Hello,
Your provider is voluntarily taking part in a new initiative by joining Indiana University Health Accountable Care Organization, Inc. Together, we think it will help us provide better quality care for our patients.
Medicare started the Accountable Care Organization (ACO) initiative where health care providers can work together more effectively. These providers share a common set of goals aimed at improving patient care. This initiative joins providers in an ACO to work together with Medicare. The goal is to provide you more coordinated care and services.
We are asking you to choose your primary care provider in the Voluntary Alignment Form to help determine if Indiana University Health ACO, Inc. should help coordinate your care. Routine care can include regular care and check-ups you get from a doctor or other health care professional. It also includes care for other chronic conditions such as heart failure, asthma, diabetes and hypertension.
Please choose your primary care provider from the dropdown field at the top of the form. This will confirm that the provider you selected is the main doctor or other health care professional you see or the main place you go for routine care.
As another option, you can log into Medicare.gov and select your main doctor or other health care professional. Instructions for navigating Medicare.gov are included with this letter. Medicare will prioritize the most recently submitted selection if you make a different selection on this form and through Medicare.gov.
Your benefits will NOT change, and you can visit any doctor, other health care professional, or hospital.
Whether or not you complete this form or submit through Medicare.gov, you remain eligible to receive the same Medicare benefits. You still have the right to use any doctor, other health care professional, or hospital that accepts Medicare, at any time. If you have questions, feel free to ask your doctor or other health care professional. Call Indiana University Health ACO, Inc. at 317.963.5522 or call Medicare at 1.800.MEDICARE (1.800.633.4227) to ask about Accountable Care Organizations. TTY users should call 1.877.486.2048.
Completing this form or submitting through Medicare.gov is your choice AND you can change your mind.
If you choose to complete this form or submit through Medicare.gov you should do so yourself. No one else should complete this for you.
No one is allowed to attempt to influence your choice to complete this form or through Medicare.gov by offering or withholding anything in exchange for you to complete or not complete the form or to make a selection online. If you feel pressured to sign or not sign this form or to make a selection online, please call 1.800.MEDICARE (1.800.633.4227). TTY users should call 1.877.486.2048.
If you need to update your selection, please call Indiana University Health ACO, Inc. at 317.963.5522 or update it online. This is available if you change your mind later about whether you consider the provider you selected to be the main doctor or other health care professional you see or the main place you go for routine care.
Sincerely,
Indiana University Health ACO, Inc.
Get more information about ACO REACH: