Fellowship Recipients
Medical

On this page: Medical | Prescription drugs | Mental health | Vision

Medical Plan

The plan is administered by Anthem and is available to all eligible Fellowship Recipients, regardless of area of residence. Network providers include Anthem Blue Access PPO and BCBS Blue Card providers in other states. When network providers are used, plan members have lower out-of-pocket expenses. Plan members who receive out-of-network services have higher out-of-pocket expenses, except in the case of an emergency.

Medical Plan Highlights

• Anthem's national PPO network; includes PPO providers and coverage outside of the US
• No annual deductible
• Office visit copay of $25, Specialist visit copay of $35
• Urgent Care copay of $50, Emergency Room copay of $150
• Preventative services covered at 100% when in-network providers are used
• Most other services covered with 20% co-insurance
• Vision care coverage through Anthem Blue View Vision, including an annual eye exam with a $20 copay and discounts for vision wear
• Anthem Prescription Management national pharmacy retail networks, mail order, and specialty pharmacy services
• Up to a 30-day retail prescription copays of $8 generic/$25 preferred brands/$45 non-preferred brands
• Up to a 90-day mail order prescription copays of $20 generic/$62 preferred brands/$112 non-preferred brand
• Plan year begins each January; deductibles and out-of-pocket amounts restart annually on January 1st

Fellowship Recipient Premium

Premiums for qualifying Fellowship Recipients are fully paid by the University.

	Fall 2016^	Spring 2017^	Fall 2017^
Fellowship Recipient	$1,243.43	$1,793.03	$1,280.73
^The Spring premium is for January 1 – July 31 and the Fall premium is for August 1 – December 31. The rate includes both medical and dental coverage.

Dependent Premiums

	Medical Monthly Premium	Dental Monthly Premium	Total Monthly Premium
Spouse*	$750.03	$19.14	$769.18
Child(ren)*	$567.80	$28.74	$596.54
*Dependent premium rates are paid for by the Fellowship Recipient on a monthly basis to IU Human Resources. See the Eligibility and Enrollment Guidelines to verify if your dependent qualifies.

Things you can do…

• Download a PDF of the 2017 plan summary chart (coming soon) for information about services, copays, and deductibles.
• Download a PDF of the 2017 Summary of Benefits and Coverage (SBC) (coming soon) in the Healthcare Reform format.
• Contact Anthem customer service at 800-345-2460 or visit the Anthem Web site 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 877-814-4803.
• Print the temporary ID card (PDF).

Prescription Drugs (Rx)

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

Things you can do…

• Download a PDF of the 2017 plan summary chart (coming soon) for information about services, copays, and deductibles.
• Contact Anthem customer service at 800-345-2460 for questions about coverage, claims and provider networks.
• View the drug formulary using the national drug list (PDF).
• Members wanting to use Home Delivery (mail order), can call 866-216-4207 for assistance with ordering medications.
• Patients with long-term health conditions or drugs requiring special storage, must use Accredo for Specialty Pharmacy services. These drugs are only approved through Accredo and delivered via mail. View the specialty drug list to see medications on find more information on the Specialty Pharmacy Information (PDF) flyer.

Mental Health and Chemical Dependency

This medical plan 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…

• Download a PDF of the 2017 plan summary chart (coming soon)for information about services, copays, and deductibles.
• Contact Anthem customer service at 800-345-2460 for questions about coverage, claims and provider networks.

Vision

This medical plan's vision program is Blue View Vision-Exam Plus Option #5. Anthem has an extensive nationwide network of doctors who provide quality eye care and materials. When you are seen by a participating doctor, your plan covers an eye examination, less any applicable copayment. You may also purchase eyeglass frames, lenses, and contact lenses at a discount.

Things you can do…

• Download a PDF of the 2017 vision summary (coming soon) for information about services, copays, and deductibles.
• Contact Anthem customer service at 800-345-2460 for questions about coverage, claims and provider networks.