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

Important Announcement

Anthem Blue Cross and Blue Shield Parent Company to Acquire Indiana University Health Plans

Indiana University Health has entered into an agreement for Elevance Health to buy Indiana University Health Plans Medicare Advantage and Commercial at the end of 2024. Additional information is available in the press release.

If you are an IU Health Plans Medicare Advantage member, your plan coverage will remain unchanged for the rest of 2024. If you take no action, you will continue with the same plan next year. As the 2025 Medicare Annual Enrollment Period approaches, we will provide detailed information about your options, allowing you to explore them with your broker and choose the best fit for your needs.

If you have questions, please call 800.455.9776 (TTY/TDD 711) 8 am – 8 pm, Monday – Friday. Language assistance is available.

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If you are an IU Health Plans Commercial member, there will be no changes to your IU Health Plans healthcare coverage for the remainder of 2024. As we approach 2025, we will communicate any updates pertaining to your health plan.

If you have questions, please call 800.895.5828 (TTY/TDD 711) 7 am – 7 pm, Monday – Friday. Language assistance is available.

Change Healthcare Outage FAQ Update

Important Announcement

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

Anthem Blue Cross and Blue Shield Parent Company to Acquire Indiana University Health Plans

Indiana University Health has entered into an agreement for Elevance Health to buy Indiana University Health Plans Medicare Advantage and Commercial at the end of 2024. Additional information is available in the press release.

If you are an IU Health Plans Medicare Advantage member, your plan coverage will remain unchanged for the rest of 2024. If you take no action, you will continue with the same plan next year. As the 2025 Medicare Annual Enrollment Period approaches, we will provide detailed information about your options, allowing you to explore them with your broker and choose the best fit for your needs.

If you have questions, please call 800.455.9776 (TTY/TDD 711) 8 am – 8 pm, Monday – Friday. Language assistance is available.

H7220_IUHS03_C

If you are an IU Health Plans Commercial member, there will be no changes to your IU Health Plans healthcare coverage for the remainder of 2024. As we approach 2025, we will communicate any updates pertaining to your health plan.

If you have questions, please call 800.895.5828 (TTY/TDD 711) 7 am – 7 pm, Monday – Friday. Language assistance is available.

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Medicare Part D Benefit Redesigned

Beginning Jan. 1, 2025 – Part D maximum out of pocket capped at $2,000

What does this mean? It caps the most you will pay out of pocket for covered prescriptions at $2,000, and the coverage gap (“donut hole”) will be eliminated.

How does it work? The newly defined standard Part D benefit consists of three parts. See what you pay with IU Health Plans coverage:

*If you receive Medicaid or Extra Help, your initial coverage costs will be reduced.

NEW – Optional Participation Medicare Prescription Payment Plan (M3P) program
If you find your medications expensive and difficult to pay for a monthly supply, the new M3P program may help you manage drug costs by spreading payments out across the year (January – December). The M3P does not change the plan you are enrolled in, prescription drug costs or the cap on what you will pay in a year. You won’t pay any copays or coinsurance directly to your pharmacy; instead, you’ll get a bill each month from IU Health Plans. This program is not a good fit for everyone, including people who have drug costs that average less than $200 per month, those receiving Medicaid or Extra Help from Medicare, or individuals who may qualify for a Medicare Savings Program.

How will M3P work? 

  1. Elect to participate in the M3P program by completing the necessary form available at Caremark.com Note: is recommended that you read more about M3P before signing up for the program. 
  2. Fill a prescription for a Part D-covered drug. 
  3. Don’t pay the copays or coinsurance directly to the pharmacy. 
  4. Receive a monthly bill from IU Health Plans based on the amount you owe for any prescriptions you receive, plus what you still owe from a previous month (incurred and accumulated balance), divided by the number of months left in the year. 

For more information please review the M3P fact sheet.

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