Indiana University Indiana University

A-Z Index Forms Contact Us
UHRSskip navigation
BenefitsClassification & SalaryEmployee RelationsEmploymentHR SystemsOrg DevelopmentPoliciesWorkers' Comp
Indiana University

University Human Resources

Home > Benefits > Retirees > Retiree Medical Care Coverage

Retiree Medical Care Coverage

On this page: Summary | Things you must do: Medical | COBRA | All options | Customer service

Summary of IU Retiree Medical Care Programs

In addition to the temporary COBRA continuation coverage available to all medical plan participants upon termination of coverage, Indiana University sponsors the following medical care coverage options to employees with IU Retiree status and their eligible dependents.

For those under age 65 Medicare Coordination Plans For those age 65 and over



Cost
(more information)

Indiana University does not contribute to the cost of Retiree coverage—the participant pays the full cost of these plans. For those under age 65, the rates are the same as COBRA continuation rates. Plan premiums for those age 65 and over are based on Retiree utilization.

Dependent Eligibility

All employees with IU Retiree status are eligible to enroll in IU-sponsored Retiree group health care coverage if they are covered by an IU-sponsored health care plan at the time of termination from the university (or when COBRA continuation coverage eligibility ends).

Eligible dependents include the individuals listed below, if they are eligible and covered by the Retiree's IU-sponsored health care plan at the time of termination from the university (or when COBRA continuation coverage eligibility ends). Once enrolled in an IU-sponsored health care plan, dependents cannot be added.

  • the Retiree's legal spouse or registered same-sex domestic partner
  • the Retiree's dependent children who continue to meet the definition of a dependent child as defined by IU for active employee coverage (i.e., the child meets the IRS support test as a dependent of the retiree; the child meets IU's requirements for disabled dependent child eligibility).

The above dependents are only eligible as long as the Retiree is enrolled in an IU-sponsored Retiree health care plan. An exception is that the surviving spouse and children of an employee are eligible if the employee has Retiree status as the time of death or the employee's death occurs while the dependents are covered under the Retiree's IU-sponsored Retiree health care plan.

IU PPO $900 Deductible Plan (more information)

This plan is available to all eligible Indiana University employees and retirees under age 65, regardless of the 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. Prescription coverage is the same as for active employees in this plan.

Blue Retiree Plan (more information)

This plan is a "Medicare Supplement" or "Medigap" plan that is available only to retirees with retiree status age 65 and over who are enrolled in Medicare Part A and Part B. As a supplement, many services will be fully paid between Medicare and the Blue Retiree Plan.

COBRA Continuation Coverage (more information)

COBRA continuation of active coverage is available to Retirees and their eligible dependents under age 65 or who are entitled to Medicare at the time of COBRA election. At the end of COBRA eligibility, the Retiree and eligible dependents may select from the PPO healthcare plans available for Retirees. Continuation of coverage under COBRA is generally 18 to 36 months depending on the circumstances.

COBRA coverage may be attractive to Retirees because it allows the participant to temporarily:

  • maintain PPO plan coverage, dental coverage, and transplant benefits.
  • maintain Open Enrollment options (e.g., adding dependents which is not allowed once enrolled in the Retiree plans).

Discontinuation of Participation

Participation as an active employee in an IU-sponsored health care plan ends on the day in which the Retiree terminates from the university.

The Retiree's coverage ends on the first of the month for which the individual has not made the required contribution.

Dependent coverage under an IU-sponsored Retiree health care plan ends when:

  • the Retiree's coverage ends for a reason other than death of the Retiree;
  • when the dependent ceases to meet the definition of an eligible dependent;
  • upon discontinuance of all dependent coverage under the plan; or
  • when the dependent becomes eligible for employee coverage.

It is also important to note the following conditions of participation in IU-sponsored Retiree health coverage:

  • After dropping IU-sponsored Retiree health care coverage, participants cannot re-enroll at a later time.
  • Dependents of a participating Retiree may continue coverage should the Retiree die.
  • If the Retiree and dependents do not elect an IU-sponsored health care plan at the time of retirement, they cannot participate at a later time.

Other Health Plan Options (Non-IU Sponsored Plans)

Indiana University Health Plans Medicare Advantage
Medicare Advantage Plans, are health plans offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, the plan provides all your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage. Additionally, these plans may offer extra coverage, such as vision, hearing dental, and/or health and wellness programs. Some plans also include Medicare prescription drug coverage. IU Health Plans Medicare Advantage offers three advantage plans designed to meet a variety of health care needs. For more information regarding these plans, please call the IU Health Plans Customer Solutions Center at (800) 455-9776 or visit the IU Health Plans Medicare website.

Medicare Supplemental Plans
In addition to the IU-sponsored Medicare supplement, there are a variety supplemental or “Medigap” plans commercially available to retirees. Medigap plans may assist with some of the health care costs that Medicare may not cover. In order to identify a Medigap plan that caters to your health care needs, a plan comparison tool is available on the Medicare site to assist with your decision. For additional information regarding the various Medigap plans available through Medicare, please refer to the Medicare website at: www.medicare.gov/find-a-plan/questions/home.aspx

 


Medical Plans

Things you must do…

Plan changes are limited to certain circumstances:

COBRA

Things you must do…

All Options

Things you must do…

Customer Service

The terminating employee can initially contact their Human Resources office for information about retirement and/or COBRA.

University Human Resource Services also has two benefit specialists to assist Retirees with IU-sponsored health care programs:

Retiree Benefit Specialist
812-856-4459

COBRA Specialist
812-855-7833

Both specialists can assist with the following:

Anthem is the claim administrator for each Retiree PPO Plan and the insurer for the Blue Retiree Plan. Call Anthem's Customer Service Center (800) 345-2460 for assistance with the following:

 

2014 Change Form (under age 65) PDF

Page updated: 24 April 2014
UNIVERSITY HUMAN RESOURCES
Contact Benefits:

Indiana University is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without
regard to race, color, ethnicity, religion, age, sex, sexual orientation or identity, national origin, disability status, or protected veteran status.
This institution is also a provider of ADA services.

What matters. Where it matters.

Privacy Statement empty Copyright © The Trustees of Indiana University, Copyright Complaints