Blue Cross Blue Shield Medicaid Indiana


Payments Made While Your Application Is Being Processed

[UPDATED] Medicare Made Simple by Anthem Blue Cross and Blue Shield for Indiana

If you do not apply online, or choose not to make a Fast Track payment when you apply, you will still have the opportunity to make a Fast Track payment while your application is being processed. You will receive a Fast Track invoice from the Managed Care Entity you selected to provide your health coverage. If you did not select an MCE you will be automatically assigned to one. If you pay the Fast Track invoice and are determined to be eligible for HIP then your HIP Plus coverage will begin the first of the month that your payment was received and processed.

Do I Pay More For Anthem Health Insurance In Indiana By Using A Broker Website Like This One

No. Prices are set and approved by the Department of Insurance, and rates are no different whether you are assisted by a broker or attempt to enroll yourself. And of course, there are no fees or charges. The overwhelming consensus is that consumers save more money and are matched with better coverage when assistance is provided. We search, compare and enroll so you can get the best available healthcare. Many ancillary plans are also offered, including dental and vision options.

Is It Hard To Enroll For An Anthem Plan

Actually, the process is now much easier than when Open Enrollment began for the first time in October . Heres what we do: After reviewing and comparing policy rates, benefits and your subsidy eligibility, we pick the plan that meets the budget and benefit needs that fit you best. And of course, we discuss the specifics with you, and show you what policies will cost you the least .

Our direct online link makes it VERY easy to compare, enroll, and get covered. The combination of updated and more modern software allows you to skip the constant glitches and delays that plagued Indiana Marketplace enrollment years ago. Changing to a different plan or Metal tier is allowed during designated times. At any time, you can review or compare other alternative plans.

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Once I Make A Fast Track Payment Can I Change My Mce/health Plan

No. Once you pay your Fast Track invoice you may not change your MCE/health plan. 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. Only make a payment to the health plan that you want to be your HIP coverage provider. You will not have the opportunity to change your health plan until Health Plan Selection in the fall.

Anthem Blue Cross Blue Shield Indiana Announces First

Anthem Medicaid

INDIANAPOLIS—-Anthem Blue Cross Blue Shield Indiana today announced the launch of a new medical-legal partnership pilot with Indiana Legal Services to improve the health and quality of life of Medicaid consumers in Central Indiana through free legal assistance. This first-of-its-kind partnership will offer legal counseling for issues with housing and utilities, income support, education and employment and family law, including guardianship, child support, child welfare and custody.

The program will be available to all Central Indiana Medicaid consumers, including those in the Healthy Indiana Plan , Hoosier Healthwise, Hoosier Care Connect and traditional Fee-For-Service.

This program exemplifies Anthems commitment to not only providing healthcare services but also looking for innovative programs that help address other issues that impact health and quality of life, said Dr. Kimberly Roop, Medicaid plan president at Anthem Indiana. We know Medicaid consumers have a broad range of civil legal needs and providing access to attorney services will help remove a social barrier to their overall well-being.

Were proud to join Anthem in this first-in-the-nation medical-legal partnership, said Indiana Legal Services Executive Director Jon Laramore. The legal issues addressed by this program will improve Hoosier families health and improve their quality of life and economic success.



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Hip Plus And Basic State Plan

The HIP State Plan offers enhanced benefits to those who qualify, including:

  • Those who have complex medical or behavioral health conditions
  • Very low income parents or caretakers

You will be told if you qualify for the HIP State Plan. The HIP State Plan offers complete medical benefits that meet federal requirements and include extra behavioral health services. You will need to make copays or a monthly PAC.

Healthy Indiana Plan Benefits & Services

The Healthy Indiana Plan is a health insurance program offered by the state of Indiana for qualified adults ages 1964 within certain income levels. You can find the current income limits to qualify for HIP plans at the Healthy Indiana Plan web page.

There are five types of HIP plans: HIP Plus, HIP Basic, HIP State Plan Plus, HIP State Plan Basic and HIP Maternity for pregnant women.

  • All HIP plans pay for medical costs for members. Some HIP plans also have vision, dental and chiropractic coverage.
  • Most HIP members pay part of their coverage cost. HIP Plus members pay monthly POWER Account Contributions HIP Basic members pay copayments when they use their benefits. Pregnant women, Native Americans and Native Alaskans do not pay any copays or PAC.
  • All HIP members have a POWER Account funded by HIP. HIP Plus members pay a small part of their POWER Account through their PACs. Members will use POWER Account funds to pay for the first $2,500 of medical care each year.
  • Members cannot use POWER Account funds to pay for any plan-required copayments.

Read Also: At What Age Can You Qualify For Medicaid

Can I Change To A Different Policy

You can change policies at any time during Open Enrollment. Although a new application will need to be completed , you will not need to provide evidence of insurability. You also will be able to change coverages or choose a different carrier. Since your income and medical conditions may have changed, it may be appropriate to allow us to review and compare the most suitable new plans for you. In rare situations, proof of residency or citizenship or income verification may be required.

Why Are The Silver Plans So Popular

Parkview Health, Anthem Blue Cross and Blue Shield agree on new contract

First, lets explain what the Silver plans are. There are four available Metal policies through the Indiana Health Insurance Exchange. They are: Platinum, Gold, Silver, and Bronze. If your income does not exceed 250% of the Federal Poverty Level, special cost sharing is offered on Silver plans. Potentially, you can save thousands of dollars with this feature if you have fairly-significant medical expenses throughout the year. And sometimes, a few visits to a specialist and an outpatient procedure will be enough to justify the Silver-tier options.

The standard Silver policy pays an estimated 70% of medical expenses. However, you may qualify to have up to 94% of expenses covered. This could substantially reduce the deductible. For example, at the maximum level, a $3,500 deductible could reduce to $150, without negatively impacting any other part of the policy. In many situations, the Silver plans should be selected instead one of the more expensive Gold options.

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New Medicare Advantage Plan Will Have Access To Blue Cross Blue Shield Medicare Advantage Ppo Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

– AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update- Medical step therapy updates

  • Outpatient services billed by midlevel providers and advance practice nurses
  • Clinical criteria updates
  • Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
  • Medical drug benefit clinical criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical policies and clinical utilization management guidelines update
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

– Prior authorization requirement changes effective November 1, 2021- 2021 affirmative statement concerning utilization management decisions- Medicaid continuous glucose monitoring systems – Anthem expands specialty pharmacy prior authorization list- 2021 affirmative statement concerning utilization management decisions

Dont Gamble With Plan Selection

Let us help you pick out the policies that will pay for your medical expenses at the lowest cost to you. While you select benefits once per year, we do it dozens of times each day. You may be shocked to realize how different seemingly-similar plans can be. Although deductibles, rates, and copays must always be considered, the MOP is the biggest determinant of how much you will pay for a large claim.

Read Also: Medicaid Community Choices Waiver Program

Premium Increase In Maine

In 2009, Anthem Health Plans of Maine, a WellPoint subsidiary, sued the state of Maine for the right to increase premiums further. Since Maine licenses insurance companies through its Department of Insurance, Anthem needed the state’s permission to raise rates. The Court disagreed with Anthem and found that, unlike with other forms of insurance, the Maine Insurance Code does not require the Superintendent to consider profits.

If You Have Another Insurance Provider

Hoosier Care Connect Program for 2015

Although we may not accept your health insurance, you probably have an out-of-network benefit that allows you to still be seen at the Student Health Center. Your itemized Student Health Center receipt contains all the information you will need to get reimbursed.

You can get a copy of your itemized receipt from the cashier when you check out or by completing our online form. If you opt to have your charges sent to your student account, youll get your itemized receipt via an encrypted email.

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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.

Anthem Blue Cross Blue Shield Of Indiana Plans

Members of Anthem Blue Cross Blue Shield of Indiana have a selection of 14 HSA-eligible plans. Each plan varies in deductible, coinsurance, and out-of-pocket maximums. Some plan designs offer preventive coverage at 100%.

  • Deductibles range from $1,000 to $5,000.
  • Coinsurance options are 100%, 90%, and 80%.
  • Out-of-pocket maximums range from $1,100 to $5,000 for individuals.

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How Do I Make A Fast Track Payment

You can make a Fast Track payment by credit card when you apply online or, after applying, while your application is being processed. Fast Track payments are made to the Managed Care Entity or health plan, you select on your application to provide your HIP coverage . After making the payment you may not change your MCE/health plan, so be sure you select the right one for you. For help making your selection, call 1-877-GET-HIP-9.

Am I Covered If I Travel Out Of State On Vacation Or On Business

2019 Anthem Overview- Indiana

Yes, you are. Utilizing your BlueCard covers you anywhere in the US for an emergency room or urgent-care visit. Often, when away from home, unexpected situations can arise that require immediate treatment. This benefit will cover you any day of the week. Routine office visits may also be covered with a copay, depending on the type of policy you have and network-participation in the area you are visiting. You can request a current list of network doctors, specialists, and other medical facilities in any area of the US.

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Ncqa Rates Anthem Blue Cross And Blue Shield Highest Employer

INDIANAPOLIS—-Anthem Blue Cross and Blue Shields commercial PPO/EPO and Medicaid plans earned the highest ratings among all insurance plans in Indiana from the National Committee for Quality Assurances Private and Medicaid Health Plan Ratings 2021. This rating recognizes Anthem as a leader in supporting its members with access to high quality healthcare services.

Anthems mission today in Indiana is the same as it was when we were formed 75 years ago: to improve the lives of our members and the health of the communities we serve, said Beth Keyser, president of Anthem Blue Cross and Blue Shields commercial business in Indiana. NCQAs rating speaks to our breadth of products and services, which provides members with access to the most comprehensive network of providers in Indiana. Were honored to serve Indiana citizens and their healthcare needs.

We are proud to be recognized as the highest quality Medicaid plan in Indiana, said Kimberly Roop, M.D., president of Anthem Blue Cross and Blue Shields Medicaid business. During the pandemic, we intensified our efforts to connect with members to ensure their whole health needs were being met.

The NCQA rated Anthems Medicaid health plan 4.5 out of 5 stars for Patient Experience. Anthem was also rated highly for members accessing prenatal and postpartum care, managing their glucose and blood pressure and adherence to medication for depression.

About NCQA

About Anthem Blue Cross and Blue Shield

Opposition To Health Care Reform

The former Vice President for Public Policy and External Affairs at WellPoint, Elizabeth Fowler, is the Senior Counsel to Max Baucus, the chairman of the Senate Finance Committee and a leading opponent of the public option in health care reform.

In August 2009, Anthem, the largest for-profit insurer in California, contacted its employees and urged them to get involved to oppose health care reforms proposed during the Obama administration. Consumer Watchdog, a nonprofit watchdog organization in Santa Monica, asked California Atty. Gen. Jerry Brown to investigate its claim that WellPoint had illegally pushed workers to write to their elected officials, attend town hall meetings and enlist family and friends to ensure an overhaul that would match the firmâs interests. According to Consumer Watchdog, California’s labor code directly prohibits coercive communications, including forbidding employers from controlling, coercing or influencing employees’ political activities or affiliations. WellPoint had not been contacted by the California attorney general and had not seen any complaint.

Through 2010 and into 2011, WellPoint senior executives met monthly with executives of other major health insurers to blunt the effect of the Patient Protection and Affordable Care Act.

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Health Insurance At Planned Parenthood

Insurance plans vary, but most cover a wide range of preventive care, like birth control and annual exams, without co-pay or deductible. You can read more about the types of services that are usually covered on

We accept insurance coverage for birth control and other prescription medications. All you’ll need is your current insurance card with prescription drug coverage and your co-pay , and you can get your prescription at one of our health centers. There’s no need to stop at a pharmacy after your exam to fill your prescription or when you need to pick up a refill.

Patient Resources

About Anthem Bluecross Blueshield Of Indiana

Community Resources â Anthem Medicaid Blog

Anthem BlueCross BlueShield works with the state of Indiana to offer the Hoosier Healthwise and Healthy Indiana Plan health insurance programs for 386,000 Medicaid beneficiaries. HHW serves low-income families, pregnant women and children up to age 19. HIP covers residents age 19 through 64 including low-income families. Anthem has administered benefits and services for HHW since 2007 and HIP since 2008.

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Information From The Past:

Anthem is terminating between 25,000 and 30,000 policies of existing members, and providing the option to change to a current Marketplace plan. These grandfathered plans were previously given the option of remaining active. Among the reasons for the change is the difficulty in providing the proper service for two sets of in-force policies.

Since new contracts must include 10 essential health benefits, , premiums on the new plans will be higherpossibly as much as 25%-50%. Also, the number of available hospitals and other providers will be lower than the network that is being used by older policies. For instance, St. Vincent and Franciscan Alliance Hospitals will not be included.

The cyber attack against Anthem may also affect existing AND past policyholders since stolen security information may include canceled and lapsed policies. Regardless, the insurer issued a statement warning persons to beware of scam emails that request you to click on a link or provide personal information.

Prices continue to be very competitive for persons under age 65 and also for Seniors eligible for Medicare. If you reach age 65 while you are currently covered under a Marketplace plan, you can easily transition to a Medigap or Advantage plan so there is no lapse in benefits. You should begin the process about 60-90 days before your 65th birthday. Our assistance is free and will save you time and frustration!


New Medicare Advantage Plan Will Have Access To Bluecross Blueshield Medicare Advantage Ppo Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Allianceâs NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

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