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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 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.

For a more detailed side-by-side comparison of all three 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 $25 each month $42 $92
Annual Deductible
$0 $0 $0
Inpatient/Home Health Care
Inpatient-Hospital/Mental Health
$260 - days 1-7 IP Hosp., $0 - days 8-90 IP Hosp., $260 - days 1-6 IP Ment. Hlth. $260 - days 1-7 IP Hosp., $0 - days 8-90 IP Hosp., $260 - days 1-6 IP Ment. Hlth. $195 - 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
Chiropractor
$20 $20 $20
Podiatry
$15 $15 $10
Outpatient Surgery
$285 $285 $195
Ambulance
$225 $225 $225
Emergency
$65 $65 $65 (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
$10 $10 $0
X-rays/Therapeutic Radiology
$25 $25 $25
Diagnostic Radiology
$135 $135 $135
Part B Covered Drugs
20% 20% 20%
Preventive Screenings
$0 $0 $0
Annual Physical Exam
$0 $0 $0
Additional Benefits and Wellness Programs
Fitness Center Membership
up to $200 reimbursement/yr. up to $200 reimbursement/yr. up to $200 reimbursement/yr.
Preventive Dental
$10 deductible $10 deductible $10 deductible
Routine Vision Exam
$0 $0 $0
Eyeglasses (lenses/frame)
$40 $40 $40
Member Maximum Out-of-Pocket Medical Cost
Out-of-Pocket Cost Protection
$4,850 $4,850 $4,600
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, $44 - 90 day $8 - 30 day, $24 - 90 day
Tier 3 (Preferred)
Not covered $45 - 30 day, $126 - 90 day $42 - 30 day, $118 - 90 day
Tier 4 (Non-preferred)
Not covered $95 - 30 day, $ 266 - 90 day $95 - 30 day, $ 266 - 90 day
Tier 5 (Specialty)
Not covered 33% - 30 day 33% - 30 day
Coverage Gap after $3,310 until out-of-pocket is $4,850
Not covered Tier 1 & 2 Gen. - 58%, Tier 3 & 4 Brand - 45% Tier 1 Gen.: lesser of $10 or 58% - 30 day, $30 - 90 day; Tier 2 Gen.: 58%; Tier 3 & 4 Brand: 45%
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 $25 each month $42 $92
Annual Deductible $0 $0 $0
Inpatient/Home Health Care
Inpatient-Hospital/Mental Health $260 - days 1-7 IP Hosp., $0 - days 8-90 IP Hosp., $260 - days 1-6 IP Ment. Hlth. $260 - days 1-7 IP Hosp., $0 - days 8-90 IP Hosp., $260 - days 1-6 IP Ment. Hlth. $195 - 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
Chiropractor $20 $20 $20
Podiatry $15 $15 $10
Outpatient Surgery $285 $285 $195
Ambulance $225 $225 $225
Emergency $65 $65 $65 (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 $10 $10 $0
X-rays/Therapeutic Radiology $25 $25 $25
Diagnostic Radiology $135 $135 $135
Part B Covered Drugs 20% 20% 20%
Preventive Screenings $0 $0 $0
Annual Physical Exam $0 $0 $0
Additional Benefits and Wellness Programs
Fitness Center Membership up to $200 reimbursement/yr. up to $200 reimbursement/yr. up to $200 reimbursement/yr.
Preventive Dental $10 deductible $10 deductible $10 deductible
Routine Vision Exam $0 $0 $0
Eyeglasses (lenses/frame) $40 $40 $40
Member Maximum Out-of-Pocket Medical Cost
Out-of-Pocket Cost Protection $4,850 $4,850 $4,600
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, $44 - 90 day $8 - 30 day, $24 - 90 day
Tier 3 (Preferred) Not covered $45 - 30 day, $126 - 90 day $42 - 30 day, $118 - 90 day
Tier 4 (Non-preferred) Not covered $95 - 30 day, $ 266 - 90 day $95 - 30 day, $ 266 - 90 day
Tier 5 (Specialty) Not covered 33% - 30 day 33% - 30 day
Coverage Gap after $3,310 until out-of-pocket is $4,850 Not covered Tier 1 & 2 Gen. - 58%, Tier 3 & 4 Brand - 45% Tier 1 Gen.: lesser of $10 or 58% - 30 day, $30 - 90 day; Tier 2 Gen.: 58%; Tier 3 & 4 Brand: 45%

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_IUHMA16104 CMS Approved 10/23/2015