Taking time for routine mammograms is an important part of staying healthy. Monday through Friday. Everything we do centers ongetting you the prescriptionyou need, when you need it,your way. Step 5: Tell the system the date of service provided. If you have questions or need assistance, we're always here to help. 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. Monday through Friday. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members overall heath. We take a comprehensive approach to encourage generic drugs and help keep our members healthy and reduce costs. Box 68710 Monday through Friday. Providers should continue to submit for administration of the medication, but not bill for the medication itself. Providing care for those who need it most requires a team effort. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. If you have questions, please contact your group administrator or your Anthem network representative. %
Explore programs available in your state. If your state isn't listed, check out bcbs.com to find coverage in your area. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. In Kentucky: Anthem Health Plans of Kentucky, Inc. All specialty pharmacy prior authorization requirements will still apply and are the responsibility of the ordering provider. You can order by phone whether or not you're already a member. 1-877-258-0167 P.O. If a medication is selected that is not on the drug list, the member will be responsible for the full cost of the drug. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. The resources for our providers may differ between states. Lansing, MI 48933. 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. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. You can also visit. You purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange), You purchased coverage off the exchange and not through your employer, Your coverage is through a Small Group employer on, and in some cases, off the exchange. 8 a.m. to 6 p.m. Please update your browser if the service fails to run our website. New member? Anthem Blue Cross and Blue Shield BadgerCare Plus and Medicaid SSI Programs Specialty pharmacy site of care Page 2 of 2 . Box 310166 London, KY 40742. Use New Directions' WebPass tool. Lets make healthy happen. Get access to your agent portal.Register Now. Policies are aligned. 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. Find yours in our list ofphysician organization consultants (PDF). Please call Accredo at 1-844-433-4878 or visit Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Manage your medicine from anywhere with the Anthem mobile app With the free app, you can: Order refills Track orders View all prescriptions Download the app now: Page Last Updated: 06/09/21 As a clinician, you play a powerful role in ensuring your patients are adherent to their medication regimens. Products & Programs / Pharmacy. Say "another contract" to inquire on another contract. %PDF-1.5
Drugs used for the treatment of Oncology will still require pre-service clinical review by AIM. Box 230589 Compare plans available in your area and apply today. 1-855-504-2583 From easy online refills to one-on-one CareTeam support from specially trained nurses and pharmacists, we give patients the care they need, when and where they need it. Anthem ( NYSE: ANTM ) is one of the largest managed care organizations in the United States. Pharmacy Information for Providers We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members' overall heath. 8:30 a.m. to noon and 1 to 5 p.m. 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. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Detroit, MI 48226. Not sure which region you're in? 8:30 a.m. to 4:30 p.m. Medicare Complaints, Grievances & Appeals. Our goal is to help improve your patients' health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and . Specialty Pharmacy Benefits | Anthem Blue Cross Blue Shield Nevada Medicaid Specialty Pharmacy Extra care to manage your condition Specialty pharmacies are different. View listings below of the retail pharmacies that participate in our pharmacy networks. You can write to us by matching your area code with the relevant mailing address. 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. To stay covered, Medicaid members will need to take action. The automated system is available anytime. 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. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Gaps-in-care messaging for our clinical and cost-of-care programs is included in one communication. Our resources vary by state. Monday through Friday. This group performs regular clinical reviews, rates drugs based on how they work in real life, evaluates drug costs to make sure they are affordable, and chooses drugs that are safe, work well and offer the best value. 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. 415 S. McClellan Ave. Search for specific text by using your Find function (Ctrl+F or Command+F). Say "no" when asked if you have additional questions about the determination of a claim. If you're not a Blue Vision provider, send claims to: VSP We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. State and Federal Privacy laws prohibit unauthorized access to Member's private information. If you no longer qualify, we can connect you to the right options for you and your family. Start a Live Chat with one of our knowledgeable representatives. 1-800-762-2382 8:30 a.m. to 6 p.m. Monday through Friday. You get your health insurance plan from an employer or if you have certain grandfathered plans. Our clinical management program provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more. You can write to us by finding your ZIP code with the relevant mailing address. P.O. Physicians and professionals: 1-800-344-8525 For costs and complete details of the coverage, please contact your agent or the health plan. You can also visit bcbs.com to find resources for other states. Providers may continue to submit a claim for administration of the specialty pharmacy medications, which will be reimbursed at the current contracted rates. 8 a.m. to 4 p.m. 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). 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. 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. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members' overall heath. Monday through Friday. Posted 10:46:35 PM. Blue Care Network All you need to know about the COVID-19 vaccines and boosters.Get the details. Motivating your patients to adhere to their medication can contribute to improved outcomes and increased STARS performance. 42I]?evMJz8q9|eszwdZL9}owq1}s&,/K{IP,xW^.` Get help with your copays by chatting with a patient care coordinator today. These pharmacies serve members with complex or chronic conditions. The resources for our providers may differ between states. P.O. Monday through Friday Federal Employees Program Health equity means that everyone has the chance to be their healthiest. Specialty pharmacies have highly trained pharmacists and nurses to provide personal care and guidance to help you manage your condition. IngenioRx Specialty Pharmacy provides your specialty medications. Get access to your agent portal. P.O. 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. It looks like you're outside the United States. 1-800-822-2761 3 0 obj
Attention: Claim Processing Register Now, Not registered? We also offer infusion services with Optum Infusion Pharmacy. We send members personalized messages about medications that may reduce their costs and include specific cost savings. Find a Participating Pharmacy in Your Area. Southfield, MI 48075, 1-877-293-2788 Blue Vision providers submit claims electronically directly toVSP. Get translation and interpretation services free of charge. L07B Pharmacy Information and Tools. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. 8:30 a.m. to noon and 1 to 5 p.m. Medication is often one of them. 8:30 a.m. to noon and 1 to 5 p.m. Make your mental health a priority. 1-800-249-5103 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. 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