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 NeverLearn more about our Small Group options to see what plan best suits your needs:
Non-HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Bronze 6650 Select | Download | Download |
Bronze 6650 | Download | Download |
Bronze 8200 Plus | Download | Download |
Bronze 8200 Select Plus | Download | Download |
Non-HSA Plans |
---|
Bronze 6650 Select |
Bronze 6650 |
Bronze 8200 Plus |
Bronze 8200 Select Plus |
HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Bronze HSA 5600 Plus | Download | Download |
Bronze HSA 5600 Select Plus | Download | Download |
Bronze HSA 5700 Select | Download | Download |
Bronze HSA 5700 | Download | Download |
Bronze HSA 7050 Select | Download | Download |
Bronze HSA 7050 | Download | Download |
HSA Plans |
---|
Bronze HSA 5600 Plus |
Bronze HSA 5600 Select Plus |
Bronze HSA 5700 Select |
Bronze HSA 5700 |
Bronze HSA 7050 Select |
Bronze HSA 7050 |
Non-HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Silver 2250 Select | Download | Download |
Silver 2250 | Download | Download |
Silver 2700 Select Plus | Download | Download |
Silver 2700 Select | Download | Download |
Silver 2700 Plus | Download | Download |
Silver 2700 | Download | Download |
Silver 3200 Select Plus | Download | Download |
Silver 3200 Select | Download | Download |
Silver 3200 Plus | Download | Download |
Silver 3200 | Download | Download |
Silver 4000 Select | Download | Download |
Silver 4000 | Download | Download |
Silver 5000 Select Plus | Download | Download |
Silver 5000 Select | Download | Download |
Silver 5000 Plus | Download | Download |
Silver 5000 | Download | Download |
Silver 5500 Select Plus | Download | Download |
Silver 5500 Select | Download | Download |
Silver 5500 Plus | Download | Download |
Silver 5500 | Download | Download |
Non-HSA Plans |
---|
Silver 2250 Select |
Silver 2250 |
Silver 2700 Select Plus |
Silver 2700 Select |
Silver 2700 Plus |
Silver 2700 |
Silver 3200 Select Plus |
Silver 3200 Select |
Silver 3200 Plus |
Silver 3200 |
Silver 4000 Select |
Silver 4000 |
Silver 5000 Select Plus |
Silver 5000 Select |
Silver 5000 Plus |
Silver 5000 |
Silver 5500 Select Plus |
Silver 5500 Select |
Silver 5500 Plus |
Silver 5500 |
HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Silver HSA 2250 Select Plus | Download | Download |
Silver HSA 2250 Select | Download | Download |
Silver HSA 2250 Plus | Download | Download |
Silver HSA 2250 | Download | Download |
Silver HSA 2800 Select Plus | Download | Download |
Silver HSA 2800 Select | Download | Download |
Silver HSA 2800 Plus | Download | Download |
Silver HSA 2800 | Download | Download |
Silver HSA 3000 Select Plus | Download | Download |
Silver HSA 3000 Select | Download | Download |
Silver HSA 3000 Plus | Download | Download |
Silver HSA 3000 | Download | Download |
Silver HSA 3500 Select Plus | Download | Download |
Silver HSA 3500 Select | Download | Download |
Silver HSA 3500 Plus | Download | Download |
Silver HSA 3500 | Download | Download |
Silver HSA 4000 Select Plus | Download | Download |
Silver HSA 4000 Select | Download | Download |
Silver HSA 4000 Plus | Download | Download |
Silver HSA 4000 | Download | Download |
Silver HSA 4500 Select Plus | Download | Download |
Silver HSA 4500 Select | Download | Download |
Silver HSA 4500 Plus | Download | Download |
Silver HSA 4500 | Download | Download |
Silver HSA 5000-1 Select Plus | Download | Download |
Silver HSA 5000-1 Select | Download | Download |
Silver HSA 5000-1 Plus | Download | Download |
Silver HSA 5000-1 | Download | Download |
Silver HSA 5000-2 Select | Download | Download |
Silver HSA 5000-2 | Download | Download |
HSA Plans |
---|
Silver HSA 2250 Select Plus |
Silver HSA 2250 Select |
Silver HSA 2250 Plus |
Silver HSA 2250 |
Silver HSA 2800 Select Plus |
Silver HSA 2800 Select |
Silver HSA 2800 Plus |
Silver HSA 2800 |
Silver HSA 3000 Select Plus |
Silver HSA 3000 Select |
Silver HSA 3000 Plus |
Silver HSA 3000 |
Silver HSA 3500 Select Plus |
Silver HSA 3500 Select |
Silver HSA 3500 Plus |
Silver HSA 3500 |
Silver HSA 4000 Select Plus |
Silver HSA 4000 Select |
Silver HSA 4000 Plus |
Silver HSA 4000 |
Silver HSA 4500 Select Plus |
Silver HSA 4500 Select |
Silver HSA 4500 Plus |
Silver HSA 4500 |
Silver HSA 5000-1 Select Plus |
Silver HSA 5000-1 Select |
Silver HSA 5000-1 Plus |
Silver HSA 5000-1 |
Silver HSA 5000-2 Select |
Silver HSA 5000-2 |
Non-HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Gold 500 Plus | Download | Download |
Gold 500 Select Plus | Download | Download |
Gold 500 Select | Download | Download |
Gold 500 | Download | Download |
Gold 750 Plus | Download | Download |
Gold 750 Select Plus | Download | Download |
Gold 750 Select | Download | Download |
Gold 750 | Download | Download |
Gold 1250 Plus | Download | Download |
Gold 1250 Select Plus | Download | Download |
Gold 1250 Select | Download | Download |
Gold 1250 | Download | Download |
Gold 1500 Plus | Download | Download |
Gold 1500 Select Plus | Download | Download |
Gold 1500 Select | Download | Download |
Gold 1500 | Download | Download |
Gold 2500 Plus | Download | Download |
Gold 2500 Select Plus | Download | Download |
Gold 2500 Select | Download | Download |
Gold 2500 | Download | Download |
Non-HSA Plans |
---|
Gold 500 Plus |
Gold 500 Select Plus |
Gold 500 Select |
Gold 500 |
Gold 750 Plus |
Gold 750 Select Plus |
Gold 750 Select |
Gold 750 |
Gold 1250 Plus |
Gold 1250 Select Plus |
Gold 1250 Select |
Gold 1250 |
Gold 1500 Plus |
Gold 1500 Select Plus |
Gold 1500 Select |
Gold 1500 |
Gold 2500 Plus |
Gold 2500 Select Plus |
Gold 2500 Select |
Gold 2500 |
HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Gold HSA 1500 Plus | Download | Download |
Gold HSA 1500 Select Plus | Download | Download |
Gold HSA 1500 Select | Download | Download |
Gold HSA 1500 | Download | Download |
Gold HSA 2000 Plus | Download | Download |
Gold HSA 2000 Select Plus | Download | Download |
Gold HSA 2000 Select | Download | Download |
Gold HSA 2000 | Download | Download |
Gold HSA 2800 Plus | Download | Download |
Gold HSA 2800 Select Plus | Download | Download |
Gold HSA 2800 Select | Download | Download |
Gold HSA 2800 | Download | Download |
HSA Plans |
---|
Gold HSA 1500 Plus |
Gold HSA 1500 Select Plus |
Gold HSA 1500 Select |
Gold HSA 1500 |
Gold HSA 2000 Plus |
Gold HSA 2000 Select Plus |
Gold HSA 2000 Select |
Gold HSA 2000 |
Gold HSA 2800 Plus |
Gold HSA 2800 Select Plus |
Gold HSA 2800 Select |
Gold HSA 2800 |
Non-HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Bronze 6650 Select | Download | Download |
Bronze 6650 | Download | Download |
Bronze 8200 Plus | Download | Download |
Bronze 8200 Select Plus | Download | Download |
Non-HSA Plans |
---|
Bronze 6650 Select |
Bronze 6650 |
Bronze 8200 Plus |
Bronze 8200 Select Plus |
HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Bronze HSA 5600 Plus | Download | Download |
Bronze HSA 5600 Select Plus | Download | Download |
Bronze HSA 5700 Select | Download | Download |
Bronze HSA 5700 | Download | Download |
Bronze HSA 7050 Select | Download | Download |
Bronze HSA 7050 | Download | Download |
HSA Plans |
---|
Bronze HSA 5600 Plus |
Bronze HSA 5600 Select Plus |
Bronze HSA 5700 Select |
Bronze HSA 5700 |
Bronze HSA 7050 Select |
Bronze HSA 7050 |
Non-HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Silver 2250 Select | Download | Download |
Silver 2250 | Download | Download |
Silver 2500 Plus | Download | Download |
Silver 2500 Select Plus | Download | Download |
Silver 2500 Select | Download | Download |
Silver 3000 Plus | Download | Download |
Silver 3000 Select Plus | Download | Download |
Silver 3000 Select | Download | Download |
Silver 3000 | Download | Download |
Silver 3500 Plus | Download | Download |
Silver 3500 Select Plus | Download | Download |
Silver 4000 Select | Download | Download |
Silver 4000 | Download | Download |
Silver 5000 Plus | Download | Download |
Silver 5000 Select Plus | Download | Download |
Silver 5000 Select | Download | Download |
Silver 5000 | Download | Download |
Silver 5500 Plus | Download | Download |
Silver 5500 Select Plus | Download | Download |
Silver 5500 Select | Download | Download |
Silver 5500 | Download | Download |
Non-HSA Plans |
---|
Silver 2250 Select |
Silver 2250 |
Silver 2500 Plus |
Silver 2500 Select Plus |
Silver 2500 Select |
Silver 3000 Plus |
Silver 3000 Select Plus |
Silver 3000 Select |
Silver 3000 |
Silver 3500 Plus |
Silver 3500 Select Plus |
Silver 4000 Select |
Silver 4000 |
Silver 5000 Plus |
Silver 5000 Select Plus |
Silver 5000 Select |
Silver 5000 |
Silver 5500 Plus |
Silver 5500 Select Plus |
Silver 5500 Select |
Silver 5500 |
HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Silver HSA 2000 Select | Download | Download |
Silver HSA 2000 | Download | Download |
Silver HSA 2250 Plus | Download | Download |
Silver HSA 2250 Select Plus | Download | Download |
Silver HSA 2250 Select | Download | Download |
Silver HSA 2250 | Download | Download |
Silver HSA 2800 Plus | Download | Download |
Silver HSA 2800 Select Plus | Download | Download |
Silver HSA 2800 Select | Download | Download |
Silver HSA 2800 | Download | Download |
Silver HSA 2900 Select | Download | Download |
Silver HSA 2900 | Download | Download |
Silver HSA 3000 Plus | Download | Download |
Silver HSA 3000 Select Plus | Download | Download |
Silver HSA 3000 Select | Download | Download |
Silver HSA 3000 | Download | Download |
Silver HSA 3500 Plus | Download | Download |
Silver HSA 3500 Select Plus | Download | Download |
Silver HSA 3500 Select | Download | Download |
Silver HSA 3500 | Download | Download |
Silver HSA 4000 Plus | Download | Download |
Silver HSA 4000 Select Plus | Download | Download |
Silver HSA 4000 Select | Download | Download |
Silver HSA 4000 | Download | Download |
Silver HSA 4200 Select | Download | Download |
Silver HSA 4200 | Download | Download |
Silver HSA 4500 Plus | Download | Download |
Silver HSA 4500 Select Plus | Download | Download |
Silver HSA 4500 Select | Download | Download |
Silver HSA 4500 | Download | Download |
Silver HSA 5000-1 Plus | Download | Download |
Silver HSA 5000-1 Select Plus | Download | Download |
Silver HSA 5000-1 Select | Download | Download |
Silver HSA 5000-1 | Download | Download |
Silver HSA 5000-2 Select | Download | Download |
Silver HSA 5000-2 | Download | Download |
HSA Plans |
---|
Silver HSA 2000 Select |
Silver HSA 2000 |
Silver HSA 2250 Plus |
Silver HSA 2250 Select Plus |
Silver HSA 2250 Select |
Silver HSA 2250 |
Silver HSA 2800 Plus |
Silver HSA 2800 Select Plus |
Silver HSA 2800 Select |
Silver HSA 2800 |
Silver HSA 2900 Select |
Silver HSA 2900 |
Silver HSA 3000 Plus |
Silver HSA 3000 Select Plus |
Silver HSA 3000 Select |
Silver HSA 3000 |
Silver HSA 3500 Plus |
Silver HSA 3500 Select Plus |
Silver HSA 3500 Select |
Silver HSA 3500 |
Silver HSA 4000 Plus |
Silver HSA 4000 Select Plus |
Silver HSA 4000 Select |
Silver HSA 4000 |
Silver HSA 4200 Select |
Silver HSA 4200 |
Silver HSA 4500 Plus |
Silver HSA 4500 Select Plus |
Silver HSA 4500 Select |
Silver HSA 4500 |
Silver HSA 5000-1 Plus |
Silver HSA 5000-1 Select Plus |
Silver HSA 5000-1 Select |
Silver HSA 5000-1 |
Silver HSA 5000-2 Select |
Silver HSA 5000-2 |
Non-HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Gold 500 Plus | Download | Download |
Gold 500 Select Plus | Download | Download |
Gold 500 Select | Download | Download |
Gold 500 | Download | Download |
Gold 750 Plus | Download | Download |
Gold 750 Select Plus | Download | Download |
Gold 750 Select | Download | Download |
Gold 750 | Download | Download |
Gold 1250 Plus | Download | Download |
Gold 1250 Select Plus | Download | Download |
Gold 1250 Select | Download | Download |
Gold 1250 | Download | Download |
Gold 1500 Plus | Download | Download |
Gold 1500 Select Plus | Download | Download |
Gold 1500 Select | Download | Download |
Gold 1500 | Download | Download |
Gold 2500 Plus | Download | Download |
Gold 2500 Select Plus | Download | Download |
Gold 2500 Select | Download | Download |
Gold 2500 | Download | Download |
Non-HSA Plans |
---|
Gold 500 Plus |
Gold 500 Select Plus |
Gold 500 Select |
Gold 500 |
Gold 750 Plus |
Gold 750 Select Plus |
Gold 750 Select |
Gold 750 |
Gold 1250 Plus |
Gold 1250 Select Plus |
Gold 1250 Select |
Gold 1250 |
Gold 1500 Plus |
Gold 1500 Select Plus |
Gold 1500 Select |
Gold 1500 |
Gold 2500 Plus |
Gold 2500 Select Plus |
Gold 2500 Select |
Gold 2500 |
HSA Plans | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
Gold HSA 1500 Plus | Download | Download |
Gold HSA 1500 Select Plus | Download | Download |
Gold HSA 1500 Select | Download | Download |
Gold HSA 1500 | Download | Download |
Gold HSA 1550 Select | Download | Download |
Gold HSA 1550 | Download | Download |
Gold HSA 2000 Plus | Download | Download |
Gold HSA 2000 Select Plus | Download | Download |
Gold HSA 2000 Select | Download | Download |
Gold HSA 2000 | Download | Download |
Gold HSA 2250 Plus | Download | Download |
Gold HSA 2250 Select Plus | Download | Download |
Gold HSA 2250 Select | Download | Download |
Gold HSA 2250 | Download | Download |
Gold HSA 2800 Plus | Download | Download |
Gold HSA 2800 Select Plus | Download | Download |
Gold HSA 2800 Select | Download | Download |
Gold HSA 2800 | Download | Download |
HSA Plans |
---|
Gold HSA 1500 Plus |
Gold HSA 1500 Select Plus |
Gold HSA 1500 Select |
Gold HSA 1500 |
Gold HSA 1550 Select |
Gold HSA 1550 |
Gold HSA 2000 Plus |
Gold HSA 2000 Select Plus |
Gold HSA 2000 Select |
Gold HSA 2000 |
Gold HSA 2250 Plus |
Gold HSA 2250 Select Plus |
Gold HSA 2250 Select |
Gold HSA 2250 |
Gold HSA 2800 Plus |
Gold HSA 2800 Select Plus |
Gold HSA 2800 Select |
Gold HSA 2800 |
Formulary | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
2023 Small Group Drug Formulary Guide | Download | N/A |
Formulary | Summary of Benefits & Coverage (SBC) | Schedule of Benefits (SOB) |
---|---|---|
2023 Small Group Drug Formulary Guide
Summary of Benefits & Coverage HEY N/A |