Anthem PPO High Deductible Health Plan (HDHP)

High deductible health plan: lower premiums and HSA benefits

When you choose the Anthem PPO High Deductible Health Plan (HDHP), you have medical, prescriptions, vision, behavioral health, and organ transplant services. There are no waiting periods or limits for pre-existing conditions.

You’ll also be able to open a health savings account (HSA)—a tax-free way to save for your healthcare expenses. Once you are enrolled, IU contributes to it twice every year. Learn all about the HSA at IU.

Find out more about your medical plan on this page:

Anthem

Contact Anthem by phone

  • Anthem member services: 844-736-0920
  • Anthem precertification: 866-643-7087

Access your account through the Sydney Health App or Anthem.com
You can view ID cards and claims history, find a physician, or estimate costs for care from your smartphone or tablet 24/7.

Download Sydney Health Visit Anthem.com

Plan overview

The Anthem PPO HDHP combines traditional medical coverage with a tax-advantaged HSA. Here’s how it works:

  • All covered services are subject to the deductible except for preventive medical services* and prescriptions.
  • You can use your HSA funds to pay for the deductible and other qualified healthcare expenses.
  • Once you meet the deductible, you pay 20% coinsurance for in-network services, and the plan pays 80%.

You have access to Anthem’s extensive network: Blue Access PPO in Indiana, National PPO (BlueCard PPO) in other states, and Blue Cross Blue Shield Global Core overseas. While you can see any provider you choose, you’ll save money by staying in-network.

*Preventive services are routine healthcare services including physical exams, well-child visits, immunizations, lab tests (e.g., Pap, PSA, cholesterol), contraceptive services (e.g., IUDs and sterilization), and other screening diagnostic services like mammograms and colonoscopies.

View preventive medical services

Monthly premiums

Your monthly premium for the HDHP depends on two main factors:

  • Your base salary: This is determined by your annual base salary at the time payroll runs each pay period.
  • Your coverage level: Choose from employee-only coverage or add your child(ren) or spouse.

Contributions are deducted before tax and you can reduce your monthly premium by $7.50 for yourself or your spouse (or $15 for both) by certifying that you and/or your spouse don’t use tobacco products, or by completing the free university-approved tobacco cessation program, each year.

2025 premiums: monthly employee contribution
Coverage levelBelow $39,500$39,500 to $68,999$69,000 to $99,999$100,000 to $149,999$150,000 to $199,999$200,000 to $249,999$250,000 and above
Employee-only$48.54$64.94$84.52$106.47$129.93$157.39$182.66
Employee and child(ren)$87.35$116.90$152.14$191.73$232.61$283.29$328.78
Employee and spouse$128.62$172.09$223.98$282.13$342.47$417.06$484.04
Family$155.31$207.83$270.46$340.68$413.55$503.63$584.49

Important notes:

  • Eligible employees can choose medical coverage with or without dental coverage.
  • Faculty appointed as 10-month academic employees who do not receive pay in the summer, will have medical plan premiums caught up when they return in August. This means premiums from June, July, and August will all be deducted from the August paycheck.
  • Dually employed IU and IU Health physicians: For School of Medicine faculty who are dually employed by IU and IU Health or the Veterans Affairs (VA), the annual base salary includes both the IU base salary and IU Health compensation, as determined by the School of Medicine.

Paying for your healthcare

Here’s a quick look at what you will pay for healthcare services in 2025. To learn more about these terms, check out our health plan guide.

2025 HDHP cost shares
Cost share typeIn-networkOut-of-network
Deductible

$2,000 (employee-only)

$4,000 (all other coverage levels)

$4,000 (employee-only)

$8,000 (all other coverage levels)

Coinsurance

20% after deductible

40% after deductible

Out-of-pocket maximum

$4,000 (employee-only)

$8,000 (all other coverage levels)

$8,000 (employee-only)

$16,000 (all other coverage levels)

Preventive medical services

$0 (plan pays 100%, not subject to deductible)

40% after deductible

Vision benefit

Vision coverage is included with your IU-sponsored medical plan, but it has its own benefits and network providers.

  • You get a routine eye exam every 12 months with a $10 copay.
  • Frames, lenses, and contacts are covered with specific allowances and copays when you use in-network providers.

Important note: Costs for vision services don’t count toward your medical plan’s out-of-pocket maximum.

Learn more about your vision coverage

Prescription benefit

All prescription cost shares count toward your annual HDHP out-of-pocket maximum.

2025 HDHP prescription benefits
Prescription typeIn-networkOut-of-network
Retail (up to 90-day supply)

20% after deductible

Members can submit a claim form and receipt to CVS Caremark for potential reimbursement.

Mail order (up to 90-day supply)

20% after deductible

Not covered

Specialty (up to 30-day supply)

20% after deductible

Not covered

The amount reimbursed will be equal to the CVS Caremark price for out-of-network prescriptions or the purchase price (less any member cost-share), whichever is lowest. Approved claims will count towards the plan’s annual in-network deductible and out-of-pocket maximum.

Check drug costs on this plan

Preventive medications

Preventive medications listed on the no-cost share medication list are covered at 100% by the plan. These include items such as generic contraceptives, bowel preps, statins, and tobacco cessation products.

Medications on the HDHP preventive Rx list are covered with a 20% coinsurance and no deductible.

Learn more about your prescription drug coverage

 

Using your benefits

Expand the accordions below for helpful information and links.

This plan uses the Anthem Blue Access PPO network in Indiana, the Anthem National PPO (BlueCard PPO) network in other states, and the Anthem Blue Cross Blue Shield Global Core network overseas.

Once enrolled in the plan, you can find in-network providers by logging in to Anthem.com or the Sydney Health app and using the Find Care tool.

Once your enrollment in the plan has been processed, usually within 7-10 business days after your enrollment, Anthem will mail physical ID cards to your home address on file.

Cards can also be accessed digitally by logging in to Anthem.com or the Sydney Health app.

If you lose your physical ID card, you can print or request a new one be mailed to you by logging in to Anthem.com or by calling Anthem Customer Service at 844-736-0920.

Your coverage travels with you. We’ve got you covered in Indiana, other states, and even overseas.

Learn more about your travel coverage

Can’t find the information you’re looking for?

Find answers to our top questions and learn how to get in touch if you can’t find what you need on our website.

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