Fellowship Recipients
Medical

2024-25 Benefits Information
Information about Fellowship Recipient benefits for the 2024-25 academic year is available now on the University Health Plans website.

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 U.S.
  • No annual deductible
  • In-network preventive services covered at 100%
  • Office/specialist visit copays: $25/$35
  • Urgent care /e mergency r oom copays: $50/$150
  • Most other services covered with 20% coinsurance
  • 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 $ 10 generic / $40 preferred brands / $75 non-preferred brands
    • Up to a 90-day mail order prescription copays of $20 generic / $80 preferred brands / $150 non-preferred brand
  • Plan year begins each January; deductibles and out-of-pocket amounts restart annually on January 1st.

Publications

Forms

Resources

Fellowship Recipient Premium

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

  Fall 2023 Spring 2024 Fall 2024
Fellowship Recipient $1,551.23 $2,592.87 $1,852.05
  • Premiums for qualifying Fellowship Recipients are fully paid by the University.
  • The premium rate includes both medical and dental coverage.
  • Fall premium is for August 1–December 31 (5 months).
  • Spring premium is for January 1–July 31 (7 months).

Dependent Premiums

Medical Monthly
Premium 		Dental Monthly
Premium 		Total Monthly
Premium
2024
Spouse* $1,104.55 $19.75 $1,124.30
Child(ren)* $834.98 $29.66 $864.64

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:

  • Complete and sign the Dependent Enrollment Form and attach the following items:
    • A copy of supporting documentation (marriage certificate, birth certificate, etc.)

Dependent Enrollment Deadlines:

  • Fall: September 30
  • Spring/Summer: January 31
  • IRS Qualifying Life Event: within 30 days of event

An IRS Qualifying Life Event includes: birth of a child, marriage, loss of other coverage, etc.

Things you can do…

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 2024 Medical Summary for information about services, copays, and deductibles.
  • Contact Anthem customer service at 833-363-1429 for questions about coverage, claims and provider networks.
  • View the drug formulary using the current drug formulary.
  • Call 866-216-4207 to setup mail order (home delivery) for your prescriptions.
  • Patients with long-term health conditions or drugs requiring special storage, must use IngenioRx for Specialty Pharmacy services. These drugs are only approved through IngenioRx and delivered via mail. View the specialty drug list to see medications on find more information on the Specialty Pharmacy Information flyer.

Mental/Behavioral Health

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 2024 Medical Summary for information about services, copays, and deductibles.
  • Contact Anthem customer service at 833-363-1429 for questions about coverage, claims and provider networks.

Vision

This medical plan's vision program is Blue View Vision. As a Blue View Vision plan member, you have access to one of the nation’s largest vision networks which includes many convenient optical stores, including popular national retail stores LensCrafters, Target Optical, Sears Optical, JCPenney Optical and most Pearle Vision locations. When you receive care from a Blue View Vision participating provider, you can maximize your benefits and receive valuable money-saving discounts for vision wear including glasses and contacts.

Things you can do…

  • Download a PDF of the 2024 Vision Summary for information about services, copays, and deductibles.
  • Contact Anthem customer service at 833-363-1429 for questions about coverage, claims and provider networks.