Anthem blue cross blue shield in network

Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs.

Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs.

Anthem Wants To Give You Access To The Best Care

That's why we’ve partnered with many providers in your area. Find one who meets your needs.

Getting You The Care You Need

Use our search tool below to find a primary medical provider (PMP), hospital, pharmacy or specialist that serves your plan. If you want to change your PMP, use this tool to find the name of the new PMP you'd like. You could also search by the PMP’s city and state, specialty and plan.

Search now

A few types of providers you’ll find include:

  • Behavioral health providers
  • Health home providers
  • Laboratories
  • Specialists
  • Clinics
  • Hospitals
  • Pharmacies

Provider Education And Training

You can get more information about the providers in our health plan. Visit docinfo.org to search for providers and find out where they went to medical school.

Dentists

Dental benefits are provided through DentaQuest for members listed below. See your member handbook for more details.

  • HIP Plus
  • HIP Maternity
  • HIP State Plans
  • HIP Basic members age 19 and 20
  • Hoosier Healthwise
  • Hoosier Care Connect

Phone:

For more information and to search for providers, call DentaQuest toll free at:
888-291-3762 (TTY 800-466-7566).

DentaQuest, an independent company that does not provide Blue Cross and Blue Shield products, administers dental benefits for Anthem.

Vision Services

Vision benefits are provided through Superior Vision for members listed below. See your member handbook for more details.

  • HIP Plus
  • HIP Maternity
  • HIP State Plans
  • HIP Basic members age 19 and 20
  • Hoosier Healthwise
  • Hoosier Care Connect

Phone:

For more information and to search for providers, call Superior Vision toll free at:

Superior Vision, an independent company that does not provide Blue Cross and Blue Shield products, administers vision benefits for Anthem.

Pharmacy And Prescription Drugs

Your benefits include a wide range of prescription and over-the-counter drugs. We work with IngenioRx to provide these pharmacy benefits. Learn more about your pharmacy benefits.

Now that you see all the quality providers in our plan, learn how you can enroll with us.

Page last updated: 10/28/2022

Health Insurance Basics May 06, 2021

Your health plan’s network of healthcare professionals and facilities makes it convenient for you to find affordable, high-quality care quickly, whether you’re needing preventive care or experiencing health issues.

In-network providers

Your health plan network includes doctors, specialists, hospitals, pharmacies, labs, and urgent care centers that are contracted by your health plan to provide you with care at lower rates. Providers in your plan are called in-network, participating, or preferred providers. Anthem reviews doctors and facilities in your network to ensure they meet high standards of care. These contracted providers file your claims for you and help you request preapprovals, if needed.

Out-of-network providers

Healthcare professionals and facilities who are not contracted with your health plan are considered out-of-network providers. They can charge you any amount, which is generally higher than what in-network providers charge. Your plan pays the allowed amount for the service, and the provider bills you for your usual share of the cost, plus the balance. This is called balance billing. Since the provider is out of network, you typically have to file your own claims and request preapprovals, if needed.

Understanding your health plan and network

Certain health plans, such as health maintenance organizations (HMOs), cover services from in-network providers only. You could be responsible for all of the charges if you use an out-of-network provider. HMOs also require you to select a primary care physician (PCP), a doctor who coordinates your care and refers you to specialists within your network.

Preferred provider organizations (PPOs) are health plans that don’t require you to choose a PCP — but your costs will usually be lower if you select in-network doctors.

How to find doctors in your network

You can use our Find Care tool online or the Sydney Health mobile app. The tool allows you to customize your search for certain specialties, medical services, and locations. You can also find vision, dental, and behavioral health professionals.

When you make an appointment, always confirm that the doctor or facility is in-network. Doctors who say they "accept" your coverage aren't necessarily in your plan network, and you could end up paying more than you should.

Your Anthem plan comes with a strong network that offers high-quality care and cost savings. It’s an important part of our commitment to help simplify your experience and give you more confidence in making healthcare decisions.

Watch this video to learn more about your health plan’s network.
 

How do I find out what providers are on my network?

How do you find an in-network provider?.
Check your insurance company's website. Many insurance companies will post in-network providers for the plans they offer. ... .
Check your provider's website. ... .
Call your provider. ... .
Call your insurance company. ... .
Call your agent..

Is Anthem Blue the same as Blue Cross?

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company an independent licensee of the Blue Cross Blue Shield Association.

What does it mean when a doctor is in your network?

When a doctor, hospital or other provider accepts your health insurance plan we say they're in network. We also call them participating providers. When you go to a doctor or provider who doesn't take your plan, we say they're out of network.

What is the relationship between Anthem and Blue Cross?

Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.

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