |
| Non-HSA 10011AS | Download | Download |
| Non-HSA 10012A | Download | Download |
| Non-HSA 10012AS | Download | Download |
| Non-HSA 10013A | Download | Download |
| Non-HSA 10013AS | Download | Download |
| Non-HSA 10014A | Download | Download |
| Non-HSA 10014AS | Download | Download |
| Non-HSA 10015A | Download | Download |
| Non-HSA 10015AS | Download | Download |
| Non-HSA 12001 | Download | Download |
| Non-HSA 12001S | Download | Download |
| Non-HSA 12002 | Download | Download |
| Non-HSA 12002S | Download | Download |
| Non-HSA 12003 | Download | Download |
| Non-HSA 12003S | Download | Download |
| Non-HSA 12004 | Download | Download |
| Non-HSA 12004S | Download | Download |
| Non-HSA 12005 | Download | Download |
| Non-HSA 12005S | Download | Download |
| Non-HSA 12006 | Download | Download |
| Non-HSA 12006S | Download | Download |
| Non-HSA 12007 | Download | Download |
| Non-HSA 12007S | Download | Download |
| Non-HSA 12008 | Download | Download |
| Non-HSA 12008S | Download | Download |
| Non-HSA 12009 | Download | Download |
| Non-HSA 12009S | Download | Download |
| Non-HSA 12010 | Download | Download |
| Non-HSA 12010S | Download | Download |
| Non-HSA 12011 | Download | Download |
| Non-HSA 12011S | Download | Download |
| Non-HSA 12012 | Download | Download |
| Non-HSA 12012S | Download | Download |
| Non-HSA 12013 | Download | Download |
| Non-HSA 12013S | Download | Download |
| Non-HSA 12014 | Download | Download |
| Non-HSA 12014S | Download | Download |
| Non-HSA 12015 | Download | Download |
| Non-HSA 12015S | Download | Download |
| Non-HSA 13001 | Download | Download |
| Non-HSA 13001A | Download | Download |
| Non-HSA 13001AS | Download | Download |
| Non-HSA 13001S | Download | Download |
| Non-HSA 13003 | Download | Download |
| Non-HSA 13003A | Download | Download |
| Non-HSA 13003AS | Download | Download |
| Non-HSA 13003S | Download | Download |
| Non-HSA 13005 | Download | Download |
| Non-HSA 13005A | Download | Download |
| Non-HSA 13005AS | Download | Download |
| Non-HSA 13005S | Download | Download |
| Non-HSA 13007 | Download | Download |
| Non-HSA 13007A | Download | Download |
| Non-HSA 13007AS | Download | Download |
| Non-HSA 13007S | Download | Download |
| Non-HSA 13009 | Download | Download |
| Non-HSA 13009A | Download | Download |
| Non-HSA 13009AS | Download | Download |
| Non-HSA 13009S | Download | Download |
| Non-HSA 130011 | Download | Download |
| Non-HSA 130011A | Download | Download |
| Non-HSA 130011AS | Download | Download |
| Non-HSA 130011S | Download | Download |
| Non-HSA Plans |
|---|
| Non-HSA 10001A |
| Non-HSA 10001AS |
| Non-HSA 10002A |
| Non-HSA 10002AS |
| Non-HSA 10003A |
| Non-HSA 10003AS |
| Non-HSA 10004A |
| Non-HSA 10004AS |
| Non-HSA 10005A |
| Non-HSA 10005AS |
| Non-HSA 10006A |
| Non-HSA 10006AS |
| Non-HSA 10007A |
| Non-HSA 10007AS |
| Non-HSA 10008A |
| Non-HSA 10008AS |
| Non-HSA 10009A |
| Non-HSA 10009AS |
| Non-HSA 10010A |
| Non-HSA 10010AS |
| Non-HSA 10011A |
| Non-HSA 10011AS |
| Non-HSA 10012A |
| Non-HSA 10012AS |
| Non-HSA 10013A |
| Non-HSA 10013AS |
| Non-HSA 10014A |
| Non-HSA 10014AS |
| Non-HSA 10015A |
| Non-HSA 10015AS |
| Non-HSA 12001 |
| Non-HSA 12001S |
| Non-HSA 12002 |
| Non-HSA 12002S |
| Non-HSA 12003 |
| Non-HSA 12003S |
| Non-HSA 12004 |
| Non-HSA 12004S |
| Non-HSA 12005 |
| Non-HSA 12005S |
| Non-HSA 12006 |
| Non-HSA 12006S |
| Non-HSA 12007 |
| Non-HSA 12007S |
| Non-HSA 12008 |
| Non-HSA 12008S |
| Non-HSA 12009 |
| Non-HSA 12009S |
| Non-HSA 12010 |
| Non-HSA 12010S |
| Non-HSA 12011 |
| Non-HSA 12011S |
| Non-HSA 12012 |
| Non-HSA 12012S |
| Non-HSA 12013 |
| Non-HSA 12013S |
| Non-HSA 12014 |
| Non-HSA 12014S |
| Non-HSA 12015 |
| Non-HSA 12015S |
| Non-HSA 13001 |
| Non-HSA 13001A |
| Non-HSA 13001AS |
| Non-HSA 13001S |
| Non-HSA 13003 |
| Non-HSA 13003A |
| Non-HSA 13003AS |
| Non-HSA 13003S |
| Non-HSA 13005 |
| Non-HSA 13005A |
| Non-HSA 13005AS |
| Non-HSA 13005S |
| Non-HSA 13007 |
| Non-HSA 13007A |
| Non-HSA 13007AS |
| Non-HSA 13007S |
| Non-HSA 13009 |
| Non-HSA 13009A |
| Non-HSA 13009AS |
| Non-HSA 13009S |
| Non-HSA 130011 |
| Non-HSA 130011A |
| Non-HSA 130011AS |
| Non-HSA 130011S |
| HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
|---|---|---|
| HSA - 00001A | Download | Download |
| HSA - 00001AS | Download | Download |
| HSA - 00002A | Download | Download |
| HSA - 00002AS | Download | Download |
| HSA - 00003A | Download | Download |
| HSA - 00003AS | Download | Download |
| HSA - 00006A | Download | Download |
| HSA - 00006AS | Download | Download |
| HSA - 00007A | Download | Download |
| HSA - 00007AS | Download | Download |
| HSA - 00008A | Download | Download |
| HSA - 00008AS | Download | Download |
| HSA - 00009A | Download | Download |
| HSA - 00009AS | Download | Download |
| HSA - 00010A | Download | Download |
| HSA - 00010AS | Download | Download |
| HSA - 00011A | Download | Download |
| HSA - 00011AS | Download | Download |
| HSA - 02001 | Download | Download |
| HSA - 02001S | Download | Download |
| HSA - 02002 | Download | Download |
| HSA - 02002S | Download | Download |
| HSA - 02003 | Download | Download |
| HSA - 02003S | Download | Download |
| HSA - 02006 | Download | Download |
| HSA - 02006S | Download | Download |
| HSA - 02007 | Download | Download |
| HSA - 02007S | Download | Download |
| HSA - 02008 | Download | Download |
| HSA - 02008S | Download | Download |
| HSA - 02009 | Download | Download |
| HSA - 02009S | Download | Download |
| HSA - 02010 | Download | Download |
| HSA - 02010S | Download | Download |
| HSA - 02011 | Download | Download |
| HSA - 02011S | Download | Download |
| HSA - 03003 | Download | Download |
| HSA - 03003A | Download | Download |
| HSA - 03003AS | Download | Download |
| HSA - 03003S | Download | Download |
| HSA - 03005A | Download | Download |
| HSA - 03005AS | Download | Download |
| HSA - 03007 | Download | Download |
| HSA - 03007A | Download | Download |
| HSA - 03007AS | Download | Download |
| HSA - 03007S | Download | Download |
| HSA - 03008 | Download | Download |
| HSA - 03008S | Download | Download |
| HSA Plans |
|---|
| HSA - 00001A |
| HSA - 00001AS |
| HSA - 00002A |
| HSA - 00002AS |
| HSA - 00003A |
| HSA - 00003AS |
| HSA - 00006A |
| HSA - 00006AS |
| HSA - 00007A |
| HSA - 00007AS |
| HSA - 00008A |
| HSA - 00008AS |
| HSA - 00009A |
| HSA - 00009AS |
| HSA - 00010A |
| HSA - 00010AS |
| HSA - 00011A |
| HSA - 00011AS |
| HSA - 02001 |
| HSA - 02001S |
| HSA - 02002 |
| HSA - 02002S |
| HSA - 02003 |
| HSA - 02003S |
| HSA - 02006 |
| HSA - 02006S |
| HSA - 02007 |
| HSA - 02007S |
| HSA - 02008 |
| HSA - 02008S |
| HSA - 02009 |
| HSA - 02009S |
| HSA - 02010 |
| HSA - 02010S |
| HSA - 02011 |
| HSA - 02011S |
| HSA - 03003 |
| HSA - 03003A |
| HSA - 03003AS |
| HSA - 03003S |
| HSA - 03005A |
| HSA - 03005AS |
| HSA - 03007 |
| HSA - 03007A |
| HSA - 03007AS |
| HSA - 03007S |
| HSA - 03008 |
| HSA - 03008S |
