Retiree Medical Plan Premiums

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2022 Premiums

Retirees Age 65 and Over

Anthem IU Blue Retiree Plan
Coverage Levels
Monthly Premiums
One Participant
(Retiree or surviving spouse)
$195.67
Retiree and Spouse
$390.06

Retirees Under Age 65

Anthem U65 PPO HDHP
Coverage Levels
Monthly Premiums
One participant
$407.37
Participant and child(ren)
$779.40
Retiree and spouse
$1,084.99
Retiree and Family
$1,228.53

COBRA

IU Health HDHP COBRA
Coverage Levels Medical Dental
One participant $346.67 $41.06
Participant and child(ren) $663.27 $73.94
Participant and spouse $923.33 $96.45
Participant and family $1,045.47 $140.67
Anthem PPO HDHP COBRA
Coverage Levels Medical Dental
One participant $407.37 $41.06
Participant and child(ren) $779.40 $73.94
Participant and spouse $1,084.99 $96.45
Participant and family $1,228.53 $140.67
Anthem PPO $500 COBRA
Coverage Levels Medical Dental
One participant $975.15 $41.06
Participant and child(ren) $1,852.78 $73.94
Participant and spouse $2,584.14 $96.45
Participant and family $2,925.45 $140.67

The provider networks for the plans listed above include the following areas:

  • Anthem PPO $500 Deductible:  All areas of Indiana, nationwide, and overseas.
  • Anthem HDHP PPO:  All areas of Indiana, nationwide, and overseas.
  • IU Health HDHP: IU Health Plans Network only in certain Indiana counties. This plan does not offer out-of-network benefits except in the case of an emergency, urgent care when more than 50 miles from home, or for a dependent of an Indiana-resident employee when the dependent lives outside of Indiana for reasons other than medical treatment.