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.

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.

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IU Health Plans Quality Assurance Program

IU Health Plans Quality Assurance Program

Indiana University Health Plans, through the Medicare Advantage insurance plan, seeks to provide the best quality care and service for its members. Our Quality Improvement Program is designed to continuously monitor the care our members are receiving and help to ensure high quality, cost-effective medical care. The Quality Improvement Program tracks and monitors a number of health outcomes and utilization measures that allow us to work with doctors, hospitals and other care providers to improve the health of our members, whether they are seen in the outpatient, inpatient, emergency settings or in a care facility. The program uses information from claims, utilization measures, other quality outcomes reviews and surveys to develop and enhance programs such as case management, disease management, member and provider educational activities and service improvement opportunities.

$0 Preferred plan

Flex Network plan

Choice plan

Select Plus 001 plan

Select Plus 002 plan

Select Plus 003 plan

Select - Medical Only plan

Kidney Care plan

Additional information about Low Income Subsidy and Best Available Evidence is available on the CMS website.

If you need to submit a complaint about Indiana University Health Plans Medicare Advantage, you can use these steps or submit directly to Medicare here.

IU Health Plans is a Health Plan with a Medicare contract with the Federal government which is renewed annually and availability of coverage beyond the end of the current contract year is not guaranteed.

Contact IU Health Plans today and let’s discuss the Medicare Advantage health plan options available to you. After all, it’s your health and you do have choices.

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.

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Last updated 02.15.2023