IU Blue Retiree Plan

Basic medical benefits are based on paying what Medicare doesn't pay:

• Medicare A deductible
• Medicare B deductible and coinsurance

Major medical benefits are subject to deductible and copays. This includes covered services that Medicare does not pay in full, for example:

• Skilled nursing facility stays over 100 days
• Charges over the allowed amount (up to UCR allowances) for covered services rendered by unassigned providers
• Hospital inpatient after day 150
• Skilled nursing services provided outside a hospital

There is a wellness benefit to the plan that includes limited coverage for dental, vision, and hearing.

View the Medical Plan Summary for more information.

This plan does not provide prescription benefits. Participants must enroll in Medicare Part D to have prescription coverage.

• Learn about Medicare Part D

Coverage includes vision and vision wear coverage through Anthem Blue View Vision. View the Vision Plan Summary for more information.

Anthem medical plan members have 24/7 access to board-certified doctors from any device with a webcam with LiveHealth Online. Telehealth visits are already part of your medical plan coverage and start as low as $55 per visit.

The doctor can assess your condition, provide treatment options and even send a prescription to the pharmacy of your choice, if needed. With telehealth you can receive medical care for things like:

• Flu
• Cold and fever
• Sinus infection
• Pink eye
• Rashes
• Headache
• Tooth pain

Get started at www.livehealthonline.com, or by installing the app

Download from Google Play Store   Download from App Store

SilverSneakers is a no-cost fitness benefit with access to 15,000+ fitness locations nationwide. The program also includes online resources, guidance from fitness staff, signature classes, social connections, and more.

If you’re new to SilverSneakers, visit silversneakers.com/starthere, call 1-888-423-4632, or install the mobile app.

Download from Google Play Store    Download from the App Store

Built on the proven principles of cognitive behavioral therapy (CBT), Learn to Live is designed to help you identify thoughts and behavior patterns that affect your emotional well-being, and work through them. The program includes 24/7 access to personalized coaching, weekly mindfulness tips, live and on-demand webinars, and more.

To get started log on to anthem.com, go to My Health Dashboard, choose Programs, and select Emotional Well-Being Resources.

With Sydney, you can find everything you need to know about your Anthem benefits, personalized and all in one place. With just one click you can find care, check costs, review your benefits, see claims, view and use your digital ID card, and more.

Download from Google Play Store    Download from App Store

Former employees with IU retiree status who are under age 65 are eligible to enroll if covered by an IU health plan at the time of retirement or when COBRA eligibility ends.

Dependent eligibility

A retiree’s dependents (spouse and eligible children) are covered by the retiree’s IU-sponsored health plan if they are eligible and covered at the time of separation from the university.

Once enrolled in an IU retiree medical plan, no new dependents cannot be added. Dependents are only eligible as long as the retiree is enrolled. If the retiree passes away, surviving dependents are eligible if the former employee has retiree status at the time of death or the retiree’s death occurs while the dependents are covered under the retiree’s IU-sponsored plan. However, If the retiree and dependents do not elect an IU-sponsored medical plan at the time of retirement, they cannot participate at a later time.

It is your responsibility to notify IU Human Resources of any changes that will affect communications or eligibility including:

• Changes in status such as, divorce, legal separation, change in disability status, or death of a covered individual
• Address changes
• Addition or loss of coverage under another group health plan Contact IUHR at askHR@iu.edu or (812) 856-1234

Retirees may terminate coverage at any time by notifying IU Human Resources at askHR@iu.edu or (812) 856-1234. Once a retiree terminates IU-sponsored retiree healthcare coverage, they cannot re-enroll at a later time.

Retiree coverage ends on the first day of the month that the required contribution is not made. Dependent coverage ends when:

• The retiree’s coverage ends for a reason other than death
• They cease to meet the definition of an eligible dependent
• Discontinuance of all dependent coverage under the plan
• When the dependent becomes eligible for employee coverage.