Electronic Claims Processing Outage

Like many payers, IU Health Plans is experiencing system outages at our gateway, Change Healthcare, that impacts both our Commercial and Medicare Advantage claims processing. As such, IU Health Plans cannot accept electronic claims submissions or send out electronic payments and remittances.

We do not have an estimated time in which we expect to have these systems operational. Providers are encouraged to allow 72 hours for services to be restored to ensure timely claims processing. Claims are always accepted via paper at the addresses found here.

If you have any questions or concerns, please contact Provider Services, Monday — Friday from 7 am — 7 pm at the following numbers:

Commercial
Phone: 866.895.5980

Medicare Advantage
Phone: 866.218.1524

For status updates on the outage with Change Healthcare, information can be found at status.changehealthcare.com.

Electronic Claims Processing Outage

Like many payers, IU Health Plans is experiencing system outages at our gateway, Change Healthcare, that impacts both our Commercial and Medicare Advantage claims processing. As such, IU Health Plans cannot accept electronic claims submissions or send out electronic payments and remittances.

We do not have an estimated time in which we expect to have these systems operational. Providers are encouraged to allow 72 hours for services to be restored to ensure timely claims processing. Claims are always accepted via paper at the addresses found here.

If you have any questions or concerns, please contact Provider Services, Monday — Friday from 7 am — 7 pm at the following numbers:

Commercial
Phone: 866.895.5980

Medicare Advantage
Phone: 866.218.1524

For status updates on the outage with Change Healthcare, information can be found at status.changehealthcare.com.

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Medicare Advantage Plans Tools & Resources

Medicare Advantage Plans Tools & Resources

Enroll in a Medicare Plan

At Indiana University Health Plans, we know choosing and understanding healthcare coverage can be challenging. That’s why we strive to ensure you have the information you need, whether you are a plan member or simply interested in learning more about our coverage options. Below, we’ve provided our most frequently used resources to help you find the answers and solutions to move forward in your journey to better health. You can also go to the events page to find a webinar or event near you.

Visit our Frequently Asked Questions (FAQs) page to find answers to our most commonly asked questions. If you’re unable to locate the information you need, please call 866.282.5802 (TTY/TDD 711) to speak with one of our knowledgeable representatives.

2024 Annual Notice of Changes

IU Health Plans Medicare Kidney Care (HMO)

Managing kidney disease can be a challenge. That's why IU Health Plans has create the Kidney Care (HMO) plan specifically designed for people diagnosed with chronic kidney disease (CKD) stage 3 (or higher) or end-stage renal disease (ESRD).

Learn More & Enroll in a Medicare Advantage Plan

2024 Provider and Pharmacy Directory

Review our directory of in-network doctors and facilities you will have access to through your 2024 IU Health Plans coverage.

Find an in-network pharmacy close to home.

Medical and Prescription Prior Authorization Policies

Policies and guidelines

    Prescription and medical services requiring prior authorization.

    2024 Formulary (List of Covered Drugs)

    Review our medication list of effective drugs you will have access to through your IU Health Plans coverage.

    Medicare prescription drug coverage Determination request form.

    You can make an Appeal to a Part D Drug Decision by logging into the Member Portal, select "Messages" in the top right, then select "New Message."

    Member Services

    Important forms and resources

    Health and Wellness Information

    • Healthy Results®
      • Healthy Results includes a variety of programs to improve physical health and emotional well-being, and all are offered at no cost to IU Health Plans members.
    • IU Health Virtual Visits
      • Life can be challenging, unexpected, and busy. IU Health offers virtual care across a broad spectrum of your health care needs. It’s an easy, simplified way to get the best care that fits into your life. From scheduled visits to on-demand care, we’re ready to connect.
    • Prevent T2 - Diabetes Prevention Program
      • If you have been told that you have prediabetes or have a body mass index of 25 or greater (23 or greater if Asian-American), consider attending Prevent T2, a new Medicare diabetes prevention program. Taught by registered dietitians, the program is available at no cost to you. To learn more, reach out to Melissa Zahn at 317.944.3487, or email our team at iuhpdpp@iuhealth.org.

    Newsletter

    Stay informed with our Medicare Advantage member newsletter.




    If you need to file a complaint about Indiana University Health Plans Medicare Advantage, you can use these steps or submit directly to CMS here.

    Still can’t find what you’re looking for? Log in to the Member Portal for a full list of available forms.

    Indiana University Health Plans is an HMO/HMO POS with a Medicare contract. Enrollment in IU Health Plans Medicare depends on the plan’s contract renewal with Medicare. Other Providers are available in our network.

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    Last updated 2.29.2024