How To Contact Us
If you have questions about your health plan, please call us. Our toll-free Member Services number is , TTY 711. We are open Monday through Friday, 8 am to 8 pm EST. You can call us at this number 24/7 to get urgent assistance.
The quarterly newsletter is a great way to learn about our health plan and important health topics. Our HealthTalk newsletter is available online allowing you to read it whenever and wherever you want.
Do I Have To Make A Fast Track Payment
While making a Fast Track payment can help ensure you get enrolled in HIP Plus as quickly as possible, you are NOT required to make a Fast Track payment. From the date you receive your initial Fast Track invoice you will have 60 days to make a payment to start your HIP Plus coverage. You can pay either the $10 Fast Track payment or your POWER account contribution amount. If you do not make your contribution or Fast Track payment within 60 days and your income is less than the federal poverty level you will be enrolled in HIP Basic where you will have copayments for all services and you will not have dental, vision or chiropractic. If you wait more than 60 days to make a payment and your income is more than the federal poverty level, then your application will be denied and you will have to reapply for HIP coverage.
Unitedhealthcare Dual Complete Plans
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
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How Long Does It Take To Hear Back From Enrollment
Please allow at least 15 business days for mailing and processing before checking the status of your submission. To track the status of your enrollment, you may go to check the Indiana Medicaid for Providers site and enter your Tracking Number and Federal Tax Identification Number that you used for your enrollment.
May I Schedule An Appointment Even If Orthovirginia Does Not Participate With My Insurance
Yes, even if OrthoVirginia does not participate in your insurance, we can schedule an appointment for you. You will want to contact your insurance company to see if the services that OrthoVirginia provides will be covered.
When you go to an office that does not participate in your insurance, your insurance company will usually process your medical claim as out of network, which may cause higher out-of-pocket expenses for you and cost more. For specific information, please call the member services telephone number on your insurance card.
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Ihcp Quick Reference Guide
The best way to find the correct Indiana Health Coverage Programs contact information is to check the . Whether your question or need relates to members or providers managed care or fee-for-service coverage medical, pharmacy or other service type, the IHCP Quick Reference Guide can help with resources for enrollment, claims, prior authorization and more. The guide also provides the telephone number for IHCP Customer Assistance.
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Sanvello Support For Well
We offer a free mobile app that is free to all members. It offers cool tools like:
- Mood tracker
- Coping Tools
- Community support
To get the app, download it on the App Store or get it on Google Play.
You can also get a free upgrade to the premium version of this app in 3 easy steps:
- Create an account and choose upgrade through insurance
- Search for and select UnitedHealthcare, then enter the information available on your UnitedHealthcare member ID card
Routine shots help protect you from illness.
Our plan covers:
- Shots and vaccines recommended by your PMP
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Community Integration And Habilitation Medicaid Waiver
The Community Integration and Habilitation waiver is to be used as a needs based waiver ONLY for people who meet specific criteria. To move from the Family Supports waiver onto the CIH waiver, an individual must meet specific eligibility/priority criteria which may include:
Death of primary caregiver and no other caregiver available Caregiver over 80 years of age and no other caregiver available Evidence of abuse or neglect in the current placement Extraordinary health and safety risk Eligible individuals transitioning to the community from a nursing facility, extensive support needs homes or state operated facilities Eligible individuals determined to no longer need active treatment in a group home Eligible individuals transitioning from 100% state funded services Eligible individuals aging out of Department of Education, Department of Child Services or supported group living and Eligible individuals requesting to leave a Large Private Intermediate Care Facility for Individuals with Intellectual Disabilities .
In addition to the same services approved for the FS waiver , the CIH waiver allows for a larger budget for eligible services and may provide the following additional approved services : Community Transition Rent and Food for Unrelated Live-In Caregiver Residential Habilitation and Support
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Can Someone Make My Fast Track Payment For Me
Yes. You may have someone make your Fast Track payment on your behalf. However, as is the policy with all HIP payments, once a payment is made , you will not be able to change your MCE/health plan. If a health care provider makes a Fast Track payment for you, the provider should ask you to complete a form that gives them permission to make this payment .
If you need help picking the right health plan for you, call 1-877-GET-HIP-9.
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Will I Need A Referral In Order To Be Seen And Receive Medical Treatment
Your insurance company may require a referral in order for your treatment to be covered by insurance. OrthoVirginia does not require a referral for you to be seen. You should contact your insurance company before your appointment with OrthoVirginia to see if your insurance company requires a referral. If your insurance company says you need a referral but you do not have one when you come in for your visit, you may have to reschedule your appointment or pay out of pocket for your treatment.
Indianas Medicaid Waiver Programs: Home And Community
Indianas Medicaid Home and Community-Based Services Waiver program provides individualized supports to assist people, of all ages, to live successfully in home and community settings. In the past, Medicaid only paid for long-term care services in an institutional setting, such as nursing facilities and group homes. The waiver program waives the necessity of admission into an institution in order for Medicaid to pay for needed home and community-based services.Waivers fund therapeutic and other needed supports and services. HCBS Medicaid waivers make Medicaid funds available as an alternative to institutional care if supporting the individual, in the home and/or a community setting is no more than the cost of care within an institutional setting.
Currently there are five statewide Medicaid waiver options for an individual in Indiana. One of those Waivers, however, is closed and no longer accepting new applicants. The Psychiatric Residential Treatment Facility Transition waiver is for children and youth with serious emotional disturbances or serious mental illness who transitioned from the prior Community Alternative to the PRTF Grant. As of October 1, 2012, no additional children can apply for or receive waiver services through the PRTF Transition waiver. The other four Medicaid waiver programs are accepting applications and new individuals.
1. Meet Medicaid eligibility requirements.
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What If My Power Account Contribution Is Not $10
If you are found eligible for HIP and you make your $10 Fast Track payment, this payment will be applied toward your POWER account contribution. Your monthly POWER Account contribution will be based on your income. This may be more or less than $10 per month. If your POWER account contribution amount is less than $10 per month, your $10 payment will be applied to your initial coverage month with the remaining amount applied to future months.
For example if your POWER account contribution is $4, then your first two months of coverage will be paid in full, you will owe a balance of $2 in the third month, and then $4 for every following month to maintain HIP Plus enrollment. If your POWER account contribution is more than $10, then you will owe the balance in the first coverage month. For example if your POWER account is $15, then your $10 payment will be applied to your first months coverage. You will owe an additional $5 for that month of coverage and $15 for each following month.
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Lead Screening In Children
Lead poisoning is dangerous. If it is not treated in small children, it can cause long term problems. Lead can be found in:
A special blood test is ordered by your doctor to check for lead poisoning. The test is usually given between the ages of 6 months and 2 years. If your child has not been tested, your doctor might want to test up to the age of 6 years. More testing may be necessary if your child has tested positive for lead. For more information, contact your Member Services Advocate. You can also talk to your childs doctor at their next well visit.
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Quit Using Tobacco Or Vaping Products
Quitting is hard, but we can help. Did you know that 20 minutes after you quit, your heart rate drops to a normal level? And within 24 hours after quitting the carbon monoxide level in your blood drops to normal.
Talk to your doctor about quitting. Or call 1-800-QUIT-NOW to get free coaching, counseling and supplies to help you quit.
Medical Standards Of Care And Clinical Practice Guidelines
If you want to research the clinical practice guidelines for a disease, condition, treatment or intervention or for health services administration, you can browse them online here. Your prescription in determining the standards of care and clinical guidelines applicable to your cases. Medical standards of care and clinical practice guidelines are established by a consensus of health care professionals as diagnostic and therapeutic actions or behaviors that are considered the most favorable in affecting the patients health outcome. The Internet offers a wide variety of expert consensus and evidence-based standards and guidelines, which provide insight, on a national level, to a broad scope of medical practice. Additionally, standards of care are established through, state and federal regulations, institutional policy & procedures, expert witnesses and literature. These links will lead directly to the pertinent sections on standards, guidelines, or position statements.
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Preventive Care Wellness And Health Conditions Guides
Getting to the doctor when you are healthy is important. We have guides to help you know what to expect at each well visit. You can also talk to your Member Services Advocate for support and information.
We also have helpful guides for most health problems and conditions. You can also talk to your Member Services Advocate for support and information.
Our educational materials can be found on myuhc.com/CommunityPlan.
You will find condition-specific and general health topics, including:
Caring for others can be rewarding. But being a caregiver can also be difficult, can cause stress and burnout. We have a program to help you cope. We offer monthly calls. Topics include:
- Understanding care options
- Living with grieving and loss
Feel free to join us on a monthly caregiver call:
When: Third Tuesday of each monthTime: 3:00 pm EST
Our Healthy First Steps program makes sure that both mom and baby get good medical attention.
We will help you:
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Video Result For Anthem Of Indiana Provider Number
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2019 Anthem Overview- Indiana
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About Blue Cross Blue Shield Association
The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. BCBSA provides health care insights through The Health of America Report series and the national BCBS Health Indexsm. For more information on BCBSA and its member companies, please visit BCBS.com. We also encourage you to connect with us on , check out our videos on and follow us on .
The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.
What Information Do I Need
- National Provider Identifier unless you are an atypical provider type.
- Address including ZIP Code/postal code + 4
- Provider taxonomy unless you are an atypical provider type
- Provider federal Tax Identification Number or Employer Identification Number
- Provider license number if applicable to your provider type
- Provider Social Security number and date of birth for renderings and disclosed individuals
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Aim Specialty Health New Phone Number Effective April 1 2022
Feb 1, 2022Administrative
AIM Specialty Health®® has created a new AIM contact center phone number for providers to use to call in prior authorization requests for Anthem Blue Cross and Blue Shield . The new phone numbers are listed below and will go into effect on April 1, 2022. Please use this new number to submit new prior authorization AIM requests or get an update on an existing request after April 1, 2022.
New phone number effective April 1, 2022
As always, the best way to reach AIM is to use the ProviderPortalSM:
- Easy to use and allows real-time determinations
The ProviderPortalSM is a fast and efficient way to submit and monitor requests. It also allows you to:
- Check order status and view order history
- Print/save PDF of order summary
- Use multiple staff members to enter/view the practices orders
- Increase payment certainty
- Reference desk training and tutorials, including clinical criteria and CPT lists
Your first step is to register your practice in ProviderPortal. If you are not already registered, go to ProviderPortalSM to register.
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Level Of Care Eligibility Criteria: Bureau Of Developmental Disabilities Services
To be eligible for BDDS programs, an individual must be found to have substantial functional limitations in three or more of six major life activities AND meet all of the following four basic conditions. They include:1. physical or intellectual disability, cerebral palsy, epilepsy, autism, or condition similar to an intellectual disability 2. the condition is expected to continue indefinitely 3. the condition had an age of onset prior to age 22 and4. the individual needs a combination services.The six major life activity categories are:1. self-care 4. capacity for independent living 5. receptive and expressive language and6. mobility.
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Focus On Community Service
o More than $10 million to the Virginia Association of Free Clinics since 1993.
o Sponsors a national Community Service Day, with project details organized by state, to build on our mission and commitment to local communities.
o Sponsorship of the Ukrops Monument Avenue 10K in Richmond, Virginia, the fourth largest such event in the country with more than 31,000 participants.
o Anthem LemonAid stands, helping kids fight cancer.
o AnthemLIVE!, where tennis pros and other talented artists have helped to raise more than $2.3 million for cancer research and prevention awareness.
o Sponsorship of Heart Walks and support for the American Heart Association’s fight against heart disease for 29 years.
I Was Involved In An Automobile Accident How Does Orthovirginia Handle The Billing For That
If you have been in an auto accident, you will need to file a claim with your car insurance company. We will not file with car insurance. However, if your health insurance should be filed for an auto accident, please take the extra step to contact your insurance company for verification and then contact our billing department.
OrthoVirginia Centralized Business office
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What Happens If I Dont Make A Fast Track Payment
If you do not make a Fast Track payment, you may face a delay in the start of your coverage. For example, if you apply June 5 and receive a $10 Fast Track invoice on June 12, your HIP Plus coverage could be effective beginning June 1 if you make your $10 payment in June. From the date the invoice is issued, you have 60 days to make either a Fast Track payment or your first POWER account contribution to be able to begin HIP Plus coverage . If you make your Fast Track payment or first POWER account contribution in July then your HIP Plus coverage will begin July 1. If you make the contribution in August, you will begin HIP Plus August 1. If your 60 days to pay expires in August without you making either a Fast Track payment or POWER account contribution, then you would default to HIP Basic coverage effective August 1 if your income is below the federal poverty level.
Unlike HIP Plus, HIP Basic does not cover dental, vision or chiropractic services. Since you do not make a monthly contribution for HIP Basic services there will be a payment required for most health services including seeing a doctor, filling a prescription or staying at the hospital. If your income is more than this amount, you will need to reapply for coverage to begin HIP.