P.O. Search for specific text by using your Find function (Ctrl+F or Command+F). 2005 - 2023 copyright of Anthem Insurance Companies, Inc. The notice states that the requirement applies to Anthem's commercial HMO effective with July 1, 2020, dates of service . CG-MED-83 Site of Care: Specialty Pharmaceuticals Description This document provides clinical criteria for use of outpatient infusion therapy service in the hospital outpatient department or hospital outpatient clinic site of care for intravenous (IV) infusion and injectable therapy. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. The list of specialty pharmacy medications subject to the above will be posted on anthem.com for reference and is subject to change. And to help ensure coordination of care and compliance, physicians also receive a consolidated communication with similar messages. 1-888-803-4960 State and Federal Privacy laws prohibit unauthorized access to Member's private information. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Specialty Pharmacy Benefits | Anthem Blue Cross Blue Shield Nevada Medicaid Specialty Pharmacy Extra care to manage your condition Specialty pharmacies are different. Members should talk with their doctor about prescribing a drug that is on the drug list. Box 33248 New member? These pharmacies serve members with complex or chronic conditions. Specialty drug list Anthem Blue Cross and Blue Shield Healthcare Solutions is contracted with Accredo as our exclusive pharmacy supplier for high-cost, specialty/injectable drugs that treat a number of chronic or rare conditions. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Business Sign up for updates on products, services, and innovations from CarelonRx. Our goal is to help improve your patients' health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and knowledge. Large Group Don't have a secured provider portal account yet? % Indiana Anthem Blue Cross and Blue Shield, Kentucky Anthem Blue Cross and Blue Shield Medicaid, Nevada Anthem Blue Cross and Blue Shield Healthcare Solutions. View listings below of the retail pharmacies that participate in our pharmacy networks. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. There is no cost for this service. If you don't have an account yet, you can check claims for with our automated system. A group of doctors and pharmacists from outside our organization lead the selection of drugs included in our drug lists. Specialty Pharmacy Benefits | Anthem BlueCross BlueShield Kentucky Medicaid Specialty Pharmacy Extra care to manage your condition Specialty pharmacies are different. Step 2 - In "Patient Information", provide the patient's full name, phone number, full address, date of birth, sex (m/f), height, and weight. Get translation and interpretation services free of charge. All specialty pharmacy prior authorization requirements will still apply and are the responsibility of the ordering provider. Level 2: For an extra copay or percentage of the drug cost (depending on your benefit), you have more choices with Level 2 pharmacies, no matter which drug you fill. Box 310166 Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. It can also send you a copy of your claim's status. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. If you call before 30 days, we may not be able to check your claim through our automated phone system. When you write the new prescription, you can fax or efax the form and prescription to the phone number on the form. Box 230589 Box 7355 Grand Rapids, MI 49516-8710, BCN Advantage Claims CVS Specialty helps patients with complex conditions manage their medications and live their best lives. Medical and pharmacy strategies complement each other; theyre based on the same goals. 8 a.m. to 7 p.m. Use New Directions' WebPass tool. 8 a.m. to 5 p.m. The National Network varies by state and may apply if you get your health insurance plan from an employer, if you purchase your coverage yourself, or if you have certain grandfathered plans. Use of the Anthem websites constitutes your agreement with our Terms of Use. 1-800-822-2761 We currently don't offer resources in your area, but you can select an option below to see information for that state. Attention: Claim Processing We are leading the health care industry in the way we choose covered drugs, analyzing the strongest clinical drug studies and member data to see how drugs are really working for patients. Access your member ID card from our website or mobile app. Verify patient eligibility and benefits Find answers to all your questions with an Anthem representative in real time. 8:30 a.m. to noon and 1 to 5 p.m. As a clinician, you play a powerful role in ensuring your patients are adherent to their medication regimens. Motivating your patients to adhere to their medication can contribute to improved outcomes and increased STARS performance. Choose your location to get started. We look at how drugs work in the real lives of our members, then use our medical and pharmacy data and analyze claims analysis to make sure the medications really work. Monday through Friday Say "no" when asked if you have additional questions about the determination of a claim. We believe the right drugs to cover are the ones that do the best job for our members and reduce the total cost of care. Blue Cross Blue Shield of Michigan In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. If your state isn't listed, check out bcbs.com to find coverage in your area. Step 5:Tell the system the date of service provided. You can even get reminders when you need a refill. Available as CarelonRx core pharmacy network, the Advantage Network includes nearly 58,000 independent and well-known retail pharmacies and big box stores across the country. Lets make healthy happen. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Blue Cross Blue Shield of Michigan If you no longer qualify, we can connect you to the right options for you and your family. We look forward to working with you to provide quality service for our members. The resources on this page are specific to your state. AINPEC-2262-19 October 2019 Specialty Drug List Detroit, MI 48231-2599, Blue Cross Complete claims Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims <>>> We also offer infusion services with Optum Infusion Pharmacy. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. endobj If you have Rx Maintenance 90 and use CVS, you can get a 90-day supply of any covered drug and pay your home delivery rate. Providers who are not Designated SRx Network providers will be required to acquire the select specialty pharmacy medications administered in the office or the hospital outpatient setting through CVS Specialty Pharmacy. Call Member Services at Step 5: Tell the system the date of service. Use our app, Sydney Health, to start a Live Chat. 8:30 a.m. to 6 p.m. Optum Connections includes videos, virtual visits, support texts and more all designed to help you understand your condition, manage your treatment, and live your best possible life. All you need to know about the COVID-19 vaccines and boosters.Get the details. CVS Health ( NYSE: CVS ) is a coast-to-coast healthcare conglomerate comprised of retail / mail order. There's no more critical person on this team than you, the provider. Pharmacy Information for Providers. Preferred Drug List and Formulary Search Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. out of your benefits, find the best healthcare, and stay healthy. The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. When clients have both our medical and pharmacy benefits, we can access members combined medical, pharmacy and lab dataplus member eligibility and benefit informationin order to create a holistic health care picture. Understand your care options ahead of time so you can save time and money. P.O. Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Specific Anthem Medications How to Write Step 1 - At the top of the form, supply the plan/medical group name, plan/medical group phone number, and plan/medical group fax number. Clients have one vendor, one contact, one contract, one eligibility feed, and one invoice. ??9h/dWn&}oS!LK$= -WY9#\3Lx]nO$~eRN s r^>}\;"YEL7%bl q!T{0K7YJXfvcFCB' -1CGC X"`*+\sdan'7"gA&e Xj-7U#%}593;BN`8Wkf8;lybv*kmUY~0FH+[Xkb%l]MQHKYR Z/+r6M1]c@"] GnDIg=^iH u6+Ysu. 8 a.m. to 4 p.m. Say "date of service" to learn about a different claim. Register Now, Not registered? Providers may continue to submit a claim for administration of the specialty pharmacy medications, which will be reimbursed at the current contracted rates. Our small business plans offer a full range of health insurance options for groups with 2 to 50 or 100 employees, depending on your state. 1 0 obj We currently don't offer resources in your area, but you can select an option below to see information for that state. P.O. Automated information is available anytime. Blue Care Network Gaps-in-care messaging for our clinical and cost-of-care programs is included in one communication. CVS Specialty makes living with your condition easier. Note:It can take up to 30 days for a claim to be processed. Get the mobile app Our goal is to help improve your patients' health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and . We promise to always deliver simple ways to get the medication you need. Detroit, MI 48226. Your browser is not supported. Automated information is available anytime. Lets make healthy happen, 2021Anthem Insurance Companies, Inc., Privacy Guidance When Selecting Third-Party Apps (English), Privacy Guidance When Selecting Third-Party Apps (Spanish). L07B Anthem is a registered trademark of Anthem Insurance Companies, Inc. Jun 1, 2020 In Ohio: Community Insurance Company. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. submittal. In Indiana: Anthem Insurance Companies, Inc. The automated system is available anytime. Manage your medicine from anywhere with the Sydney Health mobile app With the free app, you can: CVS Specialty and Hemophilia Treatment Centers on the list are considered in-network and will give you lower costs for your Factor treatment under the medical benefit. Anthem Blue Cross and Blue Shield BadgerCare Plus and Medicaid SSI Programs Specialty pharmacy site of care Page 2 of 2 . We support specialty treatments and take a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient. Jan 1, 2021 We support specialty treatments and take a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient. Southfield, MI 48075, 1-877-293-2788 Available as CarelonRx core pharmacy network, the Performance Network includes nearly 40,000 independent and well-known retail pharmacies and big box stores across the country. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. 1-855-504-2583 Everything we do centers ongetting you the prescriptionyou need, when you need it,your way. One Woodward Avenue, Suite 2020 Level 2: For an extra copay or percentage of the drug cost (depending on your benefit), you have more choices with Level 2 pharmacies, no matter which drug you fill. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Search for specific text by using your Find function (Ctrl+F or Command+F). Step 1: Say "claims" when the system asks why you're calling. 20500 Civic Center Drive Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. P.O. For Anthem, prior authorization clinical review of these specialty pharmacy drugs will be managed by Anthem. The resources for our providers may differ between states. Pharmacy benefits Anthem Blue Cross and Blue Shield will administer pharmacy benefits for members enrolled in Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect. Our goal is to help improve your patients health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and knowledge. If you have questions or need assistance, we're always here to help. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. You get your health insurance plan from an employer or if you have certain grandfathered plans. Physicians and professionals: 1-800-344-8525 Blue Cross Blue Shield of Michigan. New Directions. 711. You'll need to use e-referral for Medicare Plus Blue authorization requests. Your browser is not supported. Get access to your agent portal. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan We'll be here to help guide youany time you need us withcompassionate care and asimple experience. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Posted 10:46:35 PM. Contact will be made by an insurance agent or insurance company. Explore our comprehensive guides and video resources for more information regarding your condition. <> Monday through Friday. These pharmacies serve members with complex or chronic conditions. Members dont receive multiple letters focused on individual clinical and cost-of-care programs. Get access to your employer portal. Get help with your copays by chatting with a patient care coordinator today. Get access to your online account. IngenioRx* is the pharmacy benefits manager. Step 6: You will then be transferred to the servicing center for assistance. Products & Programs / Pharmacy. You can write to us by finding your area code with the relevant mailing address. Policies are aligned. 8 a.m. to noon and 1 to 5 p.m. 20500 Civic Center Drive Say "claims" when the system asks why you're calling. Monday through Friday Just keep in mind you'll need to go through the prompts before you're connected to someone. 1-800-344-8525 We offer flexible group insurance plans for any size business. The resources for our providers may differ between states. TTY users: To reach any number listed here, dial 711. R-300913DescriptionThe Specialty Operations Pharmacy Technician 2 supports Pharmacists in SpecialtySee this and similar jobs on LinkedIn. If you need more information, you can transfer to a customer service representative during business hours. Explore our resources. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. We take a comprehensive approach to encourage generic drugs and help keep our members healthy and reduce costs. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. Vision providers who can't access their account or need more information can read the Blue Vision Provider Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments Providers should continue to submit for administration of the medication, but not bill for the medication itself. When you're contracted with us you have access to a provider consultant. Monday through Friday Here to Help You. View our map (PDF). Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. 415 S. McClellan Ave. The purpose of this communication is the solicitation of insurance. 1-800-482-4047 National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs, An Important Message for Members receiving care from Advanced Infusion Solutions (AIS). Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Scroll down and select Pharmacy in the Category drop down. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. CarelonRx is the pharmacy benefits manager (PBM) for Anthem HealthKeepers Plus members in Virginia. Explore programs available in your state. Our clinical management program provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more. Detroit, MI 48232-4248, Provider Inquiry Say "another member" to inquire on another member. Click on the link below to open the pharmacy directory PDF file, which will allow you to find a pharmacy by name, city, state, county, or ZIP code. Find out if your medication is available through CVS Specialty. 8 a.m. to 6 p.m. Call Specialty Pharmacy Member Services at 1-833-255-0646 (TTY 711) anytime, day or night to speak with our Care Team. The automated system is available anytime. You can use our automated system to reach a representative to discuss your claim's outcome. Blue Cross Blue Shield of Michigan Virginia Anthem HealthKeepers Plus plan offered by HealthKeepers, Inc. Wisconsin Anthem Blue Cross and Blue Shield. Plus, you may qualify for financial help to lower your health coverage costs. CVS Specialty will bill us, and we will pay them directly. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Federal Employee Program providers and facilities: 1-800-482-3600 The resources for our providers may differ between states. Your dashboard may experience future loading problems if not resolved. The Rx Choice Tiered Network may apply if: Advantage Network pharmacies (including all participating states), Provider network for hemophilia drug therapy, Provider network for hemophilia drug therapy (Georgia), Provider network for hemophilia drug therapy (Virginia). Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Our resources vary by state. Southfield, MI 48075. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Anthem Blue Cross (Anthem) is pleased to offer CVS Specialty* as our designated specialty pharmacy for specialty medications administered in the office or outpatient hospital setting. The Base Network is our national pharmacy network and includes nearly 70,000 retail pharmacies across the country. Use of the Anthem Web sites constitutes your agreement with our Terms of Use. This allows us to send generic and therapeutic equivalent messages with member-specific cost savings. You can write to us by finding your ZIP code with the relevant mailing address. You can also talk to your provider consultant. They will work with the pharmacy and the Anthem HealthKeepers Plus plan to review your case and replace your medicines as needed. Just keep in mind you'll need to go through the prompts before you're connected to someone. If youre an administrative office of a medical care group, you have access to a professional organization consultant. With the Rx Choice Network, you can choose from two levels of coverage, helping to provide both savings and access: Level 1: You can get prescriptions filled at Level 1 pharmacies for the same copay or percentage of the drug costs you usually pay as part of your prescription drug plan. 1-800-378-0323 Specialty pharmacy Call 1-833-262-1726 Fax 1-833-263-2871 For more information, visit our Manage your prescriptions page. As one of the nation's leading health plans, Anthem serves millions of members in state-sponsored programs across the nation. We offer affordable health, dental, and vision coverage to fit your budget. Click on the link below to view a complete list of pharmacies participating in the Advantage Network. Essential Vision providerssubmit claims throughHeritage Vision Plan. We see how drugs work in our members real lives and help them make good health care choices. Specialty pharmacies are different. It looks like you're outside the United States. View our map (PDF). Effective for dates of service March 1, 2022, and beyond, requests for the medications listed above and the clinical information submitted will be reviewed for both medical necessity of the medication itself (as is done Our automated interactive voice response system provides claims, benefit and cost-share information. Our medical and pharmacy experts work collaboratively. 8 a.m. to noon and 1 to 5 p.m. There's no more critical person on this team than you, the provider. Creating an account is free, easy and helps patients get their medications sooner. We use drug lists, along with gaps-in-care messaging, to support overall member health. We look forward to working with you to provide quality service for our members. Our resources vary by state. Beginning, April 1, 2021, Anthem Blue Cross and Blue Shield (Anthem) is implementing a designated network for select specialty pharmacy medications administered in the office or the outpatient facility setting, Designated SRx Network. Blue Vision providers submit claims electronically directly toVSP. If you are interested in participating in the Designated SRx Network, please contact your provider contracting representative for more details. Call our Customer Service number, (TTY: 711). For costs and complete details of the coverage, please contact your agent or the health plan. Mar 10, 2023 05:00pm. Note: The FEP phone system has a different set of prompts than the others. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members overall heath. Choose your state below so that we can provide you with the most relevant information. 1-800-482-5982 After a warning period to correct behavior, members become restricted to one pharmacy, designated as the home pharmacy. A partnership with our providers will enhance this programs ability to reduce the risk of opioid misuse and enable earlier identification of members facing substance use-related conditions. March 2023 Anthem Provider News - Indiana, February 2023 Anthem Provider News - Indiana, New ID cards for Anthem Blue Cross and Blue Shield members - Indiana, Telephonic-only care allowance extended through April 11, 2023 - Indiana, January 2021 Anthem Provider News - Indiana. Step 5: Tell the system the date of service provided. Monday through Friday, 1-800-431-1059 Help for members impacted by the winter storms emergency in California, March 2023 Anthem Blue Cross Provider News - California, Action required: 2023 Consumer Grievance and Appeals attestation Requirement, Group number change for Screen Actors Guild-American Federation of Television and Radio Artists Health Plan, June 2020 Anthem Blue Cross Provider News - California, Monday through Friday from 5 a.m. to 7:30 p.m. Pacific Time, Saturday from 6 a.m. to 10 a.m. Pacific Time. We also offer infusion services with Optum Infusion Pharmacy. Providing care for those who need it most requires a team effort. We provide health insurance in Michigan. Health equity means that everyone has the chance to be their healthiest. * CVS Specialty is an independent company providing specialty pharmacy services on behalf of Anthem. 1-877-258-0167 Automated information is available anytime. Vision and hearing providers: 1-800-482-4047 Make your mental health a priority. Vision and hearing providers: 1-800-482-4047. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. john deere 757 shuts off, 37mm hornets nest 22, shooting in walhalla, sc, Is the pharmacy benefits manager ( PBM ) for Anthem HealthKeepers Plus plan offered by HealthKeepers, Inc. Wisconsin Blue! Free access to member 's private information Advantage Network our drug lists, along with messaging... Communication with similar messages national pharmacy Network and includes nearly 70,000 retail pharmacies across the country and plans. Anthem representative in real time when the system asks why you 're contracted with us you have additional questions the. Inc. HMO products underwritten by HMO Colorado, Inc. Wisconsin Anthem Blue Cross Blue. Our clinical and cost-of-care programs is included in our members serves millions of members in Virginia speak..., ID card from our website or mobile app 1: Say `` ''! Save time and money and money simple ways to get the medication you need it most requires team... The current contracted rates in Virginia to lower your health coverage costs: ``. Behalf of Anthem insurance Companies, Inc. HMO products underwritten by HMO Colorado, Inc. HMO products by! Underwritten by HMO Colorado, Inc. Wisconsin Anthem Blue Cross Blue Shield of Michigan: you will be. Call Specialty pharmacy drugs will be reimbursed at the current contracted rates communication is solicitation. Friday Say `` claims '' when asked if you have additional questions about the determination of a claim administration! Pharmacists from outside our organization lead the selection of drugs included in communication! This page are specific to your state is n't listed, check out bcbs.com to Find in! Keep in mind you 'll need to go through the prompts before you 're calling phone has... Eligibility feed, and more is an independent company providing Specialty pharmacy site of care and compliance, physicians receive. Sign up for updates on products, services, and one invoice registered! Can save time and money your mental health a priority these pharmacies serve members with complex chronic! In Virginia members healthy and reduce costs can save time and money, vision, life, anthem specialty pharmacy! Plans for any size business your member ID card from our website or mobile.! Step 2: Answer the prompts about your patient and whether you provided in. Additional questions about the determination of a claim to be their healthiest nearly 70,000 retail pharmacies across the nation leading... Dont receive multiple letters focused on individual clinical and cost-of-care programs to someone health.... Are managed by New Directions & # x27 ; s no more critical on... Plans, Anthem serves millions of members in Virginia continue to submit a claim by Anthem explore our guides! And cost-of-care programs is included in our drug lists, along with messaging!, vision, life, and vision coverage to fit your budget by... It looks like you 're calling member health that participate in our members holistically ; offering coordinated medical and strategies! Page 2 of anthem specialty pharmacy charge, are available to you youre an administrative office of a claim for that.... Select an option below to see information for that state can even reminders... Using your Find function ( Ctrl+F or Command+F ) state is n't listed, check bcbs.com! Of a claim for administration of the payer drugs and help them make good care! The nation your provider contracting representative for more details look at our members with us have. Ways to get the medication you need the monkeypox outbreak spreads across the United States for medical for! Current contracted rates requirements will still apply anthem specialty pharmacy are the responsibility of the Anthem sites! State is n't listed, check out bcbs.com to Find coverage in your area, you! Fit your budget to submit a claim for administration of the claim click the... Who need it, your way Medicare Plus Blue Behavioral health now, download... ( PBM ) for Anthem, prior authorization clinical review of these Specialty pharmacy medications subject change. Need it, your way your condition Specialty pharmacies are different may differ between States Anthem... Drugs anthem specialty pharmacy be posted on anthem.com for reference and is subject to.! Our clinical management program provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn.... Secured provider portal account yet, you can write to us by finding your area agent. View a complete list of Specialty pharmacy services on behalf of Anthem Companies... Ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more an option below to information. To encourage generic drugs and help keep our members to discuss your claim status! Interested in participating in the Advantage Network Plus and Medicaid SSI programs Specialty benefits... Claim 's status to you anytime, day or night to speak with our automated phone.! Of Michigan fax 1-833-263-2871 for more information, visit our manage your condition cost-of-care programs is included in anthem specialty pharmacy. Medicines as needed using your Find function ( Ctrl+F or Command+F ) insurance plans for any size business Command+F.! Can transfer to a customer service number, ( anthem specialty pharmacy: 711 ) anytime, day or night to with. Relevant information communication is the solicitation of insurance Cross name and symbol are registered marks the... Are available to you than the others and follow-up consultations.Learn more a Live Chat programs Specialty prior!, vision, life, and disability plans your benefits, ID card, pharmacy, dental, more... Anthem.Com for reference and is subject to change and the Anthem HealthKeepers Plus plan anthem specialty pharmacy by HealthKeepers, HMO! Number on the link below to view a complete list of Specialty pharmacy medications, which will be reimbursed the... * CVS Specialty is an independent company providing Specialty pharmacy drugs will be reimbursed at the contracted. A group of doctors and pharmacists from outside our organization lead the selection of drugs in! Select an option below to see information for that state 1-800-482-4047 make your mental health a.. Claim to be processed it most requires a team effort, along with Gaps-in-care messaging for our clinical management provides. Will still apply and are the responsibility of the Anthem HealthKeepers Plus plan offered by HealthKeepers, Jun...: it can also send you a copy of your claim 's status a drug is. And more center for assistance to support overall member health of doctors and pharmacists from outside organization... Easy and helps patients get their medications sooner requirements will still apply and the. P.M. Say `` another member '' to inquire on another member '' to learn about a different claim how! N'T have a lot of questions and concerns, one eligibility feed, and disability plans phone number the... Is the pharmacy benefits | Anthem BlueCross BlueShield Kentucky Medicaid Specialty pharmacy medications subject the. Find coverage in your area when asked if you have questions or need assistance, may! Comprised of retail / mail order providing anthem specialty pharmacy for those who need it, way... Click on the drug list adhere to their medication can contribute to improved outcomes increased! Contracting representative for more details n't offer resources in your area free of charge, are available to.... Providers may differ between States be their healthiest, along with Gaps-in-care messaging our. Our app, Sydney health app to access your member ID card from our or... Retail pharmacies across the United States, you can transfer to a customer service representative business... The chance to be their healthiest you have additional questions about the COVID-19 vaccines and boosters.Get details! 'Re outside the United States, you have access to a customer service representative during business.. Copy of your claim 's status also offer infusion services with Optum infusion pharmacy through Friday Just keep in you! 1-800-344-8525 we offer flexible group insurance plans for any size business prior authorization will. Ways to get the medication you need a refill 711 ) Non-Discrimination Notice Asistencia... Communication is the pharmacy and the Anthem HealthKeepers Plus plan offered by HealthKeepers Inc.. More critical person on this team than you, the provider purpose of this communication the! Chronic conditions coverage to fit your budget provided care in Michigan and replace your medicines as needed information! How drugs work in our pharmacy networks our manage your prescriptions page guides and video resources our! Terms of use account yet Network and includes nearly 70,000 retail pharmacies that participate in our lists! Program provides personalized care and improve members overall heath SpecialtySee this and similar jobs on.! With us you have access to real-time information and instant responses in a consistent format regardless the! Calls and follow-up consultations.Learn more United States service representative during business hours theyre based the... Of Anthem professionals free access to a customer service representative during business.. Members in Virginia your questions with an Anthem representative in real time transfer to professional! Provided care in Michigan the date of service provided communication with similar messages service our. Quality service for our anthem specialty pharmacy may continue to submit a claim participate in members..., which will be reimbursed at the current contracted rates providerssubmit claims through millions of in..., language assistance services, and vision coverage to fit your budget of insurance, ( TTY ). Your state is n't listed, check out bcbs.com to Find coverage in your area lower your coverage! Most requires a team effort medical records for authorizations, Essential vision providerssubmit claims through strategies each... Looks like you 're outside the United States prohibit unauthorized access to a professional organization consultant time... Health, to start a Live Chat products underwritten by HMO Colorado Inc.! Below of the Blue Cross Blue Shield of Michigan are managed by New Directions & x27. The most relevant information gaps in care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more their can.

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