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University Human Resource Services
www.indiana.edu/~uhrs

2004 PPO Medical Care Plan Booklets Available

The 2004 IU PPO-Plus Medical Care Plan and IU PPO $900 Deductible Medical Care Plan booklets are available on the University Human Resource Services Web site here. Summaries of plan benefits are also available “at-a-glance” on the Web site.

Employees who do not have Web access and need a plan booklet mailed to them should contact the University Human Resource Services’ publications coordinator at 812-855-2985.

The plan booklets reflect the benefit changes for the 2004 plan year.

  • One comprehensive eye exam, including refraction, is covered each year—the employee pays only the plan copay.

  • The prescription brand copays have increased to $15 (for brands under $60) and $30 (for brands $60 and over).

  • Nonsedating antihistamines have been moved to Tier 4, 100 percent copay with plan discounts. Nonsedating antihistamines include Allegra, Zyrtec, and Clarinex.

  • For the PPO $900 Deductible plan, preventive services are covered with just a copay (no deductible is applied) and the family deductible and copay maximums have increased to a $2,700 family deductible and $3,000 family copay maximum.

The 2004 IU Dental Plan, M-Plan HMO, and Blue Preferred Primary POS booklets are also available at the University Human Resource Services Web site.


UNIVERSITY HUMAN RESOURCE SERVICES
Last updated: 26 May 2004
URL: http://www.indiana.edu/~uhrs/
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