Help choose a specialist to give you the care you need. On top of your regular HHW benefits, you can get these free extras just for being our member: Anthem BlueCross BlueShield works with the state of Indiana to offer the Hoosier Healthwise and Healthy Indiana Plan (HIP) health insurance programs for 372,000 Medicaid beneficiaries. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. Quick Start Guide . Learn more. 1-866-408-6131; TTY 711 Call Vision Service Plan (VSP) toll free at 1-866-866-5641 (TTY 1-866-428-4833) or visit, Health needs screening: Get your $10 gift card. Hoosier Healthwise Preferred Drug List . o Shampoo • Free cellphone with monthly minutes, data and texts • Hypoallergenic bedding or air filters — with a referral from your provider or case manager This program for children and pregnant women includes three different benefit packages: Package A is for children and pregnant women. Hoosier Healthwise members will have an open enrollment period later this year to switch plans, if desired. ). Frequently Asked Questions Hoosier Healthwise Formulary The medications included in the Anthem Blue Cross and Blue Shield (Anthem) formulary are reviewed and approved by the Pharmacy and Therapeutics Committee, which includes Practitioners and Pharmacists from the Provider community. You can see any Indiana Health Coverage Programs (IHCP) doctor for many of these services. Let’s make healthy happen. The IHCP will provide more information about the open enrollment period at a later date. Some services require a preapproval or OK from Anthem. • Home-delivered meals for up to five days after your hospital visit Indiana Hoosier Healthwise - Medicaid and State Children’s Health Insurance Program (SCHIP) State Sponsored Business (SSB) is a managed care plan that covers the benefits for Hoosier Healthwise members. If you have been receiving your Hoosier Healthwise health care benefits through the Franciscan network of doctors, starting January 1, you will receive the same benefits through the Anthem network. Do you have your Blue Ticket to Health? Visit the pharmacy page to find a pharmacy near you and check if your medicine is covered. For specific information, check your Member Handbook or call the number on your ID card. They work with Anthem. Generic drug: Lowercase in plain type . Click Providers. Log in to get started today! You can get a copy of the latest POM by following the steps below: Go to www.anthem.com. Click Anthem State-Sponsored Programs. during and after your pregnancy. } } } }} } } } } }} }} } Welcome to Anthem, your health care company! Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Provider eligibility and credentialing 101 2020 Indiana Health Care Programs annual seminar. Learn more from Indiana’s Office of Medicaid Policy & Planning (OMPP). The letter will also let you know how to appeal our decision if you disagree with it. To earn your rewards, you must complete the HNS within 90 days of joining Anthem. o Call Anthem Transportation Services at 1-844-772-6632 (TTY 1-866-288-3133) to set up your ride. Anthem Blue Cross and Blue Shield Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Provider Directory Directorio de proveedores de Hoosier Healthwise, Healthy Indiana Plan y Hoosier Care Connect Central region . Flu shots, pneumonia shots, FluMistTM and antiviral medications are approved benefits under most health plans. PDL. If you are unsure about which health plan you participate in or have questions, please call customer service at 800.356.1204. These preferred medications are commonly prescribed drugs Anthem Blue Cross and Blue Shield (Anthem) chooses for their quality and effectiveness. Learn more. HIP ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Getting Supplemental Security Income (SSI). Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. Your PMP may send you to a specialist for special care or treatment. Find a Doctor. Flu shots, pneumonia shots, FluMistTM and antiviral medications are approved benefits under most health plans. HIP *Administered by Vision Service Plan (VSP), an independent company that does not provide Blue Cross and/or Blue Shield products. See your member handbook for a list of these services. The preventive care benefit includes screenings, immunizations, and other services to detect medical conditions in advance and keep you/your It shows the number of When you take good care of your body, you take good . For more help, please call Member Services at 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711. Brand name drug: Uppercase in bold type . IngenioRx* is the pharmacy benefits manager. (See below. Call your doctor to schedule a wellness checkup today and enter to win! • Rides to your doctor’s office, Women, Infants, and Children (WIC), and renewal appointments. Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let’s make healthy happen. MDwise provides health care for two different Medicaid health plans: Hoosier Healthwise and Healthy Indiana Plan (HIP). is We’ll help you with your Hoosier Healthwise (HHW) benefits to get the care you need. 1-866-408-6131; TTY 711 Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. SSB is known as Anthem Blue Cross and Blue Shield in Indiana. Read Pregnant women and children up to age 19 are also eligible for benefits. The . Currently, Hoosier Healthwise members can change their health plans at any time. We may not approve payment for a service you or your doctor asks for. Hoosier Healthwise . Hoosier Healthwise (HHW) is Indiana’s health care program for children, pregnant women and low-income families. The program covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family. Limitations and restrictions apply. Anthem has been selected by the state of Indiana as one of the managed care entities to provide access to health care services for the following programs: Hoosier Healthwise – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant women and Package C … Contact Information Member Services: 800-356-1204 or 317-630-2831 For a current list of PMPs, specialists and pharmacies, visit . Legend . For specific information, check your Member Handbook or call the number on your ID card. Indiana’s Hoosier Healthwise is a managed care program for low-income families and individuals. o Visit www.checklifeline.org to apply. Vigente desde mayo de 2015 . This care is often from a specialist. Effective December 1, 2020. CareSource will be a new option for members. Call DentaQuest toll free at 1-888-291-3762 or visit DentaQuest. That means you can get these services without a referral from your PMP. ANTHEM is a registered trademark of Anthem Insurance … MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. Anthem Blue Cross and Blue Shield will administer pharmacy benefits for members enrolled in Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect. Getting a preapproval will take no more than seven calendar days or, if urgent, no more than three calendar days. Effective May 1, 2017 . o Members can also receive bonus minutes. o When filing claims and inquiries, alwaysinclude the YRH prefix before the member’s recipient identification (RID) number. We also work side-by-side by your doctor, so the care meets your physical, behavioral and social needs. Vision Services Plan (VSP) For members who have vision benefits, please call one of the eye doctors listed in this directory. o Anthem assigns the YRH prefix along with the member’s RID number. DO: Dose Optimization Program . o Contact your case manager to request this benefit For women who are, or may become, pregnant, and children, Our transportation vendor is changing on December 1, 2020, but your benefits are staying the same. Región central Effective May 2015 . Our mission is to provide high quality health care. o Hair brush or comb Hoosier Healthwise Preferred Drug List (PDL) lists medications available under the pharmacy benefit. Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. 1-844-284-1797; TTY 711, Get the mobile app We know everyone’s health is different, so we offer services that keep you in mind. If they are, both Anthem and your PMP or specialist agree the services are medically necessary. You can redeem some benefits online through your secure account. Please refer to the preferred drug list (PDL) when prescribing for these members. www.anthem.com/inmedicaid and click on . You can complete the HNS and earn your … You can reach Member Services at 1-866-408-6131 (TTY 711) for (Hoosier Healthwise [HHW] and Healthy Indiana Plan [HIP]) or 1-844-284-1797 (TTY 711) for (Hoosier Care Connect [HCC]). to the member or the member's family. Hoosier Healthwise Medicaid-Approved Preferred Drug List. Just complete the Health Needs Screening. The IHCP will provide more information about the open enrollment period at a later date. o For members recently discharged from the hospital Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let’s make healthy happen. The state determines if you are eligible by household size and income. Hoosier Healthwise and Health Indiana Plan: Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect . Introduction . Your benefits include a wide range of prescription and many over-the-counter (OTC) drugs. View the extra benefits you are eligible for on the Benefit Reward Hub or call the Member Services number on the back of your member ID card. Hoosier Plans for Indiana Orthodontic Coverage In the state of Indiana Medicaid consists of several different programs, each serving a different population. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Website www.CareSource.com Co-pays Package C: Ambulance – $10 Drugs $3 generic/$10 brand-name Package P: No copays Case Management Services We help you get the right health care services at the right time. We work with IngenioRx to provide these pharmacy benefits. We’re here to help you with the latest information about your benefits, getting care and finding local help and resources. Your PMP can: Some types of services are known as self-referral services. Call Vision Service Plan (VSP) toll free at 1-866-866-5641 (TTY 1-866-428-4833) or visit Vision Service Plan (VSP). The letter will tell you we could not approve the service and why. Ask Anthem is if you can get services from a specialist. You could qualify for Hoosier Healthwise if: • You are under the age of 19 living in a low-income household. *Administered by DentaQuest, an independent company that does not provide Blue Cross and/or Blue Shield products. For each doctor listed, you’ll find: 1. A referral is when your primary medical provider (PMP) sends you to another provider for care. Our mission is to provide high quality health care. 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711. Rewards, you ’ re pregnant or thinking about becoming pregnant, this... Or OK from Anthem these preferred medications are approved, apply for Safelink at. 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