Home > Benefits > 2017 Health Care Plans > IU Health HDHP

2017 IU Health High Deductible Health Plan

The IU Health High Deductible Health Plan (IU Health HDHP) includes comprehensive coverage for medical, prescription, vision, behavioral health, and organ transplant services with no pre-existing condition limits or waiting periods. When you elect the IU Health HDHP, you are also eligible to elect a Health Savings Account (HSA), a special tax-advantaged bank account to help cover out-of-pocket costs.

Top FAQs Resources & Forms Customer Service View My Benefits

Plan Basics

Overview

This plan combines traditional medical coverage with a Health Savings Account (HSA), which gives you greater flexibility and discretion over how you use your health care dollars. With this plan, the annual deductible must be met before plan benefits are paid for services other than in-network preventive care, which is covered at 100%. The IU Health HDHP plan exclusively uses the IU Health provider network. This plan does not offer out-of-network benefits except in the case of an emergency, urgent care when more than 50 miles from home, or for a dependent of an Indiana-Resident employee when the dependent lives out of the state of Indiana for reasons other than medical treatment.

Annual Deductible

The deductible is the amount you must pay out of pocket before the plan will begin to pay benefits. The deductible applies to all medical and prescription services except wellness/preventive.

In-Network: $2,500 for employee-only coverage/$5,000 all other coverage levels

Co-Insurance

Co-insurance is the percent of a covered health care service you pay after you have paid your deductible. For example, if your coinsurance is 20%, you pay 20% of the cost and the plan will pay the other 80%.

In-Network: 20% after deductible

Out-of-Pocket Maximum

The out-of-pocket maximum is the most you will have to pay during a policy period for health care services. Once you have reached your out-of-pocket maximum, the plan begins to pay 100% of the allowed amount for covered services. All coinsurances and deductibles apply towards this maximum.

In-Network: $3,000 for employee-only coverage/$6,000 all other coverage levels

Prescription Benefit

Retail (up to 30-day supply)
In-Network: 20% after deductible
Out-of-Network: No Coverage

Mail Order (up to 90-day supply) and Specialty
In-Network: 20% after deductible
Out-of-Network: No Coverage

There is no coinsurance or deductible on most contraceptives, and no deductible on preventive prescriptions.

View detailed plan information about the IU Health HDHP (PDF)

Top Frequently Asked Questions

Below are answers to the most frequently asked questions regarding the IU Health HDHP.  

Where can I find my IU Health ID Card?

Once your enrollment in the plan has been processed, IU Health will mail you an official membership packet and ID card(s). If you need proof of coverage before your permanent card arrives, you can print a temporary ID card (PDF).  If you’ve lost your permanent ID card, you can request a new one by calling IU Health Member Services at (800) 873-2022.

What is a Health Savings Account (HSA)? 

The Health Savings Account (HSA) is a tax-advantaged bank account that can be used to pay for IRS-qualified health expenses for you, your spouse, and your tax dependents. Enrollment in the Anthem PPO HDHP or the IU Health HDHP allows enrollment in the HSA. For more information, visit the Health Savings Account page.

What are Preventive Services?

Preventive services are covered at no cost when network providers are used. Preventive services include physical exams, well-child visits, immunizations, lab tests (e.g., Pap, PSA, cholesterol), contraceptive services (e.g., IUD’s and sterilization), and other screening diagnostic services like mammograms and colonoscopies. You can view the Summary of Preventive Services (PDF) or call IU Health Customer Service at (800) 873-2022 for more information.

How do I find a health care provider?

The IU Health HDHP plan exclusively uses the IU Health provider network. Visit the IU Health site to search for an in-network provider by location.

What pharmacies can I use?

Express Scripts pharmacy network includes most retail chain pharmacies, such as CVS, Walmart, Target, and most supermarket and club pharmacy chains. To locate network pharmacies or check prescription coverage and costs, visit the Express Scripts website.

Does the plan include Vision Wear coverage?

Yes. Vision Wear coverage is provided through EyeMed Vision. Coverage is included in your enrollment in the medical plan, but vision services have their own schedule of benefits and network providers separate from medical benefits. Visit the Vision Wear benefit page for more information.

What is Transition of Care? What do I do if I am in the middle of a medical treatment when I enroll?

Transition of care coverage is medical coverage that may be available to you and/or your dependents if you are a new member of IU Health Plans or your doctor leaves an IU Health Plans network. Transition of care coverage allows you to continue to receive treatment for covered services with a doctor and/or facility that does not participate in an IU Health Plan’s network. This coverage is for a defined period of time until the safe transfer of care to an in-network doctor and/or facility can be arranged. Download the Transition of Care FAQ (PDF) or Transition of Care form (PDF) for more information.

More IU Health HDHP FAQs

Customer Service Contacts

Medical – IU Health Plans
Member Services: 800-873-2022 or 317-816-5170
 
www.iuhealthplans.org

Prescription - Express Scripts
Member Services: 800-988-1794
Mail Order Services: 800-988-1794
www.expressscripts.com/iu

Vision - EyeMed Vision
Member Services: 866-804-0982
www.eyemed.com

Health Savings Account – The Nyhart Company
Member Services: 800-284-8412
Email: 
iu.nyhart.com (available after account is opened)

IU – IU Human Resources 
Benefit Questions: 812-856-1234
Benefit Email:

Resources & Forms View My Benefits