Change Healthcare Outage FAQ Update

IU Health Plans continues to navigate the impacts of the Change Healthcare outage and strives to provide the most up-to-date information to our provider partners. In adhering to this standard, we've updated our FAQ and encourage you to review it. Important updates include information on Medicare Advantage (MA) EFT/ERA distribution, MA ERA/835 registration, timely filing and interest payments on delayed MA EFT payments. Please check back regularly for future updates on our website home page banner and the provider resources page, section 4.

Updated Change Healthcare Outage FAQ

If you have any questions or concerns, please contact Provider Services, Mon. - Fri. from 7 am - 7 pm at the following numbers:

Commercial provider line: 866.895.5980
Medicare Advantage provider line: 866.218.1524

Change Healthcare Outage FAQ Update

IU Health Plans continues to navigate the impacts of the Change Healthcare outage and strives to provide the most up-to-date information to our provider partners. In adhering to this standard, we've updated our FAQ and encourage you to review it. Important updates include information on Medicare Advantage (MA) EFT/ERA distribution, MA ERA/835 registration, timely filing and interest payments on delayed MA EFT payments. Please check back regularly for future updates on our website home page banner and the provider resources page, section 4.

Updated Change Healthcare Outage FAQ

If you have any questions or concerns, please contact Provider Services, Mon. - Fri. from 7 am - 7 pm at the following numbers:

Commercial provider line: 866.895.5980
Medicare Advantage provider line: 866.218.1524

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IU Health Plans Medicare Kidney Care (HMO)

IU Health Plans Medicare Kidney Care (HMO)

Enroll Online Now

IU Health Plans Medicare Kidney Care (HMO): A plan to meet your unique needs

Managing kidney disease can be a challenge. That’s why IU Health Plans has introduced the new Kidney Care (HMO) plan specifically designed for people diagnosed with chronic kidney disease (CKD) stage 3 (or higher) or end-stage renal disease (ESRD). Through our partnership with IU Health Physicians Kidney Health, we’ve created a plan with the benefits, support and convenience to meet your unique needs.

Discover the transformative power of our Kidney Care plan through the firsthand accounts and inspiring stories of patients who have experienced its remarkable benefits here.

Specialized benefits

Save more with our new Kidney Care Medicare Advantage plan

Only available to members under the care of a participating IU Health nephrologist* and in the IU Health Care Management Program.

*To find a list of participating nephrologists, please visit iuhealthplans.org/kidneydoctors.

Patients starting dialysis and not already on Medicare can enroll in our Medicare Advantage plan at the start of their fourth month of dialysis treatment. For patients choosing home dialysis, eligibility for our plan could begin as early as the first month.

Regardless of when you join, you’ll benefit from a specialized plan that is built on expert care coordination between doctors and service providers to help you stay well. 

Know before you enroll

Our Kidney Care (HMO) plan is for individuals who are under the care of a participating IU Health nephrologist and participate in the IU Health Care Management Program. 

In addition to benefits and services that address the special needs of people with kidney disease, IU Health Plans members enjoy customer service uniquely designed with them in mind. Our locally based Member Advocates answer questions about insurance coverage and providers, and can even help our members schedule doctor appointments—often in a single call.

Note to patients receiving dialysis: You may need to change dialysis clinics to be under the care of a participating nephrologist. This can be coordinated with the social worker at your current dialysis clinic. To ensure eligibility for all supplemental benefits, it is important that changes are made prior to enrolling in the Kidney Care Plan.

Our Kidney Care (HMO) plan offers:

*Specialized benefits for those who qualify

Who is eligible to join?

Individuals must have both Medicare Part A and Part B to enroll with the IU Health Plans Medicare Advantage program. You must live in the service area, which includes these counties:

Your coverage options 

If you have ESRD, you can choose either Original Medicare or a Medicare Advantage plan for your Medicare coverage. You don’t have to be 65 or older to be eligible for Medicare coverage, if you have ESRD.

When does coverage begin?

Eligibility for Medicare coverage based on ESRD works differently than other types of Medicare. If you’re eligible for Medicare based on ESRD and don’t sign up right away, your coverage could start up to 12 months before the month you apply. For example, if you become eligible for Medicare based on ESRD in February but don’t sign up for Medicare until November, your Medicare coverage will start in February (This is called retroactive coverage.).

If you're on dialysis:

If you’re getting a kidney transplant: 

When does coverage end?

If you have Medicare only because of permanent kidney failure, Medicare coverage will end:

Your Medicare coverage will resume if:

We’re here to help you enroll 

Our Medicare Advantage experts are standing by to help you enroll or answer your questions. Call us at 866.493.2873 for a personal consultation. Need more details? Check out our free Benefits Guide at iuhealthplans.org/kidneyplan2024 to learn more.

Indiana University Health Plans is a Medicare Advantage Organization with a Medicare contract. Enrollment in an HMO or HMO-POS plan from Indiana University Health Plans depends on the plan’s contract renewal with Medicare. The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify.

H7220_IUHMA24202_M Accepted 09.23.2023