Medicare Advantage Plans Tools & Resources

This booklet gives you the details about your Medicare healthcare and prescription drug coverage from January 1 – December 31, 2025. 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 (HMO)| Audio Accessible File Available

If you are currently enrolled as a member of Indiana University Health Plans Medicare $0 Preferred (HMO), Flex Network (HMO-POS), Select Plus (HMO) 001. Select Plus (HMO) 002, Select Plus (HMO) 003, Choice (HMO-POS), Select - Medical Only (HMO), or Kidney Care Plan (HMO) there will be some changes to the plan's costs and benefits for 2025. This booklet tells about the changes.

• 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 (HMO) | Audio Accessible File Available

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 (HMO) | Audio Accessible File Available

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).

• IU Health Plans Medicare Kidney Care (HMO)

• 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)

• 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®
• Over-the-Counter Health Solutions Mail-Order Catalog
  • Please note that over-the-counter mail-order items must be purchased from this catalog either by phone or online. Please reference pages 3 and 4 of the catalog for how to place an order. Members will not receive a card for this benefit.
• Diabetes Eye Exam

• 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.
• Medicare.gov
  • Visit the official U.S. government website to learn more about the process around Medicare.
• 2025 Enrollment Form
  • Ready to enroll? Mail-in your enrollment application or enroll online today!
• For more information about 2026 plan benefits and options to make changes during the Annual Enrollment period (October 15 – December 7), visit Anthem.com/medicare or the Sydney Health digital app. You may also contact Anthem customer service at 855.251.8827 (TTY/TDD) from 8 am - 8 pm, seven days a week (except Thanksgiving and Christmas) from October 1 - March 31. Language assistance is available.
• 2025 Medicare Star Ratings
• Ask an Expert
• Request Personal Consultation
• Request a Medicare Made Easy Guide

• Electronic Funds Transfer Agreement
• Social Security Deduction Request

Review our directory of in-network doctors and facilities you will have access to through your 2025 IU Health Plans coverage.

• 2025 Provider/Pharmacy Directory
• Find a Doctor or Facility

Find an in-network pharmacy close to home.

• 2025 Network Pharmacy Locator
• Pharmacy Network Information

Policies and guidelines

• Our internal policies
  
• Non-Part D Medication Coverage Policies
  
• Care to Care (radiology services) guidelines
• MCG (medical services) guidelines
  • If you're not an IU Health member, please call 317.963.2021 to receive a one-time password and a guideline code in order to access these policies.

Prescription and medical services requiring prior authorization.

• 2025 Medicare Advantage Members Prior Authorization List
• 2025 Prior Authorization J-Code Drug List for Medicare Advantage
• Medical service prior authorization form

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

• 2025 Comprehensive Formulary
• 2025 Online Searchable Formulary
• Formulary Resources

Medicare prescription drug coverage Determination request form.

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

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."

Helpful Forms and Information about your Prescription Drug Plan.

• Prescription Drug Savings Programs - Rx Savings Solutions and Extra Help
• Medicare Part D Benefit Redesigned
• Medication Therapy Management Program
  
• Prescription Drug Claim Reimbursement
• Prescription Drug Transition Process
• Hospice Provider Coverage Determination /Exception Request Form
• Drug Safety Withdrawals & Recalls
• IU Health Pharmacy App
  
• CVS Caremark Mail Service Order Form
• 2025 Covered Diabetic Blood Glucometers and Blood Glucose Test Strips

• Visit our Frequently Asked Questions (FAQs) page to 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.

Important forms and resources

• Appointment of Representative
• 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
• Disaster and Emergency Policy

• 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 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 On-Demand 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.

Stay informed with our Medicare Advantage member newsletter.

• Q1 Winter 2025 newsletter
• Q4 Fall 2024 newsletter
  
• Q3 Summer 2024 newsletter
• Q2 Spring 2024 newsletter
• Q1 Winter 2024 newsletter
• Archived newsletters

• 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