2008 Medical Care

Medical Services

Prescription Drugs

Mental Health and Chemical Dependency

Download:

Blue Preferred Primary POS Plan At-a-Glance (PDF)

Blue Preferred Primary POS Booklet (PDF)

Anthem Medical Claim Form (PDF)

Temporary Medical/Rx ID card (PDF)

Anthem Rx Mail Order Form (PDF)

NextRx Claim Form (PDF)

See also:

IU Dental Plan

2008 Medical Care Plans Blue Preferred Primary POS

IU PPO $900 Deductible | IU PPO-Plus | Blue Preferred Primary POS | Definitions | Which Plan?

Medical Services

This plan is available to eligible Indiana University employees, who reside in the Indianapolis, South Bend, Kokomo, New Albany, Bloomington and Louisville areas. When services are provided by or referred by a network primary care physician (PCP) or a Blue Preferred network provider, members receive full benefits. Partial benefits are received for non-network services. Members must select a primary care physician at the time of enrollment.

Monthly Rates
	Employee Contributions	With "Additional IU Subsidy"*
Employee	$ 1.00	$ 0.70
Employee/Child(ren)	$16.13	$11.29
Employee/Spouse	$26.90	$18.83
Family	$83.65	$58.55
* Additional IU Subsidy is for Staff employees in Service and Support positions with a base salary of less than $27,186.

Things you can do…

• See the Blue Preferred Primary POS At-a-Glance for information about services and copays.

• Contact the Blue Preferred Primary POS customer service center at 800-345-2460 for questions about network providers, coverage, claim status, and benefits. Or visit the Anthem Web site.

• Locate a list of network physicians and specialists at Anthem’s Provider Directory.

• Obtain information about precertification of a medical procedure by calling Anthem Utilization Review at 800-345-4348.

• Talk to a registered nurse when symptoms are present, but the doctor’s office is closed. Call the 24-Hour Nurse Line at (888) 220-3891 or (800) 877-8044 (TDD for those with hearing impairments).

• Get coverage when out-of-state or overseas.

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Prescription Drugs (Rx)

This plan’s prescription benefit includes medications available on the Anthem Formulary, which may offer potential savings when a physician prescribes formulary medications.

Things you can do…

• See the Blue Preferred Primary POS Plan At-a-Glance for information about services and copays.

• Contact the Blue Preferred Primary POS customer service center at 800-345-2460 for questions about prescription drugs.

• Search for information about Anthem’s Formulary (FDA-approved, brand-name and generic medications) at Anthem’s Online Formulary.

• Print the NextRx claim form (PDF).

• Print the Anthem temporary ID card (PDF).

• Print a prescription mail order form (PDF).

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Mental Health and Chemical Dependency

Blue Preferred Primary POS offers full benefits from Anthem Behavioral Health network providers. Partial benefits are received from non-network providers. All services must be authorized in advance in order to be covered.

Things you can do…

• Call Anthem Behavioral Health at 800-345-2460 for questions about coverage, claims and provider networks.

• See Blue Preferred Primary POS Plan At-a-Glance for information about services and copays.
  

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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.

Benefit plan information on these web pages is in a summary format and is not intended to replace actual plan documents. Indiana University reserves the right to amend or terminate all or any part of any benefit plan.