Medical and Prescription Plans

This plan covers:

• in-network preventative services at 100 percent
• diagnostic blood work at contracted labs (LabCorp, American Health Network, and Quest Diagnostics) at 100 percent, not subject to the deductible

Once you have met your deductible, medical services are paid at 80 percent. Then, if you go on to meet your out-of-pocket maximum, medical services are covered at 100 percent for the remainder of the calendar year.

Visit Anthem's website to find information about your claims, search for doctors and hospitals, compare costs, and more.

More Information

• 2026 Medicare Supplement Plan Benefits-At-A-Glance (PDF)
• 2026 Over 65 Retiree Premiums (PDF)
• Preventative Care Benefits (PDF)
• Retiree Anthem Benefit Booklet

Express Scripts, Inc. is Ball State's Prescription Benefits Manager.

The Prescription Benefit Overview (PDF) illustrates each medical plan's coinsurance and co-pay amounts.

Visit the Express Scripts, Inc. website to view claims, print forms (mail order and claim forms), order ID cards, price medications, manage your mail order online, and more.

Helpful Resources

• Drug Step Therapy (PDF)—Find answers to frequently asked questions about Step Therapy, a component of Express Script's Advanced Utilization Management program that ensures members are getting the most quality and cost-effective medications.
• Drug Prior Authorizations (PDF)—Find answers to frequently asked questions about Prior Authorizations, a component of Express Script's Advanced Utilization Management program that ensures members are getting the most quality and cost-effective medications.
• Drug Quantity Management (PDF)—Find answers to frequently asked questions about Drug Quantity Management, a component of Express Script's Advanced Utilization Management program that ensures members are getting the most quality and cost-effective medications.