Graduate Medical Education
Medical Residents
On this page: Eligibility | Medical | Prescription drugs | Mental health | Vision | Dental | Optional plans
For plans not listed here, such as Disability, Physician Assistance, and Fee Courtesy, visit the GME Office Web site.
Eligibility
Medical Residents appointed full time and part time but not less than 50% by the IUSM Office of Graduate Medical Education are eligible to receive health benefits, including medical and dental coverage. New Medical Residents will receive a notification email from Human Resource Services with information on how to enroll.
Family Status Change: Enrollment begins on your date of hire, and you cannot make any changes until the next Open Enrollment period. However, if you experience a qualified change in status (e.g., marriage or birth of a child), you can make mid-year changes online by visiting the Benefit Change Connection. Family status changes must be completed within 30 days of the date of the change in status.
Medical Plan
The plan is administered by Anthem and is available to all eligible Residents, regardless of area of residence. When network providers are used, participants receive full benefits. Partial benefits are received from non-network providers, except in the case of an emergency. Network providers include Anthem Blue Access PPO providers in Indiana, Ohio, and Kentucky and BCBS Blue Card providers in other states.
Things you can do…
- Download a PDF plan summary chart for information about services, copays, and deductibles.
- See the Summary of Benefits and Coverage (SBC) in the Healthcare Reform format.
- Contact Anthem customer service at 800-345-2460 or visit the Anthem Web site for questions about coverage, claims, and provider networks.
- Locate a network medical provider by consulting the Anthem Provider Directory.
- Obtain information about precertification of a medical procedure by calling Anthem Utilization Review at 877-814-4803.
- Print the temporary ID card (PDF).
Prescription Drugs (Rx)
This medical plan’s prescription benefit includes medications available on the Anthem Formulary, which may offer potential savings when a physician prescribes formulary medications.
Things you can do…
- Download a PDF plan summary chart for information about services, copays, and deductibles.
- Visit IU's Medco Web page to learn about the Medco Prescription Manager and how to use it.
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…
- Download a PDF plan summary chart for information about services, copays, and deductibles.
- Contact Anthem customer service at 800-345-2460 for questions about coverage, claims and provider networks.
Vision
This medical plan's vision program is Blue View Vision-Exam Plus Option #5. Anthem has an extensive nationwide network of doctors who provide quality eye care and materials. When you are seen by a participating doctor, your plan covers an eye examination, less any applicable copayment. You may also purchase eyeglass frames, lenses, and contact lenses at a discount.
Things you can do…
- Download a PDF plan summary chart for information about services, copays, and deductibles.
- Contact Anthem customer service at 800-345-2460 for questions about coverage, claims and provider networks.
Dental Plan
Residents and their dependents have a choice between two dental care plans: CIGNA Dental Health Maintenance Organization (DHMO) and CIGNA Preferred Provider Organization (PPO). You will be allowed to enroll in one of these plans at the beginning of your training. If you decide not to enroll, you must wait until the next open enrollment period to receive this benefit. Also, you may change plans only during open enrollment.
DHMO
This program emphasizes diagnostic and preventive services and offers services and benefits through a limited network of participating dental locations. There is no coverage for out-of-network services. With the DHMO there are no deductibles or claim forms. You will receive services at no charge for x-rays, routine cleanings, topical fluoride, oral exams, and local anesthesia. All other procedures are covered at substantial savings to you.
PPO
This is a traditional plan that provides reimbursement for dental services from a network of participating providers, or at a lower benefit, outside the network from any licensed dentist of your choice. You are required to pay the dentist for normal charges and then file a claim for reimbursement. Under this program, you have an annual deductible of $50 for a single plan and $150 for a family plan. There is also an annual benefit maximum amount of $500 per person per plan year.
Things you can do…
- Download a PDF DHMO summary chart for information about services, copays, and deductibles.
- Download a PDF DPPO summary chart for information about services, copays, and deductibles.
- Contact CIGNA customer service at 888-336-8258 or visit the CIGNA Web site for questions about coverage, claims, and provider networks.
- Locate a network medical provider by consulting the CIGNA Provider Directory.
- Cigna does not issue ID cards. To obtain a customized and printable ID card, visit my.cigna.com and create an online account.
Optional Plans
Retirement
Optional retirement plans are available to full-time (100% FTE) and part-time (>50% FTE) Residents.
Enrollment or changes in the optional retirement plans can take place through Benefits Self Service at anytime during your residency beginning September 1, 2011.
Tax Saver Benefit (TSB) Plan
The Tax Saver Benefit Plan is available to full-time (100% FTE) Residents only. It allows eligible Indiana University employees to reduce out-of-pocket costs for eligible medical and dependent care expenses by using "tax-exempt" dollars.
Personal Accident Insurance (PAI)
Personal Accident Insurance plan pays benefits in the event of accidental loss of life or severe injuries which result in dismemberment. It is available to full-time (100% FTE) Residents only.
