INDIANAPOLIS–(BUSINESS WIRE)–As Medicare’s primary sales season gets under way, Anthem Blue Cross and
Blue Shield (Anthem) is emphasizing better health in Indiana through
provider collaboration agreements and new Medicare Advantage plans with
This includes provider collaboration plans in some areas, as well as
expanding Dual-Eligible Special Needs Plans (DSNPs) for people eligible
for both Medicare and Medicaid, and traditional HMOs for the general
population. Anthem Medicare Advantage Prescription Drug plans (MAPD)
continue to offer significant benefits not available in Original
Medicare, including dental and vision coverage.
“Even with the Medicare reimbursement environment changing, we think
it’s critical to structure our plans to provide our members with real
value over Original Medicare, including extra benefits and strong local
alliances,” said David McNichols, president of Anthem’s Medicare east
Following are some specifics on Anthem MAPD plans that will be available
for the Annual Election Period, or AEP, which begins Oct. 15 and
continues through Dec. 7. Anthem offers MAPD plans statewide. Plans are
effective Jan. 1, 2016.
New plans and expansions. Anthem is expanding a $0 premium MAPD
Medicare Dual-Eligible Special Needs Plan, also known as a DSNP, called
Anthem MediBlue Dual Advantage (HMO SNP), in Boone, Brown, Clark,
Decatur, Floyd, Hamilton, Hendricks, Huntington, Marion, Montgomery,
Morgan, Noble, Putnam and Shelby counties.
The company also is launching a $0 premium traditional MAPD HMO plan
called Anthem MediBlue Plus (HMO) in the following counties: Boone,
Brown, Clark, Decatur, Floyd, Hamilton, Hendricks, Huntington, Marion,
Montgomery, Morgan, Noble, Putnam and Shelby. The DSNP includes dental
and vision coverage, some transportation to doctor’s appointments, some
over-the-counter drug costs and a fitness program, all at no extra cost.
Unlike most plans, people who qualify for a DSNP have a continuous
Special Election Period, which means they can elect a new plan at any
time throughout the year.
Anthem also is lowering the premium from $12 to $0 on the Anthem
MediBlue Plus (HMO) plan in Allen, St. Joseph and Whitley counties.
Provider collaboration. To improve member health and lower member
costs, Anthem continues to implement provider collaboration agreements.
To date, Anthem has about 1,375 Indiana medical providers participating
in Medicare provider collaboration agreements, covering more than 9,000
of its members.
More $0 generics. Anthem is enhancing its Medicare pharmacy
benefits in 2016. Both Prescription Drug Plans (PDP) and MAPD plans will
feature a “Select Tier” with selected generic drugs for a $0 copay at
preferred pharmacies, including some drugs that treat high blood
pressure, high cholesterol and diabetes. Anthem also has several PDP
plans that offer certain generics in the coverage gap for a $0 copay.
Anthem has more than 450 preferred pharmacies in Indiana, including
CVS/pharmacy, Kroger (JayC, Scott’s Food and Pharmacy, Owen’s Market,
Pay Less Super Markets), Target and Wal-Mart (Sam’s Club).
In addition to MAPD plans, Anthem offers Medicare Supplement plans and
standalone PDP plans across all Indiana counties. Medicare Supplement
plans help cover costs Original Medicare doesn’t, such as copayments,
coinsurance and deductibles. These plans offer access to any doctor or
medical facility that accepts Medicare, generally for a higher premium
than an MAPD. They are generally paired with a PDP.
“We pride ourselves in being one of the nation’s only insurers that can
offer a full continuum of Medicare products, including something for
every budget and lifestyle,” McNichols said.
For details about Anthem Medicare plans in your area, call (855)
866-4242 or visit Anthem’s Medicare online store at www.anthem.com/shop.
Anthem will be holding educational events and home visits throughout
AEP. Anthem-affiliated agents will be available at some locations of
CVS/pharmacy and Kroger and its affiliates. Hours and days vary.
Anthem is a PPO plan, an HMO plan and a PDP with a Medicare contract.
Enrollment in Anthem depends on contract renewal. This information is
not a complete description of benefits. Contact the plan for more
information. Limitations, copayments, and restrictions may apply.
Benefits, premiums and/or co-payments/co-insurance may change on Jan. 1
of each year. The formulary, pharmacy network, and/or provider network
may change at any time. You will receive notice when necessary.
You must continue to pay your Medicare Part B premium.
This plan is available to anyone who has both Medical Assistance from
the State and Medicare. Premiums, co-pays, co-insurance and deductibles
may vary based on the level of Extra Help you receive. Please contact
the plan for further details.
About Anthem Blue Cross and Blue Shield
Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance
Companies, Inc., an independent licensee of the Blue Cross and Blue
Shield Association. ANTHEM is a registered trademark of Anthem Insurance
Companies, Inc. The Blue Cross and Blue Shield names and symbols are
registered marks of the Blue Cross Blue Shield Association. Additional
information about Anthem Blue Cross and Blue Shield in Indiana is
available at www.anthem.com.
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Anthem Blue Cross and Blue Shield in Indiana
Doug Bennett Jr.,