2012 IU Health Quality Partners (IUHQP) Medical Plan

On this page: General Info | Medical Services | Prescription Drugs

Members designate a primary care physician for routine care and coordination of overall care from the IUHQP network. Services are exclusively provided by IUHQP providers (except emergencies away from home). A list of these providers is at www.healthsmart.com/iu.aspx.

Eligibility is limited to employees residing in these counties: Blackford, Boone, Brown, Carroll, Clinton, Delaware, Green, Hamilton, Hancock, Hendricks, Henry, Howard, Johnson, Lawrence, Madison, Marion, Monroe, Morgan, Owen, Putnam, Shelby, Tipton, and Tippecanoe.

 

Coverage	Monthly Employee Contribution Employee’s Annual Base Salary
	Below $30,000	$30,000 - $49,999	$50,000 - $99,999	$100,000 - $149,999	$150,000 - $199,999	$200,000 - $249,999	$250,000 and Above
Employee only	$48.01	$67.21	$91.21	$115.21	$139.22	$163.22	$187.22
Employee and Child(ren)	$95.76	$134.06	$181.94	$229.82	$277.70	$325.57	$373.45
Employee and Spouse	$117.06	$163.89	$222.42	$280.95	$339.48	$398.01	$456.55
Family	$132.94	$186.12	$252.59	$319.06	$385.53	$452.01	$518.48

 

• Employee contributions are deducted before taxes.
• Subtract $25 per month for an employee or spouse ($50 for both) who do not use tobacco.

General Information

Things you can do…

• See the IUHQP Benefit Summary (PDF) for information about services, pharmacy drug tiers, and copays.
• Contact the plan administrator, HealthSmart, at 866-844-9838 or visit the HealthSmart Web site for questions about coverage, claims, and provider networks.
• Print the IUHQP temporary ID card (available January 2012).

Medical Services (includes Mental Health)

Things you can do…

• Locate a network medical provider by consulting the IUHQP Provider Directory.
• Obtain information about precertification of a medical procedure by calling IU Health at 866-844-9838.
• Call IU Health at 866-844-9838 for questions about Mental Health/Chemical Dependency coverage, claims and provider networks.       

Prescription Drugs (Rx)

Things you can do now…

• See the IUHQP Benefit Summary (PDF) for information about copays and tiers.
• Visit IU's Medco Web page to learn about the Medco Prescription Manager and how to use it.

 

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For all plans, to access information on background and licensing of individual doctors, nurses, chiropractors and pharmacists, search and verify licensing online or call (toll free) 888-333-7515.