Medicare Advantage Plans Tools & Resources

This booklet gives you the details about your Medicare healthcare and prescription drug coverage from January 1 – December 31, 2023. It explains how to get coverage for the healthcare services and prescription drugs you need.

• IU Health Plans Medicare $0 Preferred (HMO) | Audio Accessible File Available
• IU Health Plans Medicare Flex Network (HMO-POS) | Audio Accessible File Available
• IU Health Plans Medicare Select Plus (HMO) 001 | Audio Accessible File Available
• IU Health Plans Medicare Select Plus (HMO) 002 | Audio Accessible File Available
• IU Health Plans Medicare Select Plus (HMO) 003 | Audio Accessible File Available
• IU Health Plans Medicare Choice (HMO-POS) | Audio Accessible File Available
• IU Health Plans Medicare Select—Medical Only (HMO) | Audio Accessible File Available
• IU Health Plans Medicare Kidney Care Plan (HMO) | Audio Accessible File Available

Inflation Reduction Act Part B Cost Sharing Changes effective 4/1/2023 and 7/1/2023.

If you are currently enrolled as a member of Indiana University Health Plans Medicare Select Plus (HMO) 001, Select Plus (HMO) 002, Select Plus (HMO) 003, Choice (HMO-POS), Select (HMO), $0 Preferred (HMO) or Flex Network (HMO-POS) there will be some changes to the plan’s costs and benefits for 2023. This booklet tells about the changes.

• IU Health Plans Medicare Select Plus (HMO) 001 | Audio Accessible File Available
• IU Health Plans Medicare Select Plus (HMO) 002 | Audio Accessible File Available
• IU Health Plans Medicare Select Plus (HMO) 003 | Audio Accessible File Available
• IU Health Plans Medicare Choice (HMO-POS) | Audio Accessible File Available
• IU Health Plans Medicare Select—Medical Only (HMO) | Audio Accessible File Available
• IU Health Plans Medicare $0 Preferred (HMO) | Audio Accessible File Available
• IU Health Plans Medicare Flex Network (HMO-POS) | Audio Accessible File Available

Inflation Reduction Act Part B Cost Sharing Changes effective 4/1/2023 and 7/1/2023.

This booklet gives you a summary of what we cover and what you pay.

• IU Health Plans Medicare $0 Preferred (HMO) | Audio Accessible File Available
• IU Health Plans Medicare Flex Network (HMO-POS) | Audio Accessible File Available
• IU Health Plans Medicare Select Plus (HMO) 001 | Audio Accessible File Available
• IU Health Plans Medicare Select Plus (HMO) 002 | Audio Accessible File Available
• IU Health Plans Medicare Select Plus (HMO) 003 | Audio Accessible File Available
• IU Health Plans Medicare Choice (HMO-POS) | Audio Accessible File Available
• IU Health Plans Medicare Select—Medical Only (HMO) | Audio Accessible File Available
• IU Health Plans Medicare Kidney Care | Audio Accessible File Available

Inflation Reduction Act Part B Cost Sharing Changes effective 4/1/2023 and 7/1/2023.

• IU Health Plans $0 Preferred (HMO)
• IU Health Plans Flex Network (HMO-POS)
• IU Health Plans Select Plus (HMO)
• IU Health Plans Select-Medical Only (HMO)
• IU Health Plans Choice (HMO-POS)
• IU Health Plans Kidney Care (HMO)

• 2023 Medicare Star Ratings
• Medicare.gov

Visit the official U.S. government website to learn more about the process around Medicare.

• Delta Dental Benefit Summary
  • Delta Dental Certificate of Coverage – Embedded Plan
  • Delta Dental Certificate of Coverage – Dental Enhanced 1000
  • Delta Dental Certificate of Coverage – Dental Enhanced 1500

• Vision Care Benefits

• Hearing Aid Benefits

• Silver&Fit® Healthy Aging and Exercise Program

• Silver&Fit® Home Fitness Program

• Silver&Fit® Connected Program

• Healthy Rewards Program

• Health coaching through Healthy Results®

• Brain-training with BrainHQ

• OTC Health Solutions Mail-Order Catalog | Audio Accessible File Available

Please note that over-the-counter mail-order items must be purchased from this catalog either by phone or online. Please reference pages 4 and 5 of the catalog for how to place an order. Members will not receive a card for this benefit.

• Diabetes Eye Exam

• 2023 Covered Diabetic Blood Glucometers and Blood Glucose Test Strips

• Understanding Medicare

Watch videos to learn the basics of Medicare, when to enroll and key questions to ask to help you decide which Medicare plan works best for you.

• 2023 Benefits and Enrollment Guide

Learn more about Medicare coverage through IU Health Plans by signing up to receive our free Benefits and Enrollment Guide.

• 2023 Enrollment Form

Ready to enroll? Mail-in your enrollment application or enroll online today!

• Ask an Expert
  
• Request Personal Consultation
• Attend an Event
• Request a Medicare Made Easy Guide

• Electronic Funds Transfer Agreement
• Social Security Deduction Request

• 2023 Provider Directory
• Find a Doctor or Facility

Review our directory of in-network doctors and facilities you will have access to through your 2023 IU Health Plans coverage.

• 2023 Network Pharmacy Locator
• Pharmacy Network Information

Find an in-network pharmacy close to home.

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

• 2023 Comprehensive Formulary
• Online Searchable Formulary
• Formulary Resources

• Medication Therapy Management Program
  
• Prescription Drug Claim Reimbursement
• Prescription Drug Transition Process
• Hospice Provider Coverage Determination /Exception Request Form
• Drug Safety Withdrawals & Recalls
• CVS Coronavirus (COVID-19) frequently asked questions (FAQ)

Helpful Forms and Information about your Prescription Drug Plan.

• CVS Caremark Mail Service Order Form
• IU Health Advance Therapies Pharmacy New Patient Enrollment Form

Find out how you can receive your prescriptions right to your front door.

• Request for Medicare Prescription Drug Determination
• Request for Medicare Prescription Drug Redetermination
• Request for Medicare Prescription Drug Reconsideration

Find out what to do if your current prescriptions aren’t listed in the formulary directory.

• Medicare Advantage Prior Authorization Drug List

Find out which drug therapies administered under your doctor’s supervision may be subject to Step Therapy.

• Make an Appeal to a Part D Drug Decision

Login to the Member Portal, select "Online Service Requests" from the Quick Links menu, then select "Ask a general question." Describe your appeal request and it will be forwarded to the appropriate office.

• Find answers to our most commonly asked questions.
• IU Health Plans Quality Assurance Program

IU Health Plans seeks to provide the best quality care and service for its members. Learn more about our Quality Assurance program and how to file a complaint.

• Appointment of Representation
• Authorization to Share Personal Information
• Medical Claims Reimbursement Form
• Out-of-Network Dental Claim Form
• Out-of-Network Vision Claim Form
• Coordination of Benefits Questionnaire
• Low-Income Subsidy Premium Summary Chart
• Manage my Health Records
• File a Complaint

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.

• IU Health Plans Medicare Advantage Preventive Health Checklist

Use this checklist to track preventive services, and remember to talk with your doctor about getting these important screenings. Take this chart along with you to your next doctor’s appointment.

• IU Health Plans Quality Assurance Program

IU Health Plans seeks to provide the best quality care and service for its members. Learn more about our Quality Assurance program and how to file a complaint.

• 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.

• Q1 Winter 2023 newsletter
• Archived Newsletters

Stay informed with our Medicare Advantage member newsletter.

• Multi-language Information

Find out more about our free interpreter services.

• Non-discrimination Notice

IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status, or any other characteristic protected by federal, state or local law.

• Notice of Privacy Practices and Legal Notices