COVID-19 Information & Updates

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:

  • COVID-19 Vaccination and Administration - Will continue to be covered as a preventative health benefit with no member cost share.
  • COVID-19 Lab Tests - Will be covered, but subject to member cost share.
  • OTC COVID-19 Tests - Will only be covered for our Federal Employee Health Benefits (FEHB) members.

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.

Security Information (TMG Health)

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.

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.

COVID-19 Information & Updates

Security Information (TMG Health)

Security Information (EyeMed/Orrick)

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:

  • COVID-19 Vaccination and Administration - Will continue to be covered as a preventative health benefit with no member cost share.
  • COVID-19 Lab Tests - Will be covered, but subject to member cost share.
  • OTC COVID-19 Tests - Will only be covered for our Federal Employee Health Benefits (FEHB) members.

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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IU Health Plans Medicare Kidney Care (HMO)

IU Health Plans Medicare Kidney Care (HMO)

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/Kidney to learn more.

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