Anthem indiana medicare. Keep in mind that you may qualify for a Medicare plan even if you are under 65. Discover all the Anthem Medicare insurance plan options to find the right coverage for you. Shopping Assistance Need help shopping for a plan? Find your plan type listed below and that number will put you in touch with a product expert. Learn more about your screening and our member care coordination services at Anthem. Learn about eligibility criteria and simplify your enrollment for comprehensive health coverage. Find a $0 premium Anthem Medicare Advantage Plan. com With our renewed contract to continue serving Healthy Indiana Plan recipients beginning January 1, 2023, Anthem Blue Cross and Blue Shield (Anthem) is excited to introduce several enhancements in support of you, our dedicated providers, and our members, the patients you serve every day, delivering quality healthcare and improving their health and well-being. All three available plans are in the National (BlueCard) PPO network with Anthem and have a prescription drug plan through CVS Caremark. HIP provides incentives for members to take personal Mar 31, 2025 · "Here's what you need to know about referrals, preapprovals, and prior authorization requirements for Anthem Medicaid in Indiana. Mar 31, 2025 · Learn more about Hoosier Healthwise, Indiana's health insurance plan specifically designed for kids, at Anthem. Access information specific to your state or apply to become a provider in our network. Get your Medicare health and prescription drug benefits in one simple plan. However, all current members will retain their existing Medicare Supplement Plans as long as they continue to pay their premiums. com or use the Sydney Health app to start a Live Chat. Choose an Anthem HMO plan if you want all-in-one coverage that includes Original Medicare (Medicare Parts A and B) and usually Medicare Part D (prescription drug) coverage. S. " Oct 17, 2025 · For provider questions and claims issues, please contact our Provider Services team. Here you will find information for assessing coverage options, guidelines for Clinical Utilization Management (UM), practice policies Annual benefit changes for Medicare Advantage plan members under Anthem Blue Cross and Blue Shield will be effective January 1, 2025. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. This member handbook will tell you how to use your new health plan. At Anthem, we offer benefit plans for four Indiana Medicaid programs: Hoosier Healthwise (HHW), Healthy Indiana Plan (HIP), and Hoosier Care Connect (HCC), and Indiana PathWays for Aging. See below if Contact quick reference guide Indiana | Anthem Blue Cross and Blue Shield | Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging • Medicare Advantage • Commercial Browse Medicare Supplement plans, Medicare Advantage plans, Medicare prescription drug plans, and Special Needs Plans (SNPs) in your area. Research shows that most older adults―75% or more―want to age at home and in their communities. Member Secure Application Oct 17, 2025 · At Anthem Indiana, we value you as a Medicaid provider in our network. Dec 2, 2024 · This update provides important information for providers regarding prior authorization requirements and changes in Indiana. Oct 17, 2025 · Indiana PathWays for Aging The Indiana Family and Social Services Administration (FSSA) in collaboration with Anthem Blue Cross and Blue Shield (Anthem) manages the Indiana PathWays for Aging program and other Indiana Health Coverage Programs (IHCP) member benefits. Find answers to frequently asked questions about health insurance, Medicare, and general account & plan information. We’ve been honored to serve Hoosier Medicaid members since 2007. Plan F and Plan G pay the Medicare Part A hospital deductible and co-payment (s), the skilled nursing facility copayment (s) and emergency care for foreign travel. Find resources at Anthem. com. Dec 16, 2024 · Find out if you or someone you provide care for qualify for the Hoosier Care Connect plan through Indiana Medicaid. Anthem PA 844-533-1995 Fax (Physical Health Inpatient and Outpatient): 866-406-2803 Fax (Behavioral Health Inpatient): 877-434-7578 Fax (Behavioral Health Outpatient): 866-877-5229 Pharmacy Services Shop competitively priced Medicare Advantage plans and expand your Medicare coverage at Anthem Blue Cross Blue Shield. Mar 31, 2025 · "Search for Indiana providers who accept Medicaid at Anthem. Who we are Anthem is an MCE serving Hoosiers for nearly 80 years through Commercial, Medicare, and Medicaid Programs. Specific to Medicaid, we Welcome to the Healthy Indiana Plan! The Healthy Indiana Plan is a health-insurance program for qualified adults. Depending on your eligibility, you may be enrolled with a health plan to help coordinate and manage your healthcare. Mar 31, 2025 · More Choices For Aging Hoosiers Indiana PathWays for Aging is an Indiana health coverage program for Hoosiers aged 60 and older who are eligible for Medicaid. If no health plan is During this time, you can choose the health insurance company you want for the upcoming calendar year. Indiana 2024 Medicare Advantage plan changes Annual benefit changes for Medicare Advantage plan members under Anthem Blue Cross and Blue Shield will be effective January 1, 2024. government website for Medicare, a health insurance program for people age 65 or older and younger people with disabilities. Indiana PathWays for Aging is a statewide coordinated care program for Indiana’s Medicaid enrollees who are 60 years of age or Aug 7, 2025 · Access your member materials to help you make the most of your Indiana Medicaid health benefits and services through Anthem. Mar 25, 2025 · Administrative | Medicare Advantage / Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging | March 25, 2025 Anthem will delegate care management to Carelon Health, Inc. PathWays makes it possible for Hoosiers to age their way, offering more choices to get nursing facility level of care at home or in a Experience comprehensive care with Anthem. Important Anthem Blue Cross and Blue Shield (Anthem) Contact Information Effective February 2018 Provider Services For provider questions and claims issues: Oct 17, 2025 · Interested in becoming a provider in the Anthem network? We look forward to working with you to provide quality service to our members. The plan is offered by the State of Indiana. Anthem offers a choice of 6 Medicare Supplement Insurance plans; Plan A, Plan D, Plan F, Plan G, Plan K, and Plan L. HIP continues to build on the successes of the original design and lessons learned since initial implementation in 2008. Click here for a comparison of the available health plans. Find out how to apply for Medicaid in your state at the official Anthem. ; In Eastern Wisconsin, Compcare Health Services Insurance Corporation (for its insurance policies offered through the BadgerCare Plus Dec 16, 2024 · Contact the Anthem Indiana Medicaid program for assistance with enrollment, benefits, and other customer inquiries. Navigate the path to Medicaid with Anthem. Oct 17, 2025 · Anthem Blue Cross and Blue Shield will administer pharmacy benefits for members enrolled in Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging. 2 The list below explains some of the benefits provided by each type of Anthem Medicare Advantage plan. Mar 31, 2025 · The Recovery Library is available to help Indiana Medicaid members recovering from behavioral health conditions or addiction. Download provider manuals for professionals, facilities, and others for more on our programs and policies. Anthem works with the State of Indiana to bring you the Healthy Indiana Plan (HIP) healthcare program. Welcome to Indiana PathWays for Aging Indiana PathWays for Aging (PathWays) is an Indiana health coverage program for Hoosiers aged 60 and older who are eligible for Medicaid. Specific to Medicaid, we Submit an enrollment application online Digital provider enrollment is a way to enroll to become a participating provider with Anthem to serve Medicaid and Medicare Advantage members. Visit Anthem today. 2 days ago · Welcome to Anthem Medicaid in Indiana! Access all essential member materials and embark on a healthcare journey with your Medicaid benefits. And you still have the option to see out-of-network providers, though you’ll be responsible for more of the cost. Log in to Anthem. The National drug list is for Indiana members who receive a health insurance plan from an employer, if they have certain grandfathered plans, or in some cases if coverage is through a Small Group employer. Children who are wards of the State, receiving adoption assistance, foster children and former State of Indiana Employees The State of Indiana medical plans* offer HealthSync, a Tier 1 network of providers who provide quality care at the lowest rates available. There are four health plans that serve Healthy Indiana Plan members (Anthem, CareSource, MDwise and MHS). In Indiana, Anthem Medicare Supplement plans help pay for copays, deductibles, and other healthcare costs Original Medicare ‡ doesn’t cover, so you and your budget can stay healthy. Jan 1, 2022 · Anthem offers many resources to support our Medicare Advantage providers. Access your prescription drug benefits online or find a local pharmacy. Nov 18, 2024 · Administrative | Medicare Advantage | November 18, 2024 Indiana 2025 Medicare Advantage plan changes Annual benefit changes for Medicare Advantage plan members under Anthem Blue Cross and Blue Shield will be effective January 1, 2025. Oct 17, 2025 · Reject or deny the claim Recover and/or recoup claim payment These reimbursement policies may be superseded by mandates in provider, state, federal, or Centers for Medicare & Medicaid Services (CMS) contracts and/or requirements. That's why we’ve redesigned the provider site to make it more useful for you and easier to use. Headquartered right here in Indiana, our parent company is Elevance Health, Inc. Find the right plan for you. Are you a member without a health plan? Traditional Medicaid members should contact the Traditional Medicaid Member Services and Who we are Anthem is an MCE serving Hoosiers for nearly 80 years through Commercial, Medicare, and Medicaid Programs. Log in to find contact information specific to your area and plan. Sep 12, 2025 · Compare the best Medicare Advantage plans in Indiana, plus average costs and how to make the enrollment process as easy as possible. We strive to minimize delays in policy implementation. Mar 31, 2025 · Unlock comprehensive health solutions with Anthem. 5 days ago · Indiana Medicaid's Community Support program helps provide long-term care services to qualified residents. As an added value, Anthem Blue Cross and Blue Shield (Anthem) provides limited nonemergent transportation to Jan 1, 2025 · Looking for Part D coverage? Anthem doesn't offer standalone Part D plans, but most of our Medicare Advantage plans include prescription drug benefits. 10/1 – 3/31: 7 days a week, 8 a. Browse Medicare Supplement plans, Medicare Advantage plans, Medicare prescription drug plans, and Special Needs Plans (SNPs) in your area. Oct 17, 2025 · Nonemergent transportation Nonemergency transportation is a covered service for Hoosier Healthwise, Hoosier Care Connect and Healthy Indiana Plan (HIP) members who are pregnant or who have state plan benefits who are going to IHCP-attested providers for medically necessary services. Call or get a quote online today. Anthem has contracted with a network of hospitals, group practices and independent behavioral health providers, as well as a number of Indiana’s Community Mental Health Centers (CMHCs) to provide behavioral health services. Anthem provides health care professionals with supporting resources to help your relationship with us run as smoothly as possible. Learn more at Anthem. Anthem Medicare Advantage plans in Indiana combine doctor and hospital coverage, and additional benefits in one convenient plan. Medicare Supplement Plans Anthem is no longer accepting Medicare Supplement (Medigap) plan applications for new members in New York. com site. The tool is hosted in Availity and uses CAQH ProView® to extract data from the provider’s CAQH profile. Anthem works with the state of Indiana to bring you the Hoosier Care Connect (HCC) health care program. " Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Individual & Family Plans (under age 65): 1-844-290-7585 Medicare Supplement and Medicare Advantage Plans: 4/1 – 9/30: Mon-Fri, 8 a. Low-cost plans and $0 premium plans may be available in your area. Learn all you need to know here. com Dec 10, 2024 · Medicaid eligibility is determined by several factors and can be hard to understand. There are many categories of eligibility and several different Medicaid programs. For a Spanish version, click here. We offer plan options with prescription drug coverage, dental, vision and hearing, and a prepaid benefits card so you and your budget stay healthy. Call us toll free at 866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 844-284-1797 (Hoosier Care Connect); 833-412-4405 (Indiana PathWays for Aging); TTY 711. Specific to Medicaid, we States Offering Medicaid, Medicare or Individual and Commercial programs California Indiana New Hampshire Virginia Colorado Kentucky Nevada Wisconsin Connecticut Maine New York Mar 31, 2025 · Discover Anthem's dedicated pharmacy services for Indiana Medicaid members. Jun 25, 2025 · The following Anthem Blue Cross and Blue Shield Medical Policies and Clinical Guidelines have been reviewed for care providers in Indiana, Kentucky, Missouri, Ohio, and Wisconsin. Each plan has differences in premium What can you do in the Provider Healthcare Portal? Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims Check on the status of their claims Inquire on a patient's eligibility View their Remittance Advices Managed Care Entities can: Enroll, disenroll, and update primary medical providers Review their encounter claims Contact quick reference guide Indiana | Anthem Blue Cross and Blue Shield | Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging • Medicare Advantage • Commercial For example, if an individual is enrolled with Anthem to receive their Medicaid benefits through the Indiana PathWays for Aging program, they will be default enrolled in Anthem’s D-SNP when they become eligible for Medicare. to 8 p. Find local doctors, hospitals, and other medical facilities. Compare all plan types. Explore a variety of plan options for individual and family coverage. Dec 16, 2024 · Indiana Medicaid members receive a health needs screening through Anthem. A complete list of phone numbers is provided below. Compare plans at 844-335-1907. Find the health insurance plan in Indiana that fits your needs and budget at Anthem. Anthem's Medicare Advantage HMO plans, formerly MediBlue plans, help you save money with no or low plan premiums. Resources Claims Patient Care Eligibility & Pharmacy v Communications Our Network Members Provider manuals and guides Anthem Blue Cross and Blue Shield (Anthem) is committed to supporting you in providing quality care and services to the members in our network. Contact Customer Support by phone or Live Chat. HIP About HIP Frequently Asked Questions Frequently Asked Questions What is HIP? The Healthy Indiana Plan is the state of Indiana’s signature, consumer-driven health coverage program for non-disabled Hoosiers ages 19-64. Already a member? Log in to get a more personalized experience. While Elevance Health serves members across the country, Anthem operates under a local model here in Indiana, deeply invested in the communities in which we live and work. Do you need help with your healthcare, talking with us, or reading what we send you? We provide our materials in other languages and formats at no cost to you. Oct 17, 2025 · A library of the forms most frequently used by health care professionals. Specific to Medicaid, we Oct 17, 2025 · Anthem accepts prior authorization requests through Availity or via phone or fax to best serve our members. Specific to Medicaid, we Dec 10, 2024 · "Healthy Indiana Plan Plus gives IN Medicaid members the best value, offering dental care, vision services, and no copays. Shop Medicare health insurance plans in Indiana with Anthem. If you are looking for a specialist and are in a managed Pharmacy Prior Authorization Form Anthem Blue Cross and Blue Shield | Serving Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging 2026 Medicare Advantage plans Anthem Blue Cross and Blue Shield (Anthem) offers several types of Medicare Advantage plans, including HMO plans, PPO plans and Special Needs Plans. The plan covers Hoosiers ages 19 to 64 who meet specific income levels. ; In Kentucky, Anthem Health Plans of Kentucky, Inc. . Anthem Blue Cross and Blue Shield offers different types of Medicare health insurance plans in Indiana. The good news is, if you want to stay with Anthem, you don’t have to do anything. For Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect or Indiana PathWays for Aging Members: Please remember that if you are enrolled in the Healthy Indiana Plan (HIP), Hoosier Healthwise, Hoosier Care Connect or Indiana PathWays for Aging, you will need to choose a Primary Medical Provider (PMP) within your health plan. Specific to Medicaid, we Anthem Medicare Advantage 2 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Anthem Inc. Members new to HIP can select their health plan when they apply. It pays for medical costs for members and could even provide vision and dental coverage. Shop plans for Medicare, Medical, Dental, Vision & Employers. Anthem Blue Cross and Blue Shield is the trade name of: In Indiana, Anthem Insurance Companies, Inc. to Find the information you need about your health care benefits by chatting with an Anthem representative in real-time. Coverage for other in-network providers is your next best option. Explore all the Medicare options to find the right coverage for you. Health Plan Comparisons Indiana Medicaid Indiana Medicaid for Members Programs Health Plan Comparisons Apr 2, 2025 · Stay updated with the latest changes in precertification and prior authorization requirements for Anthem providers in Indiana. Apply for a Medicare plan today. Are you on Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect or Indiana PathWays for Aging? Call your health plan, also known as a managed care entity (MCE), for any coverage or benefit questions. Now that you’re a part of the Anthem family, we want to make sure you make the most of your benefits. It also rewards members for taking better care of their health. Plan ID: H1607-015-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan. m. Dec 31, 2024 · If you have are experiencing difficulty with care, learn how to file a complaint or grievance with Indiana Medicaid at Anthem. Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Anthem provides transportation to your health care appointments and more! Benefits Health Plan Options Health Plan Options The state will continue offering three statewide medical plans for 2025: Consumer-Driven Health Plan 1 (CDHP 1), Consumer-Driven Health Plan 2 (CDHP 2) and Traditional Plan. Research shows that most older adults — 75 percent or more — want to age at home and in their communities. " Prior Authorization Request Form Select the radio button of the entity that must authorize the service. Browse commonly requested forms to find and download the one you need for various topics including pharmacy, enrollment, claims and more in Indiana. Explore the range of Medicaid benefits designed to support your health and well-being. Refer to attachment to view full details. Once a member is approved for HIP, he or she will be assigned to the health plan selected on the application. Explore the array of Medicaid benefits tailored to Indiana residents. Plans K and L are low-cost, cost-sharing Medicare Supplement Insurance plans that require you to pay a higher The official U. Anthem PA 844-533-1995 Fax (Physical Health Inpatient and Outpatient): 866-406-2803 Fax (Behavioral Health Inpatient): 877-434-7578 Fax (Behavioral Health Outpatient): 866-877-5229 Pharmacy Services Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. ; In Nevada, Community Care Health Plan of Nevada, Inc. If you are eligible for Medicaid, choose Anthem to manage your insurance. Anthem idp loginEnter your Anthem username and password to sign in to 4 days ago · Stay updated with the latest news, policies, and updates for Anthem providers in Indiana. Find out more about health plan options and how to contact them. zw vfp 2qxt vf sjoa8 kip0 lhvur uau iyu0f zpuzo