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Shopping for Medicare Advantage Plans?

Shopping for Medicare Advantage Plans?

Enroll in a Medicare Plan

Our Medicare Advantage program offers Medicare coverage from one of the highest-rated Medicare Advantage plans in the state with a rating of four stars from the Centers for Medicare & Medicaid Services. We are sure you will find coverage that meets or exceeds your expectations in many of the focus areas highlighted above. Learn more about your options through Indiana University Health Plans by clicking through the steps below.

1
Check eligibility.

In order to enroll in an IU Health Plans Medicare Advantage plan, you must be eligible. You are eligible for Medicare Advantage enrollment if you are:

  • enrolled in Medicare Part A;
  • enrolled in Medicare Part B;
  • live in an Indiana county served by IU Health Plans; and
  • you have not been diagnosed with End Stage Renal Disease (ESRD) prior to enrolling, unless you have undergone a successful kidney transplant.

You can also check your eligibility for 2017 plans by county. Use the map to see if IU Health Plans is available in your area.

  • Service Areas

A

  • Allen

B

  • Bartholomew
  • Benton
  • Blackford
  • Boone
  • Brown

C

  • Carroll
  • Cass
  • Clay
  • Clinton
  • Crawford

D

  • Daviess
  • Decatur
  • Delaware
  • Dubois

E

  • Elkhart

F

  • Fayette
  • Fountain

G

  • Gibson
  • Greene

H

  • Hamilton
  • Hancock
  • Hendricks
  • Henry
  • Howard
  • Huntington

J

  • Jackson
  • Jay
  • Jennings
  • Johnson

K

  • Knox

L

  • LaGrange
  • LaPorte
  • Lawrence

M

  • Madison
  • Marion
  • Marshall
  • Martin
  • Miami
  • Monroe
  • Montgomery
  • Morgan

N

  • Noble

O

  • Orange
  • Owen

P

  • Parke
  • Perry
  • Pike
  • Posey
  • Pulaski
  • Putnam

R

  • Randolph
  • Rush

S

  • Saint Joseph
  • Shelby
  • Spencer
  • Starke
  • Sullivan

T

  • Tippecanoe
  • Tipton

U

  • Union

V

  • Vanderburgh
  • Vermillion
  • Vigo

W

  • Wabash
  • Warren
  • Warrick
  • Wells
  • White
  • Whitley
  • Allen
  • Bartholomew
  • Benton
  • Blackford
  • Boone
  • Brown
  • Carroll
  • Cass
  • Clay
  • Clinton
  • Crawford
  • Daviess
  • Decatur
  • Delaware
  • Dubois
  • Elkhart
  • Fayette
  • Fountain
  • Gibson
  • Greene
  • Hamilton
  • Hancock
  • Hendricks
  • Henry
  • Howard
  • Huntington
  • Jackson
  • Jay
  • Jennings
  • Johnson
  • Knox
  • LaGrange
  • LaPorte
  • Lawrence
  • Madison
  • Marion
  • Marshall
  • Martin
  • Miami
  • Monroe
  • Montgomery
  • Morgan
  • Noble
  • Orange
  • Owen
  • Parke
  • Perry
  • Pike
  • Posey
  • Pulaski
  • Putnam
  • Randolph
  • Rush
  • Saint Joseph
  • Shelby
  • Spencer
  • Starke
  • Sullivan
  • Tippecanoe
  • Tipton
  • Union
  • Vanderburgh
  • Vermillion
  • Vigo
  • Wabash
  • Warren
  • Warrick
  • Wells
  • White
  • Whitley

2
Compare IU Health Plans Medicare Advantage options.

View and compare our Select HMO, Select Plus HMO and Choice HMO-POS plans. You can also request a personal consultation with a broker to review your options and find the plan that best fits your needs.

Visit our provider directory to find an in-network physician or facility.

For a more detailed side-by-side comparison of all three 2017 plans

Select HMO Plan

Enroll

Select Plus HMO Plan

Enroll

Choice HMO-POS Plan

Enroll

Select HMO Plan

Enroll

Select Plus HMO Plan

Enroll

Choice HMO-POS Plan

Enroll
Monthly Premium

$0 - Reduces your Part B premium up to $21 each month

$49

$94

Annual Medical Deductible

$0

$0

$0

Out-of-network benefits

None

None

Refer to Summary of Benefits

Inpatient/Home Health Care
Inpatient-Hospital

$280 - days 1-7, $0 - days 8-90

$280 - days 1-7, $0 - days 8-90

$225 - days 1-7, $0 - days 8-90

Skilled Nursing (No hospital stay required)

$0/day - days 1-20, $160/day - days 21-100

$0/day - days 1-20, $160/day - days 21-100

$0/day - days 1-20, $105/day - days 21-100

Home Health

$0

$0

$0

Outpatient Care / Services / Supplies
Primary Care Physician

$0

$10

$5

Specialist

$30

$40

$35

Outpatient Surgery

$295

$295

$205

Ambulance

$275

$275

$275

Emergency

$75

$75

$75 (worldwide)

Urgent Care

$50

$50

$50

Durable Medical Equipment

20%

20%

20%

Diabetic Supplies

$0

$0

$0

Diagnostic Supplies

$0

$0

$0

Diagnostic Tests/Lab

$0-150

$0-150

$0-135

X-rays/Therapeutic Radiology

$0-150

$10-150

$5-135

Diagnostic Radiology

$0-150

$10-150

$5-135

Preventive Screenings

$0

$0

$0

Annual Physical Exam

$0

$0

$0

Additional Benefits and Wellness Programs
Fitness Center Membership

up to $175 reimbursement per year

up to $175 reimbursement per year

up to $175 reimbursement per year

Preventive Dental

$10 deductible

$10 deductible

$10 deductible

Routine Vision Exam

$0

$10

$0

Eyeglasses (lenses/frame)

$40/every two years

$40/every two years

$40/every two years

Member Maximum Out-of-Pocket Medical Cost
Out-of-Pocket Cost Protection

$4,950

$4,950

$4,800

Plan Limit

No limit

No limit

No limit

Part D Prescription Drugs
Annual Deductible

$0

$0

$0

Tier 1 (Generic)

Not covered

$6 - 30 day, $18 - 90 day

$4 - 30 day, $12 - 90 day

Tier 2 (Generic Non-preferred)

Not covered

$15 - 30 day, $45 - 90 day

$8 - 30 day, $24 - 90 day

Tier 3 (Preferred)

Not covered

$47 - 30 day, $141 - 90 day

$42 - 30 day, $126 - 90 day

Tier 4 (Non-preferred)

Not covered

$95 - 30 day, $ 285 - 90 day

$95 - 30 day, $ 285 - 90 day

Tier 5 (Specialty)

Not covered

33% - 30 day

33% - 30 day

Tier 6 (Select Care)

Not Covered

$0 - 30 - day

$0 - 30 - day

Coverage Gap after $3,700 until out-of-pocket is $4,950

Not covered

Tier 1 & 2 Gen. - 51%, Tier 3 & 4 Brand - 40%

Tier 1 Gen.: lesser of $10 or 51% - 30 day, $30 - 90 day; Tier 2 Gen.: 51%; Tier 3 & 4 Brand: 40%

Medicare-Covered Benefit

Select HMO Plan

Enroll Now

Select Plus HMO Plan

Enroll Now

Choice HMO-POS Plan

Enroll Now
Monthly Premium

$0 - Reduces your Part B premium up to $21 each month

$49

$94

Annual Medical Deductible

$0

$0

$0

Out-of-network benefits

None

None

Refer to Summary of Benefits

Inpatient/Home Health Care
Inpatient-Hospital

$280 - days 1-7, $0 - days 8-90

$280 - days 1-7, $0 - days 8-90

$225 - days 1-7, $0 - days 8-90

Skilled Nursing (No hospital stay required)

$0/day - days 1-20, $160/day - days 21-100

$0/day - days 1-20, $160/day - days 21-100

$0/day - days 1-20, $105/day - days 21-100

Home Health

$0

$0

$0

Outpatient Care / Services / Supplies
Primary Care Physician

$0

$10

$5

Specialist

$30

$40

$35

Outpatient Surgery

$295

$295

$205

Ambulance

$275

$275

$275

Emergency

$75

$75

$75 (worldwide)

Urgent Care

$50

$50

$50

Durable Medical Equipment

20%

20%

20%

Diabetic Supplies

$0

$0

$0

Diagnostic Supplies

$0

$0

$0

Diagnostic Tests/Lab

$0-150

$0-150

$0-135

X-rays/Therapeutic Radiology

$0-150

$10-150

$5-135

Diagnostic Radiology

$0-150

$10-150

$5-135

Preventive Screenings

$0

$0

$0

Annual Physical Exam

$0

$0

$0

Additional Benefits and Wellness Programs
Fitness Center Membership

up to $175 reimbursement per year

up to $175 reimbursement per year

up to $175 reimbursement per year

Preventive Dental

$10 deductible

$10 deductible

$10 deductible

Routine Vision Exam

$0

$10

$0

Eyeglasses (lenses/frame)

$40/every two years

$40/every two years

$40/every two years

Member Maximum Out-of-Pocket Medical Cost
Out-of-Pocket Cost Protection

$4,950

$4,950

$4,800

Plan Limit

No limit

No limit

No limit

Part D Prescription Drugs
Annual Deductible

$0

$0

$0

Tier 1 (Generic)

Not covered

$6 - 30 day, $18 - 90 day

$4 - 30 day, $12 - 90 day

Tier 2 (Generic Non-preferred)

Not covered

$15 - 30 day, $45 - 90 day

$8 - 30 day, $24 - 90 day

Tier 3 (Preferred)

Not covered

$47 - 30 day, $141 - 90 day

$42 - 30 day, $126 - 90 day

Tier 4 (Non-preferred)

Not covered

$95 - 30 day, $ 285 - 90 day

$95 - 30 day, $ 285 - 90 day

Tier 5 (Specialty)

Not covered

33% - 30 day

33% - 30 day

Tier 6 (Select Care)

Not Covered

$0 - 30 - day

$0 - 30 - day

Coverage Gap after $3,700 until out-of-pocket is $4,950

Not covered

Tier 1 & 2 Gen. - 51%, Tier 3 & 4 Brand - 40%

Tier 1 Gen.: lesser of $10 or 51% - 30 day, $30 - 90 day; Tier 2 Gen.: 51%; Tier 3 & 4 Brand: 40%

3
Weigh your options.

When exploring your options, there are many factors to consider, which can make the process of selecting the right health plan feel overwhelming. Evaluating these factors first may help with your decision-making.

Doctors

Can you visit doctors you prefer? Are the hospitals you like part of the plan?

Benefits

What "extras" are covered and what do you need? Is there coverage for dental and vision services? Are there other wellness benefits?

Finances

What will you pay out of pocket? Include monthly premium deductibles, copays and coinsurance?

Star Rating

What does CMS rate the plan's quality and performance? Read more to see our Star Rating.

Prescription Medicine

How many of your medications are covered under the plan's formulary (list of covered drugs)? What will your medication out-of-pocket cost be under each plan?

4
Once you've selected the right plan for you, enroll in Medicare now!

Indiana University Health Plans is a Medicare Advantage organization with a Medicare contract. Enrollment in Indiana University Health Plans depends on contract renewal. Other pharmacies/physicians/providers are available in our network. Product types include HMO and HMO-POS. H7220_IUHMA17135 CMS Approved 4.20.2017.