COVID-19 Coverage and Billing - Public Health Emergency Set to End
As previously announced, our COVID-19 billing rules and guidelines will remain in effect through the Public Health Emergency (PHE), which expired on Thursday, May 11, 2023. As a result, some of the rules and guidelines put into place in response to the PHE will now be reversed. This means that member cost share and benefit plan rules may apply to services that were previously covered at 100% during the PHE.
Commercial and Medicare Advantage Post PHE Vaccination and Testing Coverage:
If you have questions about your coverage and COVID-19 and telehealth related costs, please call member services using the numbers below:
Commercial: 866.895.5828
Medicare Advantage: 800.455.9776
Latest on COVID-19: Testing & Vaccines
IU Health has a COVID-19 Resource Center with the latest information on testing, vaccines and more at iuhealth.org/covid19.
Updated August 9, 2023
For IU Health Medicare Advantage only: IU Health Plans reports notice of MOVEit data security incident involving its vendor, TMG Health.
IU Health Plans announced today that its claims processing vendor, TMG Health, Inc. (TMG), discovered a security incident involving TMG’s use of a third-party service, MOVEit Transfer, which recently reported a security vulnerability.
It is noteworthy that IU Health Plans is among more than 500 companies affected by the MOVEit security incident. In response to this situation, we want to assure all our members that safeguarding data privacy remains our top priority.
This security incident impacted IU Health Plans Medicare Advantage members only. Other IU Health Plans products lines (including IU Health Plans fully insured commercial products and the IU Health Team Member Plan) were not impacted.
On June 22, 2023, IU Health Plans was notified of the security incident by TMG who immediately initiated an investigation confirming downloads had been made by an unauthorized party between May 30, 2023 and June 2, 2023. The downloaded data included IU Health Plans Medicare Advantage member names, member identification numbers, and effective dates of plans, and in limited circumstances, banking account and routing numbers.
IU Health Plans began notifying affected Medicare Advantage members on Aug. 4, 2023. All IU Health Plans Medicare Advantage members impacted are being provided free credit monitoring by TMG. Additionally, TMG deployed the requisite security measures to ensure its systems are updated to block these activities from occurring in the future.
Moving forward
In the dynamic field of digital advancements, the challenge of preventing unauthorized access to data is an ongoing and pressing concern for all healthcare organizations, and IU Health Plans is no exception. IU Health Plans has taken steps to collaborate closely with our vendor, TMG. Together, we are strengthening our systems to prevent unauthorized activities, and continuing to set up strong defenses to stop any potential breaches in the future.
Since June 2, 2023, there has been no observed unauthorized activity, signifying a successful containment of the breach.
If you have any questions, please call toll-free 1-888-727-2311 or visit the TMG website at https://response.idx.us/notice-info. A list of frequently asked questions is also available online at https://response.idx.us/notice-info.
IU Health posted a notice about the incident on its website at: https://iuhealth.org/for-media/press-releases.
August 31, 2023
IU Health Plans reports security incident by third-party vendor’s law firm
IU Health Plans announced today that the law firm of its network vision manager, EyeMed, recently experienced a security incident. The law firm, Orrick, Herrington & Sutcliffe, LLC (Orrick), served as legal counsel to EyeMed during its 2020 security event.
In relation to this representation, Orrick detected that an unauthorized third party gained access to a portion of its network between February 28 and March 13, 2023, including a file used to store certain client files of EyeMed containing IU Health Plan vision benefit plan members’ information. IU Health Plans first learned of this incident on June 29, 2023, and promptly initiated a review at that time.
Orrick immediately took steps to block the unauthorized access and initiated its response process, including launching an investigation of the incident with the support of a third-party forensics firm. Orrick also notified law enforcement. In addition to these actions, Orrick deployed additional security measures and tools with the guidance of third-party experts to strengthen the ongoing security of its network.
IU Health Plans began notifying affected members on August 31, 2023. The information affected by the Orrick security incident may have included: member name, address, date of birth, phone number, email address, vision insurance account/ID number, health insurance account/ID number, health insurance account/ID number, and full or partial Social Security numbers. IU Health Plans wants to ensure that its information is protected, and Orrick will be offering free credit monitoring to those IU Health Plans members impacted.
If you have any questions, please call toll-free at 866-347-7897, Monday through Friday from 9:00 am to 6:30 pm Eastern Time, excluding major U.S. holidays. Callers who are deaf, hard-of-hearing, or speech-disabled may utilize their TeleTYpewriter (TTY) or Telecommunication Device (TDD) to access an operator at 866-347-7897, Monday through Friday, from 9:00 am to 6:30 pm Eastern Time, excluding major U.S. holidays.
COVID-19 Coverage and Billing - Public Health Emergency Set to End
As previously announced, our COVID-19 billing rules and guidelines will remain in effect through the Public Health Emergency (PHE), which expired on Thursday, May 11, 2023. As a result, some of the rules and guidelines put into place in response to the PHE will now be reversed. This means that member cost share and benefit plan rules may apply to services that were previously covered at 100% during the PHE.
Commercial and Medicare Advantage Post PHE Vaccination and Testing Coverage:
If you have questions about your coverage and COVID-19 and telehealth related costs, please call member services using the numbers below:
Commercial: 866.895.5828
Medicare Advantage: 800.455.9776
Latest on COVID-19: Testing & Vaccines
IU Health has a COVID-19 Resource Center with the latest information on testing, vaccines and more at iuhealth.org/covid19.
Updated August 9, 2023
For IU Health Medicare Advantage only: IU Health Plans reports notice of MOVEit data security incident involving its vendor, TMG Health.
IU Health Plans announced today that its claims processing vendor, TMG Health, Inc. (TMG), discovered a security incident involving TMG’s use of a third-party service, MOVEit Transfer, which recently reported a security vulnerability.
It is noteworthy that IU Health Plans is among more than 500 companies affected by the MOVEit security incident. In response to this situation, we want to assure all our members that safeguarding data privacy remains our top priority.
This security incident impacted IU Health Plans Medicare Advantage members only. Other IU Health Plans products lines (including IU Health Plans fully insured commercial products and the IU Health Team Member Plan) were not impacted.
On June 22, 2023, IU Health Plans was notified of the security incident by TMG who immediately initiated an investigation confirming downloads had been made by an unauthorized party between May 30, 2023 and June 2, 2023. The downloaded data included IU Health Plans Medicare Advantage member names, member identification numbers, and effective dates of plans, and in limited circumstances, banking account and routing numbers.
IU Health Plans began notifying affected Medicare Advantage members on Aug. 4, 2023. All IU Health Plans Medicare Advantage members impacted are being provided free credit monitoring by TMG. Additionally, TMG deployed the requisite security measures to ensure its systems are updated to block these activities from occurring in the future.
Moving forward
In the dynamic field of digital advancements, the challenge of preventing unauthorized access to data is an ongoing and pressing concern for all healthcare organizations, and IU Health Plans is no exception. IU Health Plans has taken steps to collaborate closely with our vendor, TMG. Together, we are strengthening our systems to prevent unauthorized activities, and continuing to set up strong defenses to stop any potential breaches in the future.
Since June 2, 2023, there has been no observed unauthorized activity, signifying a successful containment of the breach.
If you have any questions, please call toll-free 1-888-727-2311 or visit the TMG website at https://response.idx.us/notice-info. A list of frequently asked questions is also available online at https://response.idx.us/notice-info.
IU Health posted a notice about the incident on its website at: https://iuhealth.org/for-media/press-releases.
August 31, 2023
IU Health Plans reports security incident by third-party vendor’s law firm
IU Health Plans announced today that the law firm of its network vision manager, EyeMed, recently experienced a security incident. The law firm, Orrick, Herrington & Sutcliffe, LLC (Orrick), served as legal counsel to EyeMed during its 2020 security event.
In relation to this representation, Orrick detected that an unauthorized third party gained access to a portion of its network between February 28 and March 13, 2023, including a file used to store certain client files of EyeMed containing IU Health Plan vision benefit plan members’ information. IU Health Plans first learned of this incident on June 29, 2023, and promptly initiated a review at that time.
Orrick immediately took steps to block the unauthorized access and initiated its response process, including launching an investigation of the incident with the support of a third-party forensics firm. Orrick also notified law enforcement. In addition to these actions, Orrick deployed additional security measures and tools with the guidance of third-party experts to strengthen the ongoing security of its network.
IU Health Plans began notifying affected members on August 31, 2023. The information affected by the Orrick security incident may have included: member name, address, date of birth, phone number, email address, vision insurance account/ID number, health insurance account/ID number, health insurance account/ID number, and full or partial Social Security numbers. IU Health Plans wants to ensure that its information is protected, and Orrick will be offering free credit monitoring to those IU Health Plans members impacted.
If you have any questions, please call toll-free at 866-347-7897, Monday through Friday from 9:00 am to 6:30 pm Eastern Time, excluding major U.S. holidays. Callers who are deaf, hard-of-hearing, or speech-disabled may utilize their TeleTYpewriter (TTY) or Telecommunication Device (TDD) to access an operator at 866-347-7897, Monday through Friday, from 9:00 am to 6:30 pm Eastern Time, excluding major U.S. holidays.
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Yes Maybe Later NeverAt 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.
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.
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.
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.
Inflation Reduction Act Part B Cost Sharing Changes effective 4/1/2023 and 7/1/2023.
Visit the official U.S. government website to learn more about the process around Medicare.
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.
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.
Learn more about Medicare coverage through IU Health Plans by signing up to receive our free Benefits and Enrollment Guide.
Ready to enroll? Mail-in your enrollment application or enroll online today!
Review our directory of in-network doctors and facilities you will have access to through your 2023 IU Health Plans coverage.
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.
Helpful Forms and Information about your Prescription Drug Plan.
Find out how you can receive your prescriptions right to your front door.
Find out what to do if your current prescriptions aren’t listed in the formulary directory.
Find out which drug therapies administered under your doctor’s supervision may be subject to Step Therapy.
Login to the Member Portal, select "Messages" in the top right, then select "New Message".
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.
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.
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.
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 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.
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.
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.
Find out more about our free interpreter services.
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.
Still can’t find what you’re looking for? Log into the Member Portal for a full list of available forms
H7220_IUHMA23487 M_2023 Accepted 9.28.2022
Last updated 9.6.2023
