Fellowship Recipients
Dental Plan
The dental plan is available to all eligible Fellowship Recipients, regardless of area of residence. Anthem Blue Cross Blue Shield is the plan administrator.
PPO
This is a traditional plan that provides reimbursement for dental services from a network of participating providers, or at a lower benefit, outside the network from any licensed dentist of your choice. You are required to pay the dentist for normal charges and then file a claim for reimbursement when an out of network provider is used.
Anthem Dental Complete Plan Highlights
- Anthem’s national PPO network
- Annual Deductible of $25
- Annual Benefit Limit of $500
- Two routine cleanings/exams per calendar year covered at 100%
- Plan year begins each January; deductibles and benefit limit amounts restart annually on January 1st
Publications
Forms
Fellowship Recipient Premium
Premiums for qualifying Fellowship Recipients are fully paid by the University.
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Dependent Premiums
Premium |
Premium |
Premium |
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2024 | |||
Spouse* | |||
Child(ren)* | |||
If you choose to enroll your spouse or children, you are responsible for the full cost of their monthly premiums. Review the Eligibility and Enrollment Guidelines to verify your dependent’s eligibility for coverage. Dependents can only be covered for the same period of coverage as the Fellowship Recipient. Eligible dependents must be enrolled by submitting the following items to IU Human Resources by the enrollment deadline:
Dependent Enrollment Deadlines:
An IRS Qualifying Life Event includes: birth of a child, marriage, loss of other coverage, etc. |
Things you can do…
- Download a PDF of the 2024 Dental Plan Summary for information about services, copays, and deductibles.
- Contact Anthem Dental customer service at 1-877-604-2142 or log in to the Anthem Web site for questions about coverage, claims, and provider networks.
- Locate a network medical provider by consulting the Anthem Provider Directory. Choose "Anthem Dental Complete" and in the drop down box, select a specialty.
- Print the temporary Anthem Dental Complete PPO ID card.