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Retirees Page

See also:

Fee Courtesy benefit

Life insurance

Medical care programs

Need to know information

Medicare Parts A, B, and D

Forms:

Retiree Health Care Enrollment Form (under age 65)

Retirees IU PPO-Plus

Medical Services

This plan is available to all eligible Indiana University employees and Retirees under age 65, 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.

• 2008 Monthly Retiree Premiums
• 2007 Monthly Retiree Premiums

Things you must do…

• See the IU PPO-Plus Plan At-a-Glance for information about services, copays, and deductibles.

• Contact the plan administrator, Anthem, at their Web site or call 800-345-2460 for questions about coverage, claims, and provider networks.

• Locate a network medical provider by consulting the Anthem Provider Directory.

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

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

Prescription Drugs (Rx)

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 Prescription Direct at 800-962-8192.

Things you must do…

• See the IU PPO-Plus Plan At-a-Glance for information about copays and deductibles.

• Call 800-345-2460 for questions about coverage, network pharmacy locations, and services.

• Call 800-962-8192 to check on the status of mail order prescriptions.

• View Anthem Prescription for on-line pharmacy information.

• Print the claim form from Anthem Prescription.

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 must do…

• See the IU PPO-Plus Plan At-a-Glance for information about copays and deductibles.

• Contact IUPM for questions about coverage, providers, and claims.

• Request prior authorization of treatment by contacting IUPM.

• Select a mental health professional from the IUPM Provider Network (click the Search for a Provider link).

• Print the ID card: Mental Health and Chemical Dependency Coverage.

• 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.

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.