Important Announcement

Anthem Blue Cross and Blue Shield Parent Company has Acquired Indiana University Health Plans

As announced in September 2024, Indiana University Health Plans has been acquired by Elevance Health, the parent company of Anthem Blue Cross and Blue Shield in Indiana, including IU Health Plans Commercial employer-sponsored and Medicare Advantage businesses. More information is available here.

IU Health Plans Medicare Advantage member’s coverage will not change in 2025 due to the change in ownership. The plan you selected during the Annual Enrollment Period (AEP) will continue in 2025. Any terms or provisions communicated as part of a renewal or new enrollment will remain in effect for the entirety of the year 2025. If you made no change to your plan during AEP or otherwise, you will remain in your 2024 plan with updated 2025 benefits. Visit the Tools & Resources section of our website or log in to your Member Portal for details about your 2025 plan.

With questions or for assistance, please continue to call 800.455.9776 (TTY/TDD 711) from 8 am – 8 pm, Monday – Friday to speak with a Member Advocate. Language assistance is available. You may also send a secure message via Member Portal.

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If you are a member of an IU Health Plans employer-sponsored plan, your employer will inform you of any changes to your health insurance benefits. Log in to the Member Portal for details about your 2025 plan. If you have questions, please call 800.895.5828 (TTY/TDD 711) from 7 am – 7 pm, Monday – Friday. Language assistance is available.

Important Announcement

Anthem Blue Cross and Blue Shield Parent Company has Acquired Indiana University Health Plans

As announced in September 2024, Indiana University Health Plans has been acquired by Elevance Health, the parent company of Anthem Blue Cross and Blue Shield in Indiana, including IU Health Plans Commercial employer-sponsored and Medicare Advantage businesses. More information is available here.

IU Health Plans Medicare Advantage member’s coverage will not change in 2025 due to the change in ownership. The plan you selected during the Annual Enrollment Period (AEP) will continue in 2025. Any terms or provisions communicated as part of a renewal or new enrollment will remain in effect for the entirety of the year 2025. If you made no change to your plan during AEP or otherwise, you will remain in your 2024 plan with updated 2025 benefits. Visit the Tools & Resources section of our website or log in to your Member Portal for details about your 2025 plan.

With questions or for assistance, please continue to call 800.455.9776 (TTY/TDD 711) from 8 am – 8 pm, Monday – Friday to speak with a Member Advocate. Language assistance is available. You may also send a secure message via Member Portal.

H7220_IUHS04_C

If you are a member of an IU Health Plans employer-sponsored plan, your employer will inform you of any changes to your health insurance benefits. Log in to the Member Portal for details about your 2025 plan. If you have questions, please call 800.895.5828 (TTY/TDD 711) from 7 am – 7 pm, Monday – Friday. Language assistance is available.

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Formulary Resources

A prescription drug formulary is a list of drugs a Medicare Advantage plan covers. The IU Health Plans (HMO and HMO POS) formulary includes thousands of brand-name and generic medications. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. These drugs have been approved for coverage by the health plan and are also reviewed and approved by the Centers for Medicare and Medicaid Services (CMS), the agency that administers the Medicare Program. Some of the drugs that IU Health Plans (HMO and HMO POS) cover may require you to obtain prior approval.

Click on the link below to view any drugs that require prior authorization:

Click the link below to see a list of drugs that require step therapy: 

Medicare prescription drug coverage Determination form.

Utilization Management

For certain prescription drugs, IU Health Plans (HMO and HMO-POS) has additional requirements for coverage or limits on coverage. These requirements and limits ensure that members use these drugs in the most effective way and to control drug costs. A team of doctors and pharmacists developed these requirements and limits.

Examples of utilization management tools are described below:

  1. Prior Authorization: IU Health Plans (HMO and HMO POS) requires you to get prior authorization for certain drugs. This means that approval is required prior to coverage. If you do not get approval, we may not cover the drug.
  2. Quantity Limits: For certain drugs, IU Health Plans (HMO and HMO POS) limits the amount of the drug that we will cover per prescription or for a defined period of time.
  3. Step Therapy: In some cases, we require you to first try one drug to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both effectively treat a medical condition, we may require your doctor to prescribe Drug A first. If Drug A does not work for you, then we will cover Drug B.
  4. Generic Substitution: When there is a generic version of a brand-name drug available, network pharmacies will automatically give you the generic version, unless your doctor has told IU Health Plans (HMO and HMO POS) that you must take the brand-name drug and have obtained a prior authorization.

You can find out if the drug you take is subject to these additional requirements or limits by looking in the Formulary. If your drug is subject to one of these additional restrictions or limits and your physician determines that you aren’t able to meet the additional restriction or limit for medical necessity reasons, you or your physician may request an exception (which is a type of coverage determination).

Drug Utilization Review

We conduct drug utilization reviews for our members to make sure that they are getting safe and appropriate medications. These reviews are especially important for members who go to more than one doctor and/or pharmacy for their medications. We conduct drug utilization reviews each time you fill a prescription and on a regular basis by reviewing our records.

During these reviews, we look for medication problems such as:

If we identify a medication problem during our drug utilization review, we will work with you and your doctor to correct the problem.

Indiana University Health Plans is an HMO/HMO-POS with a Medicare contract. Enrollment in IU Health Plans Medicare depends on the plan’s contract renewal with Medicare.

IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status, or any other characteristic protected by federal, state, or local law. For language assistance call 800.455.9776 (TTY/TDD 711).

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Last updated 09.27.2024