Healthcare News and information from IU Health Plans to help you take good care of your health.

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1 Summer 2017 Healthcare News and information from IU Health Plans to help you take good care of your health. IN THIS ISSUE 2 3 Benefit briefs 4 Your feedback matters 5 Rx money-saving tips 6 Online guide to learn more 7 Programs and events NEWS TO USE NOW Be sure to schedule your free preventive care. n Wellness exam n Vaccinations n Routine dental exam n Routine eye exam (Notify primary care doctor when completed.) Watch your mailbox for 2018 benefit and cost updates arriving by Sept. 30. Full speed ahead to 2018 benefits As your local healthcare partner, Indiana University Health Plans is committed to providing quality care you can trust. We re proceeding full speed ahead to prepare your package of 2018 benefits. Consider the following as you get ready to review next year s benefits: n Life status checkup o Has my health changed? o Have my finances changed? n Benefit checkup o Do benefit changes affect my out-of-pocket costs? o Will my doctors still be in the network? o Will my plan s premium or copays change? o Am I happy with my plan or do I want to consider changing to another IU Health Plans option? n Health checkup o Did I get my free health screenings this year? IU Health Plans is part of Indiana University Health, the state s most trusted healthcare provider. When top-rated care* and a local plan come together, the result is a refreshingly simple solution. *Medicare evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next. iuhealthplans.org Indiana University Health Plans is a Medicare Advantage organization with a Medicare contract. Enrollment in Indiana University Health Plans depends on contract renewal. Other pharmacies/physicians/providers are available in our network. Product types include HMO and HMO-POS.

2 BENEFIT BRIEFS How does IU Health Plans make sure you receive quality care and service? IU Health Plans has a department staffed with a team of quality specialists. Their daily responsibility is to make sure members receive quality care and service by focusing on: Quality assurance Reviewing medical services provided to our members to assure they are receiving the safest and highest level of care and service. If a below-standard quality of care or service is identified, an improvement or corrective action is put in place. Quality improvement Implementing an action plan aimed at addressing an issue and improving the quality of care or service. Quality assessment Evaluating how successful we are in making sure you experience the quality care and services you deserve. Healthcare is a lifetime journey, and IU Health Plans is committed to ensuring you receive quality care and personal service for the destination ahead. If there is anything we can do to improve the quality of your experience, please let us know. Caring for the eyesight of people with diabetes IU Health Plans wants to help people with diabetes preserve their eyesight. The longer you live with diabetes, the higher the probability you could develop complications like diabetic retinopathy. Early detection should be part of your preventive care plan. In the early stages of this condition, there may be no symptoms. Over time the condition can worsen and lead to blindness. For people with diabetes, screening for diabetic retinopathy is covered once per year at $0 copay. Early symptoms may include: n Floaters or dots and dark strings in your field of vision n Dark or empty areas in your field of vision n Blurry vision n Difficulty focusing n Vision that seems to fluctuate n Altered color vision n Partial or total vision loss Go to iuhealthplans.org/diabeteseyeexam to download your copy of the Diabetic Eye Examination Report form to take to your next eye exam. You can also call IU Health Plans to request a copy of this form. 2

3 Get a low-cost, phone-compatible hearing aid Hearing loss affects nearly 48 million Americans and can have an adverse effect on all aspects of life from putting a strain on relationships to increased risk of developing cognitive issues. Today s advanced hearing aids improve the lives of people with hearing loss. On the retail market, hearing aids cost an average of $2,000 $3,000 per aid which is why 20 percent of people with hearing loss decide to skip hearing aids altogether. IU Health Plans currently offers a benefit that drastically reduces your outof-pocket cost on hearing aids. Many members have already taken advantage of this benefit and have saved thousands through the program. This year, IU Health Plans is updating the program with a hearing aid selection offered through TruHearing Select that includes smartphonecompatible Flyte hearing aids that you can control wirelessly from your Apple or Android phone. Through your smartphone, you can stream phone calls and music, control hearing aid settings, switch programs, and more. Your hearing aid coverage for 2017 includes: n Initial hearing exam with a TruHearing provider n Three follow-up visits with the provider for fitting and adjustments n 45-day trial n Three-year manufacturer warranty for repairs and one-time loss and damage replacement n 48 batteries per hearing aid To schedule a hearing exam with a provider in your area, call TruHearing at Need to contact Cigna Dental? Basic dental benefits are included in all IU Health Plans coverage options. In addition, within 90 days of membership and during the annual enrollment period, members may choose optional supplemental dental benefit coverage for an additional premium that automatically renews each year. With questions about your dental benefits, call Cigna Dental at the phone number listed on the back of your member card (sample shown below) and be prepared to give your IU Health Plans member number. deductible claims to: 8 am - 5 pm Government Products Claims, Indiana toll free: University Health Plans PO Box 4287, TTY (Relay Indiana): Scranton, PA Precert: or N. Meridian St. Benefits/Claim Status: Indianapolis, IN (Hospital precertification is required for maximum benefit payments) Eye Med Vision Group # TruHearing Cigna Dental Stretch your dollars with member discounts Are you looking for a summer getaway? IU Health Plans members can take advantage of vacation packages and hotel and car rental discounts. To access featured discounts and more, visit: ProCare Speak with a representative to book a vacation package or hotel at more than 3,000 locations in the U.S. and Canada. T or T Monday Friday, 9 am 7 pm Procarenetwork.com/go Corestream Book your own specially priced hotel, car and travel packages online. IUHealthPlansShop.com Find more discounts in the Healthy Living Programs and Discounts book on iuhealthplans.org Medicare Advantage Plans > Tools and Resources > Healthy Living Booklet. 3

4 NEWS FOR YOU Personalized resources are just a click away IU Health Plans now offers more ways to get answers to your questions and access tools and resources. Members can log on to their personal member page to: n View claims n Request a new ID card n Access Provider Directory tools and resources (also available on the main home page) n Consult prescription drug information and resources n Find general resources, including forms and a glossary of health coverage and medical terms Patient Family Advisory Council sharing the member experience If you are interested in sharing your member experience and providing feedback to IU Health Plans, consider participating in the IU Health Plans Patient Family Advisory Council. Five times per year, a focus group of members and caregivers meets in Indianapolis to identify and discuss topics relevant to how healthcare benefits and services are delivered. Send an indicating your interest in participating in the council to IUHPMedicare@ iuhealth.org, and a representative will get back with you. Those who reply to this special opportunity will be interviewed for open volunteer positions on the council. 4

5 Resources for lowering your pharmacy costs Medicare Extra Help program (low income subsidy) n Prescription drug program available if you have limited income and resources n Provides assistance with premium, deductible and copays See if you qualify or apply: Call Social Security at (TTY ) or visit socialsecurity.gov/extrahelp. Prescription patient assistance programs n Some pharmaceutical companies offer copay assistance n For more information, visit medicare.gov/ pharmaceutical-assistance-program/#. HoosierRX n Indiana s prescription drug program for low-income people over age 65 n Receive assistance paying for MedicareRx and Part D prescription drug plan premium n To qualify, your annual income must not exceed the following amounts: $18,330, if single $24,600, if married and living together IU Health Plans Pharmacy Medication Therapy Management (MTM) n You may receive a call from our pharmacy team to offer a phone consultation if you: Take eight or more different maintenance medications Have at least three of the following health conditions: bone disease, chronic heart failure, high cholesterol, high blood pressure, diabetes, asthma, COPD Spend at least $3,919 on prescription medications per year n In addition, review your medications with a pharmacist over the phone. They will make sure each medication is appropriate and safe and help you find cost savings, too. More Rx tips to help you save money When receiving a new prescription, be proactive and ask your doctor: n Is there a lowercost generic alternative for this medication? n Is there an over-thecounter alternative for this medication? n Is the medication on my formulary (approved list of drugs)? Ask your doctor about these $0 medications* For high blood pressure n Benazepril n Enalaprilhydrochlorothiazide n Fosinopril n Irbesartan n Irbesartanhydrochlorothiazide n Lisinopril n Lisinoprilhydrochlorothiazide n Losartan n Losartanhydrochlorothiazide n Quinapril n Ramipril n Trandolapril For cholesterol n Atorvastatin n Lovastatin n Simvastatin For diabetes n Glimepiride n Glipizide n Glipizide extended release n Metformin n Metformin extended release (generic for Glucophage XR) n Pioglitazone *$0 medication cost applies during the initial coverage stage only. Members are responsible for the medication cost during the coverage gap. 5

6 ENGAGE IN YOUR HEALTH $ CLIP AND SAVE Online guide to iuhealthplans.org Visit iuhealthplans.org and click Medicare Advantage Plans I want to Set up or access my personal member page Find a healthcare provider Find a covered medication Find a form (such as fitness center* or claim reimbursement) Find member discounts Report a quality of care concern See my IU Health lab results or make an appointment Go to Click on the red Member Portal Login button Find a Doctor or Facility Formulary Directory Tools & Resources Tools & Resources, Healthy Living Booklet Tools & Resources, File a Complaint MyIUHealth.org > log in > Health Services *It pays to be active Joining a fitness center or taking part in programs to improve your health, such as weight or stress management programs, can get you up to $175 back. Submit your receipts to IU Health Plans for reimbursement. Fractures can be a sign of osteoporosis Osteoporosis (meaning porous bones ) may not be found until a bone fractures. If you have osteoporosis, your bones don t look different, but they lose substance, as well as calcium and other minerals. As a result, your bones have less strength and are more likely to fracture, particularly if you fall. A fractured wrist or hip from a fall may be the first actual symptom of osteoporosis unless your doctor has been measuring your bone density. If you are female and have had a fracture within the past six months, notify your primary care physician. He or she may want to do a bone mineral density test or make changes to your treatment plan. 6

7 CARING FOR A LOVED ONE? Five questions caregivers should ask a doctor With all you do as a caregiver, you may feel overwhelmed, especially at doctor s visits. This list of questions may be helpful the next time you see your loved one s physician: 1. What is the diagnosis or condition? 2. What medicine are you prescribing and what will it do? 3. What side effects or symptoms should I call about? 4. What is the next step if this treatment option doesn t work? 5. Should any foods, medicines or activities be avoided? As a patient or caregiver, you are a vital part of the care team, so be sure to get the information you need. Upcoming programs and events IU Health Walking Program (No charge) Lafayette: Monday at 9 am, June 12 Sept. 25; Armstrong Park IU Health Hip and Knee Replacement Seminars (No charge) Health news in the neighborhood Bloomington IU Health and Indiana University are building an integrated medical campus on 40 acres to include the new IU Health Bloomington Hospital, an ambulatory care building and IU s health sciences educational building. Learn more at iuhealth.org/bloombuild/. Frankfort IU Health Frankfort Hospital is now open, providing access to high-quality, comprehensive care in Clinton County. This location joins the 15 other hospitals at IU Health and more than 300 physician practices statewide in offering expert care in local neighborhoods. City Date Provider Location Fishers Sept. 13 Dr. Lucian Warth IU Health Saxony Hospital Avon Sept. 28 Dr. Brian Keyes IU Health West Hospital Lafayette Aug. 21 Dr. Peter Seymour Lafayette Oct. 26 Dr. Rayhan Jalal Monticello Sept. 12 Dr. Rayhan Jalal Anderson Sept. 26 Dr. R. Michael Meneghini IU Health Arnett Hospital IU Health Arnett Hospital IU Health White Memorial Hospital Ivy Tech Main Campus All seminars begin at 6 pm and include a complimentary light meal. Register at iuhealth.org/joints. 7

8 950 N. Meridian St., Suite 400 Indianapolis, IN Health and wellness or prevention information Personal customer service IU Health Plans Customer Solutions Center T T (TTY, Indiana Relay) Monday Friday: 8 am 8 pm You may receive assistance through alternate technology after 8 pm, on weekends and holidays. Visit our office or write to us: 950 N. Meridian St., Suite 400 Indianapolis, IN Benefits are mentioned in this newsletter. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on Jan. 1 of each year. You must continue to pay your Medicare Part B premium. ATTENTION: Our Customer Solutions Center has free language interpreter services available for non-english speakers. Call (TTY: ). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: ). 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY: ). IU Health Plans complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. IU Health Plans cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. IU Health Plans 遵守適用的聯邦民權法律規定, 不因種族 膚色 民族血統 年齡 殘障或性別而歧視任何人 2017 IUHealth 8/17 IUH#24402 H7220_IUHMA17145 CMS Approved