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% 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 $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 2019^
Spring 2020^
Fall 2020^
Fellowship Recipient
$1,311.20
$1,940.59
$1,386.13
^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
2020
Spouse*
$814.91
$19.14
$834.05
Child(ren)*
$616.91
$28.74
$645.65
*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…

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 2020 Medical Plan Summary for information about services, copays, and deductibles.
  • Contact Anthem customer service at 833-578-4441 for questions about coverage, claims and provider networks.
  • View the drug formulary using the national drug list.
  • 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 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…

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…