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.

✕
IU Health Plans

Thank you for visiting the IU Health Plans website, we value your opinion on how we can improve your online experience. After you complete your visit, would you be willing to answer a few questions to help us improve our website? Please complete this survey after you have completed your online session.

Yes Maybe Later Never
Find a Doctor or Facility Contact Us
Search

Online Formulary Directory

2023 Searchable Formulary

  You may search our prescription drug formulary in several ways:
  1. You can use the alphabetical list to search by the first letter of your medication.
  2. You can search by typing part of the generic (chemical) or brand (trade) names.
  3. You can search by selecting the therapeutic class of the medication you are looking for.

How do I request an exception to the formulary?

To submit a request for a coverage determination, utilization exception, formulary exception, or tiering exception: Request Form – Coverage Determination, Formulary Exception or Tiering Exception: Medicare Part D enrollees can use this form to request coverage determinations (including tiering, utilization or formulary exception requests) from their Medicare Part D plan sponsor. You or your physician can request a prescription coverage determination or an appeal by calling 866.823.1016 (TTY/TDD 711). For more information on how to submit a request for an exception to the formulary:

H7220_IUHMA23487 M_2023 Accepted 9.28.2022

Last updated 10.01.2022