Benefit Options

IDA Insurance Trust: Working For You

In 2013, The Indiana Dental Association rolled out their answer to the Affordable Care Act and mandates that would limit options for the IDA Members’ insurance needs, thus forming The IDA Insurance Trust. The IDA Insurance Trust is a self-funded MEWA (Multiple Employer Welfare Arrangement), allowing the IDA to present a medically underwritten health insurance plan, a variety of deductible options and a more board network of covered doctors and medical facilities, to dentists to enhance their membership benefits.

NEW VISION BENEFIT OFFERING EFFECTIVE 2019**


DOWNLOAD NEW VISION PLANS COMPARISON

Check out our 2019 Benefits Offerings

TRAD. $500

Single

Family

Single

Deductible
$500

Family

Deductible
$1,500

Single

Out of Pocket Maximum
$3,000

Family

Out of Pocket Maximum
$6,000

Single

Coinsurance*
20%

Family

Coinsurance*
20%

Single

Hospital Services
20%

Family

Hospital Services
20%

Single

Office Visit
20%

Family

Office Visit
20%

Single

Urgent Care Facility
20%

Family

Urgent Care Facility
20%

Single

Outpatient Facility
20%

Family

Outpatient Facility
20%

Single

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
$200 Deductible** $15 Tier 1 | $40 Tier 2 | $60 Tier 3

Family

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
$200 Deductible** $15 Tier 1 | $40 Tier 2 | $60 Tier 3

Single

Anthem Mail Order Prescription Drug (up to 90 day supply)
$15 Tier 1 | $100 Tier 2 | $180 Tier 3

Family

Anthem Mail Order Prescription Drug (up to 90 day supply)
$15 Tier 1 | $100 Tier 2 | $180 Tier 3

Single

Emergency Room
20%

Family

Emergency Room
20%

Single

Human Organ Transplant
0% in network | 50% out-of-network

Family

Human Organ Transplant
0% in network | 50% out-of-network

Single

Ambulance
20%

Family

Ambulance
20%

Single

Outpatient Therapy Services | Spinal Manipulations
12 visits per calendar year

Family

Outpatient Therapy Services | Spinal Manipulations
12 visits per calendar year

Single

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
20%

Family

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
20%

Single

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
20%

Family

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
20%

*Coinsurance percentages indicate your share of billed services after you have met your deductible.

**Prescription deductible does not apply to Generic prescriptions.

***Maternity coverage is included on all IDA Group Health Plans.

PPO $500

Single

Family

Single

Deductible
$500 network / $1,000 non-network

Family

Deductible
$1,500 network / $3,000 non-network

Single

Out of Pocket Maximum
$2,000 network / $4,000 non-network

Family

Out of Pocket Maximum
$4,000 network / $8,000 non-network

Single

Coinsurance*
20% network | 40% non-network

Family

Coinsurance*
20% network | 40% non-network

Single

Hospital Services
20% network | 40% non-network

Family

Hospital Services
20% network | 40% non-network

Single

Office Visit
$25 co-pay network | 40% non-network

Family

Office Visit
$25 co-pay network | 40% non-network

Single

Urgent Care Facility
$75 Co-pay

Family

Urgent Care Facility
$75 Co-pay

Single

Outpatient Facility
20% network | 40% non-network

Family

Outpatient Facility
20% network | 40% non-network

Single

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
$200 Deductible** $15 Tier 1 | $40 Tier 2 | $60 Tier 3

Family

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
$200 Deductible** $15 Tier 1 | $40 Tier 2 | $60 Tier 3

Single

Anthem Mail Order Prescription Drug (up to 90 day supply)
$15 Tier 1 | $100 Tier 2 | $180 Tier 3

Family

Anthem Mail Order Prescription Drug (up to 90 day supply)
$15 Tier 1 | $100 Tier 2 | $180 Tier 3

Single

Emergency Room
$200 Co-pay

Family

Emergency Room
$200 Co-pay

Single

Human Organ Transplant
0% in network | 50% out-of-network

Family

Human Organ Transplant
0% in network | 50% out-of-network

Single

Ambulance
20%

Family

Ambulance
20%

Single

Outpatient Therapy Services | Spinal Manipulations
12 visits per calendar year

Family

Outpatient Therapy Services | Spinal Manipulations
12 visits per calendar year

Single

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
20% network | 40% non-network

Family

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
20% network | 40% non-network

Single

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
$25 co-pay network | 40% non-network

Family

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
$25 co-pay network | 40% non-network

*Coinsurance percentages indicate your share of billed services after you have met your deductible.

**Prescription deductible does not apply to Generic prescriptions.

***Maternity coverage is included on all IDA Group Health Plans.

PPO $1000

Single

Family

Single

Deductible
$1,00 network / $2,000 non-network

Family

Deductible
$3,000 network / $6,000 non-network

Single

Out of Pocket Maximum
$3,000 network / $6,000 non-network

Family

Out of Pocket Maximum
$6,000 network / $12,000 non-network

Single

Coinsurance*
20% network | 40% non-network

Family

Coinsurance*
20% network | 40% non-network

Single

Hospital Services
20% network | 40% non-network

Family

Hospital Services
20% network | 40% non-network

Single

Office Visit
$25 co-pay network | 40% non-network

Family

Office Visit
$25 co-pay network | 40% non-network

Single

Urgent Care Facility
$75 Co-pay

Family

Urgent Care Facility
$75 Co-pay

Single

Outpatient Facility
20% network | 40% non-network

Family

Outpatient Facility
20% network | 40% non-network

Single

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
$200 Deductible** $15 Tier 1 | $40 Tier 2 | $60 Tier 3

Family

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
$200 Deductible** $15 Tier 1 | $40 Tier 2 | $60 Tier 3

Single

Anthem Mail Order Prescription Drug (up to 90 day supply)
$15 Tier 1 | $100 Tier 2 | $180 Tier 3

Family

Anthem Mail Order Prescription Drug (up to 90 day supply)
$15 Tier 1 | $100 Tier 2 | $180 Tier 3

Single

Emergency Room
$200 Co-pay

Family

Emergency Room
$200 Co-pay

Single

Human Organ Transplant
0% in network | 50% out-of-network

Family

Human Organ Transplant
0% in network | 50% out-of-network

Single

Ambulance
20%

Family

Ambulance
20%

Single

Outpatient Therapy Services | Spinal Manipulations
12 visits per calendar year

Family

Outpatient Therapy Services | Spinal Manipulations
12 visits per calendar year

Single

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
20% network | 40% non-network

Family

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
20% network | 40% non-network

Single

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
$25 co-pay network | 40% non-network

Family

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
$25 co-pay network | 40% non-network

*Coinsurance percentages indicate your share of billed services after you have met your deductible.

**Prescription deductible does not apply to Generic prescriptions.

***Maternity coverage is included on all IDA Group Health Plans.

PPO $2,500

Single

Family

Single

Deductible
$2,500 network / $5,000 non-network

Family

Deductible
$7,000 network / $15,000 non-network

Single

Out of Pocket Maximum
$6,000 network / $12,000 non-network

Family

Out of Pocket Maximum
$12,000 network / $24,000 non-network

Single

Coinsurance*
20% network | 40% non-network

Family

Coinsurance*
20% network | 40% non-network

Single

Hospital Services
20% network | 40% non-network

Family

Hospital Services
20% network | 40% non-network

Single

Office Visit
$30 co-pay network | 40% non-network

Family

Office Visit
$30 co-pay network | 40% non-network

Single

Urgent Care Facility
$75 Co-pay

Family

Urgent Care Facility
$75 Co-pay

Single

Outpatient Facility
20% network | 40% non-network

Family

Outpatient Facility
20% network | 40% non-network

Single

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
$200 Deductible** $15 Tier 1 | $40 Tier 2 | $60 Tier 3

Family

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
$200 Deductible** $15 Tier 1 | $40 Tier 2 | $60 Tier 3

Single

Anthem Mail Order Prescription Drug (up to 90 day supply)
$15 Tier 1 | $100 Tier 2 | $180 Tier 3

Family

Anthem Mail Order Prescription Drug (up to 90 day supply)
$15 Tier 1 | $100 Tier 2 | $180 Tier 3

Single

Emergency Room
$200 Co-pay

Family

Emergency Room
$200 Co-pay

Single

Human Organ Transplant
0% in network | 50% out-of-network

Family

Human Organ Transplant
0% in network | 50% out-of-network

Single

Ambulance
20%

Family

Ambulance
20%

Single

Outpatient Therapy Services | Spinal Manipulations
12 visits per calendar year

Family

Outpatient Therapy Services | Spinal Manipulations
12 visits per calendar year

Single

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
20% network | 40% non-network

Family

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
20% network | 40% non-network

Single

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
$30 co-pay network | 40% non-network

Family

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
$30 co-pay network | 40% non-network

*Coinsurance percentages indicate your share of billed services after you have met your deductible.

**Prescription deductible does not apply to Generic prescriptions.

***Maternity coverage is included on all IDA Group Health Plans.

HSA $4,000/$8,000

Single

Family

Single

Deductible
$4,000 network / $8,000 non-network

Family

Deductible
$8,000 network / $16,000 non-network

Single

Out of Pocket Maximum
$4,000 network / $8,000 non-network

Family

Out of Pocket Maximum
$8,000 network / $16,000 non-network

Single

Coinsurance*
0%

Family

Coinsurance*
0%

Single

Hospital Services
0%

Family

Hospital Services
0%

Single

Office Visit
0%

Family

Office Visit
0%

Single

Urgent Care Facility
0%

Family

Urgent Care Facility
0%

Single

Outpatient Facility
0%

Family

Outpatient Facility
0%

Single

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
0%

Family

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
0%

Single

Anthem Mail Order Prescription Drug (up to 90 day supply)
0%

Family

Anthem Mail Order Prescription Drug (up to 90 day supply)
0%

Single

Emergency Room
0%

Family

Emergency Room
0%

Single

Human Organ Transplant
0% in network | 50% out-of-network

Family

Human Organ Transplant
0% in network | 50% out-of-network

Single

Ambulance
0%

Family

Ambulance
0%

Single

Outpatient Therapy Services | Spinal Manipulations
0%

Family

Outpatient Therapy Services | Spinal Manipulations
0%

Single

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
0%

Family

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
0%

Single

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
0%

Family

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
0%

*Coinsurance percentages indicate your share of billed services after you have met your deductible.

**Prescription deductible does not apply to Generic prescriptions.

***Maternity coverage is included on all IDA Group Health Plans.

HSA $6,450/$12,900

Single

Family

Single

Deductible
$6,450 network / $12,900 non-network

Family

Deductible
$12,900 network / $25,800 non-network

Single

Out of Pocket Maximum
$6,450 network / $12,900 non-network

Family

Out of Pocket Maximum
$12,900 network / $25,800 non-network

Single

Coinsurance*
0%

Family

Coinsurance*
0%

Single

Hospital Services
0%

Family

Hospital Services
0%

Single

Office Visit
0%

Family

Office Visit
0%

Single

Urgent Care Facility
0%

Family

Urgent Care Facility
0%

Single

Outpatient Facility
0%

Family

Outpatient Facility
0%

Single

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
0%

Family

Prescription Drug Co-pay applies at all Anthem participating network pharmacies (30 day supply max.)
0%

Single

Anthem Mail Order Prescription Drug (up to 90 day supply)
0%

Family

Anthem Mail Order Prescription Drug (up to 90 day supply)
0%

Single

Emergency Room
0%

Family

Emergency Room
0%

Single

Human Organ Transplant
0% in network | 50% out-of-network

Family

Human Organ Transplant
0% in network | 50% out-of-network

Single

Ambulance
0%

Family

Ambulance
0%

Single

Outpatient Therapy Services | Spinal Manipulations
0%

Family

Outpatient Therapy Services | Spinal Manipulations
0%

Single

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
0%

Family

Behavioral Health | In-patient (Admin. by Anthem Behavior Health and network providers)
0%

Single

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
0%

Family

Behavioral Health | Physician Office (Admin. by Anthem Behavior Health and network providers)
0%

*Coinsurance percentages indicate your share of billed services after you have met your deductible.

**Prescription deductible does not apply to Generic prescriptions.

***Maternity coverage is included on all IDA Group Health Plans.

Apply for Coverage Now
medical_insurance_icon
3,304

lives covered

1,083

active groups

I have been with the IDA insurance trust since its inception in 2013. Since joining the trust we have seen our premiums remain remarkably stable, and the customer service Ashley and Wanda provide is outstanding. The insurance product provided by Anthem is top rate and the personalized attention the IDA insurance staff provides is wonderful. Whether I or a staff member would like to review health insurance options, make changes to a policy, or add a dependent the staff at IDA insurance is easy to get in contact with and quick to answer any questions. I highly recommend the IDA insurance trust for you and your staff.

Jason Glassley, DDS

Call Now