University Human Resource Services
2008 Medical Care Plans IU PPO-Plus
No New Enrollments for 2008
At its inception in 2001, the IU PPO-Plus plan provided a reasonable option to employees who wished to budget their medical costs through payroll premium contributions rather than through a plan deductible. Although this no-deductible plan initially offered a valuable choice for employees, in recent years its reasonableness has been eroded by disproportionately large premium increases.
For this reason, no new enrollments will be accepted into this plan for 2008, and barring a significant decrease in the employee premiums for 2009, the plan will be discontinued effective December 31, 2008. Although current participants can remain enrolled for 2008, they are encouraged to review this plan’s costs compared to the IU PPO $900 Deductible and Blue Preferred Primary POS plans which are more cost-effective.
Medical Services
This plan is available to all eligible Indiana University employees, regardless of area of residence. When network providers are used, participants receive full benefits. Partial benefits are received from non-network providers, except in the case of an emergency. Network providers include Anthem Blue Access PPO providers in Indiana, Ohio, and Kentucky and BCBS Blue Card providers in other states.
| Monthly Rates | ||
|
Employee Contributions |
With "Additional IU Subsidy"*
|
|
| Employee | $156.60 |
$109.62 |
| Employee/Child(ren) | $410.29 |
$287.21 |
| Employee/Spouse | $509.67 |
$356.77 |
| Family | $631.81 |
$442.26 |
| *Additional IU Subsidy is for Staff employees in Support and Service positions with a base salary of less than $27,186. | ||
Things you can do…
-
See the IU PPO-Plus Plan At-a-Glance for information about services, copays, and deductibles.
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Contact the plan administrator, Anthem, at their Web site or call 800-345-2460 for questions about coverage, claims, and provider networks.
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File a medical claim by calling Anthem at 800-345-2460 to have a claim form mailed to you or by printing an online form. Claims are processed by Anthem.
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Locate a network medical provider by consulting the Anthem Provider Directory.
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Obtain information about precertification of a medical procedure by calling Anthem Utilization Review at 800-345-4348.
Prescription drugs are obtained from a participating pharmacy. Participants are responsible for copays at the time of service. Participating pharmacies include most retail pharmacy chains and some independent stores. Mail order prescriptions are also available from Anthem Rx Direct.
Things you can do…
-
See the IU PPO-Plus Plan At-a-Glance for information about copays and deductibles.
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Call 800-345-2460 for questions about coverage, network pharmacy locations, and services.
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Call 800-962-8192 to check on the status of mail order prescriptions.
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Print the NextRx claim form (PDF).
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Print the Anthem temporary ID card (PDF).
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Print Anthem's prescription mail order form (PDF).
Mental Health and Chemical Dependency
IU PPO-Plus offers full benefits from Indiana University Psychiatric Management (IUPM) and partial benefits from out-of-network providers. All services must have prior authorization by IUPM in order to be covered.
Things you can do…
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See the IU PPO-Plus Plan At-a-Glance for information about copays and deductibles.
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Contact IUPM for questions about coverage, providers, and claims.
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Request prior authorization of treatment by contacting IUPM.
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Select a mental health professional from the IUPM Provider Network (click the Search for a Provider! link).
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Print the ID card: Mental Health and Chemical Dependency Coverage.
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In case of an emergency: Contact IUPM or obtain care from the nearest qualified mental health professional, who must then call IUPM within 24 hours of care.
For all plans, to access information on background and licensing of individual doctors, nurses, chiropractors and pharmacists, call Indiana Health Professions Bureau (toll free) 888-333-7515.
Page updated: 23 October 2007
UNIVERSITY HUMAN RESOURCE SERVICES
Poplars E165, 400 E. 7th St., Bloomington, IN 47405 • (812) 855-2172
Contact Benefits:
Indiana University is an Equal Employment Opportunity/Affirmative Action employer
and a provider of ADA services.
