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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.

FOR SELECT PLAN HMO MEMBERS

FOR CHOICE PLAN HMO MEMBERS

FOR SELECT PLUS PLAN HMO MEMBERS 

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

You can submit a complaint about Indiana University Health Plans Medicare Advantage directly to Medicare. To submit a complaint to Medicare, click 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 Indiana University Health Plans depends on contract renewal. Other pharmacies/physicians/providers are available in our network. Product types include HMO and HMO-POS. H7220_IUHMA18442 CMS Approved 6.22.2018