COVID-19 Information & Updates

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.

Connect with our Customer Solutions team
At IU Health Plans, we’re available to address all of your questions in a timely and efficient manner. Our Customer Solutions team is here to assist with any questions regarding your IU Health Plan benefits during this time.

Refill of a Prescription Medication
IU Health Plans has taken steps to design the best care for you during this COVID-19 outbreak. You may now take advantage of:

- Relaxed refill restrictions
For our Commercial and Medicare customers, IU Health Plans is waiving early refill limits on up to three, 30-day prescription supplies for maintenance medications at any in-network pharmacy, in all states. This change applies to maintenance medications only. 30-day overrides are not available for specialty medications or controlled substances.

- Free home delivery
Participating CVS Pharmacies in our network have waived charges for home delivery of all prescription medications. The Centers for Disease Control and Prevention (CDC) encourages people at higher risk for COVID-19 complications to stay at home as much as possible, so this convenient option can help you avoid leaving your home for refills or new maintenance prescriptions. As always, there is no charge for delivery of prescriptions filled by the CVS Caremark Mail Service pharmacy, when you choose the mail order service.

CVS Caremark mail order form
Contact your doctor’s office for a prescription. If you need your prescription filled anytime within the next week, you will need to ask your doctor to write two prescriptions for your long-term medicines, one that you can fill immediately at a participating pharmacy, and the second for the mail order to be mailed to CVS Caremark.

Mail the order form, along with your prescription(s) to be shipped by mail. Include your payment to the CVS Caremark Mail Service Pharmacy address printed on the form. You will be required to make your prescription drug payments using an electronic check, Bill Me Later®, or a credit card (VISA®, MasterCard®, Discover® or American Express®). You can also pay by check or money order. You should not send cash.

COVID-19 Information & Updates

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.

Connect with our Customer Solutions team
At IU Health Plans, we’re available to address all of your questions in a timely and efficient manner. Our Customer Solutions team is here to assist with any questions regarding your IU Health Plan benefits during this time.

Refill of a Prescription Medication
IU Health Plans has taken steps to design the best care for you during this COVID-19 outbreak. You may now take advantage of:

- Relaxed refill restrictions
For our Commercial and Medicare customers, IU Health Plans is waiving early refill limits on up to three, 30-day prescription supplies for maintenance medications at any in-network pharmacy, in all states. This change applies to maintenance medications only. 30-day overrides are not available for specialty medications or controlled substances.

- Free home delivery
Participating CVS Pharmacies in our network have waived charges for home delivery of all prescription medications. The Centers for Disease Control and Prevention (CDC) encourages people at higher risk for COVID-19 complications to stay at home as much as possible, so this convenient option can help you avoid leaving your home for refills or new maintenance prescriptions. As always, there is no charge for delivery of prescriptions filled by the CVS Caremark Mail Service pharmacy, when you choose the mail order service.

CVS Caremark mail order form
Contact your doctor’s office for a prescription. If you need your prescription filled anytime within the next week, you will need to ask your doctor to write two prescriptions for your long-term medicines, one that you can fill immediately at a participating pharmacy, and the second for the mail order to be mailed to CVS Caremark.

Mail the order form, along with your prescription(s) to be shipped by mail. Include your payment to the CVS Caremark Mail Service Pharmacy address printed on the form. You will be required to make your prescription drug payments using an electronic check, Bill Me Later®, or a credit card (VISA®, MasterCard®, Discover® or American Express®). You can also pay by check or money order. You should not send cash.

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2022 Tools & Resources

2022 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. 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.

2022 Evidence of Coverage

This booklet gives you the details about your Medicare healthcare and prescription drug coverage from January 1 – December 31, 2022. It explains how to get coverage for the healthcare services and prescription drugs you need.

2022 Annual Notice of Changes

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) or Select (HMO), there will be some changes to the plan’s costs and benefits for 2022. This booklet tells about the changes.

Learn More & Enroll in a Medicare Advantage Plan

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 today!

Print and complete the 2022 Individual Enrollment Request Form and mail it back to IU Health Plans per the instructions. Please keep a copy for your personal records.

Mail to:

IU Health Plans
Attn: Membership Services
950 North Meridian St., Suite 400
Indianapolis, IN 46204

2022 Provider and Pharmacy Directory

Review our directory of in-network doctors and facilities you will have access to through your 2022 IU Health Plans coverage.

Find an in-network pharmacy close to home.

2022 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 and Mail Order Information

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.

  • 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.

Member Services

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.

    Health and Wellness Information

    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.

    Medication Therapy Management Program

    IU Health Plans (HMO) (HMO-POS) offers a Medication Therapy Management (MTM) program at no extra charge to you. The program is not a benefit. It is a free service offered to those who are eligible and qualify for the program. Once enrolled in the program, there are no changes to your copays or other benefits.

    The MTM Program helps you get the most benefit from your medications by:

    • Making sure you are taking the right amount of medication at the right times
    • Making sure your medications are not interacting with each other or causing side effects
    • Making sure you are taking only medications you need, and not taking medications you don’t need
    • Looking for ways you can save money on your medications

    Who qualifies for the MTM Program?

    To qualify for the MTM program, you must meet the following criteria:

    • You have at least 3 of these conditions: diabetes, high cholesterol, high blood pressure, chronic heart failure or chronic obstructive pulmonary disease (COPD)
    • You take at least 8 covered Part D drugs to manage your chronic conditions
    • Your prescription medications are likely to cost at least $4,696 in 2022

    You may also qualify for a review with a pharmacist if you are using controlled substance medications and/or you are an At-Risk Beneficiary (ARB) under the plan’s Drug Monitoring Program (DMP).

    If you qualify, you’ll receive a welcome letter mailed to your home. Medicare requires MTM programs to automatically enroll members who qualify throughout the calendar year but participation is voluntary, and you can choose not to participate at any time. The welcome letter provides instructions on how to opt out of the program.

    Comprehensive Medication Review (CMR)

    Those enrolled in the MTM program will be offered a comprehensive medication review (CMR). A CMR is a one-on-one consultation between you and one of our clinical pharmacists. The pharmacist will review all of your medications and medical conditions and answer any questions that you may have. The review will take place over the phone.

    The pharmacist will offer ways to manage your conditions with the drugs you take. If any issues are identified, the pharmacist may work with your doctor to help get them resolved. A CMR takes about 30 minutes and is usually offered once each year to qualifying members.

    At the end of your consultation, you will receive a cover letter, a Recommended To-Do List, and a Personal Medication List within two weeks of speaking with the pharmacist. The Recommended To-Do List has steps you should take to help you get the best results from your medications. The Personal Medication List will help you keep track of your medications and how to use them the right way.

    Click here for the Personal Medication List 2022.

    Targeted Medication Review (TMR)

    You may also have Targeted Medication Reviews (TMRs) performed for you. TMRs are identified on at least a quarterly basis (every three months) to address potential medication-related issues. When these issues are identified, the doctor prescribing the medication may be contacted about the potential issue and provided suggested interventions. As always, your prescribing doctor will decide whether or not to consider our suggestions. You may also receive information about a TMR directly, when needed.

    Information Regarding Safe Disposal of Controlled Substance Medications

    Part of keeping you healthy and safe is to provide you information on how to dispose of controlled substance medications when they are no longer needed. As part of the MTM program, this information will be mailed to your home. You can also access this information below.

    Click here for information regarding the safe disposal of controlled substance medications.

    How can I get more information about the Medication Therapy Management Program?
    • If you would like information about the MTM program, please contact our Member Services department at 800.455.9776.
    • MTM Pharmacy Services can be reached at 866.823.1633 9 am – 5 pm EST, Monday through Friday. TTY users dial 711.

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

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    Last updated 7.6.2022