PPO Health Plan As an Under Age 65 Retiree, the medical plan option is the PPO Health Plan. The premiums for this health plan are the same as the active employee premium. This plan covers preventive services at 100% and blood work at contracted labs (LabCorp, American Health Network and Quest Diagnostics) are not subject to the deductible and are also covered at 100%. The PPO Health Plan also gives you access to Anthem’s broad network of providers and once you have met your deductible, in-network medical services are paid at 80%. There is no prescription deductible on this plan, so coinsurance for prescriptions will immediately apply. 2026 HEALTH PLAN PREMIUMS PPO Health Plan (Medical + Prescription) TF = Tobacco Free Monthly 12 Month Single TF Discount $146.17 Single Full Rate $221.17 EE+CH TF Discount $277.77 EE+CH Full Rate $352.77 Family TF Discount $379.49 Family Full Rate $454.49 EE+CH = Employee Plus Child(ren) Prescription Benefits The University participates in the Indiana Aggregate Prescription Purchasing Plan (IAPPP) for prescription coverage and the IAPPP continues to use CVS Caremark as its third-party administrator. Register online at www.Caremark.com/startnow to find network pharmacies, refill medications and check order status, check drug cost, and see your prescription history. Be reminded that you may also check drug costs through links found on the Employee Benefits website. Specialty medications are a huge cost driver to our plans. With Ball State’s health plan being self-funded, we strive for all plan members to use these links to check costs for prescriptions and see if alternatives are available. By being good stewards of our insurance expenditures, we can all work to keep our health claims and insurance premiums low. Maintenance medications require a 90-day refill after the third 30-day refill at a retail pharmacy. As a reminder, 90-day refills for maintenance medications can be filled at any network retail pharmacy or you may still receive them through mail order. If you have any additional questions about your prescription plan or costs, you may call CVS Customer Care at 1-866-243-4881 or contact our office. Walgreens continues to be out of our pharmacy network. Dental Plan Highlights Delta Dental continues to provide our dental insurance. Here is a reminder of our current benefits: • Preventive fluoride treatments, x-rays and sealants are covered at 100%*. • Basic Service benefits for Delta Dental PPO network providers continue to be paid at 85% while Delta Dental Premier network providers remain at 80%. *Some services are subject to deductible and/ or age restrictions. EE+CH = Employee Plus Child(ren) RETIREE DENTAL INSURANCE PREMIUMS Monthly Single $13.31 EE + CH $25.26 Family $34.47
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