Security Information (EyeMed/Orrick)

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.

Security Information (EyeMed/Orrick)

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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Formulary Resources

Ak prescription drug formulary is a list of drugs a Medicare Advantage plan covers. The IU Health Plans (HMO and HMO POS) formulary includes thousands of brand-name and generic medications. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. These drugs have been approved for coverage by the health plan and are also reviewed and approved by the Centers for Medicare and Medicaid Services (CMS), the agency that administers the Medicare Program. Some of the drugs that IU Health Plans (HMO and HMO POS) cover may require you to obtain prior approval.

Click on the link below to view any drugs that require prior authorization:

Click the link below to see a list of drugs that require step therapy: 

Utilization Management

For certain prescription drugs, IU Health Plans (HMO and HMO POS) has additional requirements for coverage or limits on coverage. These requirements and limits ensure that members use these drugs in the most effective way and to control drug costs. A team of doctors and pharmacists developed these requirements and limits.

Examples of utilization management tools are described below:

  1. Prior Authorization: IU Health Plans (HMO and HMO POS) requires you to get prior authorization for certain drugs. This means that approval is required prior to coverage. If you do not get approval, we may not cover the drug.
  2. Quantity Limits: For certain drugs, IU Health Plans (HMO and HMO POS) limits the amount of the drug that we will cover per prescription or for a defined period of time.
  3. Step Therapy: In some cases, we require you to first try one drug to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both effectively treat a medical condition, we may require your doctor to prescribe Drug A first. If Drug A does not work for you, then we will cover Drug B.
  4. Generic Substitution: When there is a generic version of a brand-name drug available, network pharmacies will automatically give you the generic version, unless your doctor has told IU Health Plans (HMO and HMO POS) that you must take the brand-name drug and have obtained a prior authorization.

You can find out if the drug you take is subject to these additional requirements or limits by looking in the Formulary. If your drug is subject to one of these additional restrictions or limits and your physician determines that you aren’t able to meet the additional restriction or limit for medical necessity reasons, you or your physician may request an exception (which is a type of coverage determination).

Drug Utilization Review

We conduct drug utilization reviews for our members to make sure that they are getting safe and appropriate medications. These reviews are especially important for members who go to more than one doctor and/or pharmacy for their medications. We conduct drug utilization reviews each time you fill a prescription and on a regular basis by reviewing our records.

During these reviews, we look for medication problems such as:

If we identify a medication problem during our drug utilization review, we will work with you and your doctor to correct the problem.

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.

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. For language assistance call 800.455.9776 (TTY/TDD 711).

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Last updated 10.13.2023