Anthem credentials health care practitioners including, but not limited to, the following types: •Medical doctors •Doctors of osteopathic medicine •Chiropractors •Telemedicine practitioners who have an independent relationship with Anthem and who provide treatment services under the health benefits plan •Medical therapists (for example, physical therapists, speech therapists, and occupational therapists) •Nurse practitioners who are licensed, certified or registered by the state to practice independently •Certified nurse midwives who are licensed, certified or registered by the state to practice independently •Physician assistants (as required locally)
Full Answer
Is anthem private health insurance?
These budget-friendly insurance options help lessen the financial impact of unexpected health care costs. Anthem Enhanced Choice is an individual health plan that provides coverage for doctor visits, prescriptions, and more.
Is anthem Healthkeepers Medicaid?
Anthem HealthKeepers Plus Virginia, Virginia’s largest Medicaid provider, saw the need for support and offered it by giving out bags to the SPARK Foundation at Prince William County Public Schools on Friday, February 4, 2022. “As an organization driven ...
What is the customer service number for Anthem?
Visit Anthem Blue Cross for group health insurance plans in California. Anthem BlueCross of California. Close Window. Contact Us . Anthem Blue Cross . Member Services: (800) 967-3015 . Pre Certification: (800) 274-7767 . Coverage While Traveling: (800) 810-BLUE (2583) Transition Assistance: (800) 967-3015 ...
Is anthem hip Medicaid?
HIP Plus Option - HIP | Anthem BlueCross BlueShield Indiana Medicaid Receive more from us with HIP Plus HIP Plus is the preferred plan for all HIP members. It gives you the best bang for your buck, offering dental care, vision services and no copays.
Who takes Healthy Indiana Plan?
The Healthy Indiana Plan (HIP) is an affordable health plan for low-income adult Hoosiers between the ages of 19 and 64. It's sponsored by the state and for some members requires a small monthly payment through your Personal Wellness and Responsibility (POWER) Account.
Is Healthy Indiana plan the same as Medicaid?
The Healthy Indiana Plan (HIP) is the name of the State of Indiana's health insurance program. It is one of the Medicaid programs available to Indiana residents between 19 and 64 years old that are eligible.
What is Healthy Indiana Plan?
The Healthy Indiana Plan is a health-insurance program for qualified adults. The plan is offered by the State of Indiana. It pays for medical costs for members and could even provide vision and dental coverage. It also rewards members for taking better care of their health.
Is Anthem the same as Blue Cross Blue Shield Indiana?
Headquartered in Indianapolis, Indiana, Anthem, Inc. is an independent licensee of the Blue Cross and Blue Shield Association serving members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin; and specialty plan members in ...
Is Healthy Indiana Plan part of Obamacare?
The current incarnation of the Healthy Indiana Plan developed after the Obama administration offered states the option to expand Medicaid under the Affordable Care Act, aka Obamacare. Holcomb's predecessor, Gov. Mike Pence, got federal permission to create a different kind of model.
Which Medicaid plan is best in Indiana?
MDwise scored 82.2 percent, an increase from last year, making it the top-ranked Indiana Medicaid health plan. The organization placed 45th out of 213 Medicaid plans in the nation.
Does Indiana hip plus cover weight loss surgery?
HIP Basic includes all the federally required essential health benefits, but does not provide coverage for vision, dental or chiropractic services, bariatric surgery or Temporomandibular Joint Disorders.
What does medically frail mean in Indiana?
Medically frail is a federal title. • It is for people with serious physical, mental, substance abuse or behavioral health conditions. • Being medically frail means that you can have standard Medicaid benefits.
Does Indiana Medicaid cover weight loss surgery?
The Indiana Health Coverage Programs (IHCP) covers bariatric surgery for individuals with morbid obesity. Effective June 1, 2014, the IHCP will add coverage of sleeve gastrectomy as a surgical treatment option.
Why is Anthem changing its name?
Why the change? The upcoming name change reflects the company's strategy to elevate the importance of whole health and to advance health beyond healthcare for our customers, their families, and our communities.
Is Hoosier Healthwise Anthem Medicaid?
Hoosier Healthwise (HHW) is Indiana's Medicaid plan for pregnant women and children. HHW provides health care, including doctor visits, prescription drugs, mental health care, dental care, hospitalizations, surgeries and family planning at little or no cost to the member or the member's family.
How is Anthem different from BCBS?
Anthem Blue Cross is a for profit company in California, and Blue Shield is a non-profit. Both insurance companies have large networks and very good doctors. In California, Anthem Blue Cross is the biggest health insurance carrier.
Getting you the care you need
Use our search tool below to find a primary medical provider (PMP), hospital, pharmacy or specialist that serves your plan. If you want to change your PMP, use this tool to find the name of the new PMP you'd like. You could also search by the PMP’s city and state, specialty and plan. Search now A few types of providers you’ll find include:
Provider education and training
You can get more information about the providers in our health plan. Visit docinfo.org to search for providers and find out where they went to medical school.
Pharmacy and prescription drugs
Your benefits include a wide range of prescription and over-the-counter drugs. We work with IngenioRx to provide these pharmacy benefits.
Find a Provider
The MHS Provider Directory is a list of physicians, hospitals, pharmacies, dentists and other healthcare providers that are available to you. Be sure to choose Healthy Indiana Plan (HIP) as your correct plan when searching.
Choose Your Doctor
You can choose your PMP (Primary Medical Provider) in one of these ways:
Resources
The Centers for Medicare & Medicaid Services (CMS) has streamlined their original compare tools into a one-click site on Care Compare. It gives patients, and caregivers one user-friendly place to find cost, quality of care, service volume, and other CMS quality data to help make informed health care decisions.
COVID-19 information
Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.
Availity access
The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer.
Receive email from Anthem
Anthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
Provider News
The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
Featured resources
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
Interested in becoming a provider in our network?
We look forward to working with you to provide quality services to our members.
What is a healthy Indiana plan?
The Healthy Indiana Plan (HIP) is a health insurance program for qualified adults. HIP is offered by the state of Indiana. The plan pays for medical costs for members and can include dental, vision and chiropractic. Healthy Indiana Plan (HIP) also rewards members for taking better care of their health. The plan covers Hoosiers ages 19 ...
How to change health plan before paying Fast Track?
You may change your health plan selection before paying your Fast Track invoice by calling 1-877-GET-HIP-9. You can pay your Fast Track invoice or POWER account contribution to your new health plan and your coverage will start the month in which your payment is received and processed.
How to enroll in HIP Plus?
To enroll in HIP Plus, eligible individuals must make a monthly contribution to their POWER Account to help cover initial health expenses. Individuals with family income at or below the federal poverty level will default to HIP Basic if they do not make their POWER Account contribution.
How much does HIP Plus cost?
Members pay affordable monthly contributions, and the only other cost for health care in HIP Plus is a payment of $8 if you visit the emergency room when you don’t have an emergency health condition.
What are the benefits of HIP?
HIP Basic benefits include all of the required essential health benefits. It does not include dental, vision or chiropractic services, or services for bariatric surgery and temporomandibular joint disorders (TMJ). And, there are more limits on annual visits to see physical, speech and occupational therapists.
What is TMA in HIP?
Members determined eligible for transitional medical assistance (TMA) by the State in accordance with Section 1925 of the Social Security Act. Individuals determined to be medically frail. HIP State Plan benefits include all of the required essential health benefits, and some enhanced benefits such as dental and vision.
What is the power account for a HIP?
In the HIP program, the first $2,500 of medical expenses for covered services are paid with a special savings account called a Personal Wellness and Responsibility (POWER) account. Every HIP member has their own POWER Account. The state pays most of the $2,500, and if you are in HIP Plus or HIP State Plan Plus, you are responsible for paying a portion.
What is the Healthy Indiana Plan?
The Healthy Indiana Plan is a health-insurance program for qualified adults. The plan is offered by the State of Indiana. It pays for medical costs for members and could even provide vision and dental coverage. It also rewards members for taking better care of their health.
How much income do you need to qualify for Healthy Indiana?
Individuals with annual incomes up to $17,780 may qualify. Couples with annual incomes up to $24,043 may qualify. A family of four with an annual income of $36,581 may qualify. The Healthy Indiana Plan uses a proven, consumer-driven approach that was pioneered in Indiana.
What is IHCP in Indiana?
Indiana Health Coverage Programs (IHCP) covers some types of care for HIP Maternity members. These types of service are called carve-outs. You may get these services from any IHCP-enrolled doctor. Carve-out services include:
What is a HIP state plan?
With HIP State Plan Basic, youpay copays, which can add up quickly and cost more.
What is a copay on a HIP?
copay is the amount you pay each time you go to the doctor or get prescriptions. In HIP, members who are American Indian/Alaska Native, pregnant or who have hit the 5% cost-sharing limit do not have copays.
How to get a second opinion from a doctor?
To get a second opinion, talk to your PMP or call Member Services at 1 866-408-6131 (TTY 711).
What does a dentist tell you about dental insurance?
Your dentist will tell you if the dental care you need is covered andif there are copays. Your dentist will also help you if you need an OK for dental care. Benefits are based on a treatment code and/or medical necessity.
How to contact a nurse when you are sick?
When you’re sick or hurt, check the list of symptoms to see where you should go for care. If you need help, call our 24/7 NurseLine at 1-866-408-6131 (TTY 711).
What is the number to call for Relay Indiana?
to 8 p.m. Eastern time. If you need help between 8 p.m. and 8 a.m. or on weekends, call Relay Indiana at 1-800-743-3333 (TTY 711).
What does a HIP Plus member get?
HIP Plus members get dental and vision benefits. If you have HIP Basic, be sure to POWER Up to HIP Plus when it’s time to re-enroll! HIP Pregnancy/HIP Maternity members receive vision coverage following Hoosier Healthwise benefits.
Does Hip Basic include vision?
HIP Basic. HIP Basic coverage does not include vision coverage. Take charge of your health next year and POWER Up to HIP Plus! You’ll receive enhanced benefits – like dental, vision and chiropractic coverage – with no copays and a low, predictable monthly payment.