Healthy Indiana Plan

Health Plan Summary

Contact Information Contact Information Contact Information Contact

ContactInformation
Information
Member Services: 866-408-6131 Member Services: 844-607-2829 Member Services: 877-647-4848 Member
MemberServices:
Services:800-356-1204
800-356-1204or 317-630-2831
Pharmacy: 877-647-4848
Transportation Service: 844-772-6632 Pharmacy: 844-607-2831 Pharmacy:
Pharmacy:800-356-1204
800-356-1204or 317-630-2831
www.caresource.com/members/indiana/hip-hhw/pharmacy/ Hospitals, Provider Services and Specialists - Other
Pharmacy: 866-408-6131 Hospitals,
Hospitals,Provider
ProviderServices
Servicesand andSpecialists – Other
Specialists –
Providers: 877-647-4848 or www.mhsindiana.com
Hospitals, Provider Services and Specialists – Providers:
Other Providers:
MDwise.org/find-a-doctor or
MDwise.org/findadoctor or 800-356-1204
Hospitals, Provider Services and Specialists –
Other Providers: 844-607-2831 TTY/TDD: 800-743-3333 800-356-1204 or 317-630-2831
Other Providers: 800-345-4344 or www.anthem.com TTY/TDD: 800-743-3333 or 711
TTY/TDD: 800-743-3333 Website: www.mhsindiana.com TTY/TDD: 800-743-3333 or 711
TTY/TDD: 866-288-3133 for transportation services or 711 for all other Website: MDwise.org
Anthem needs. Website: www.CareSource.com Website: MDwise.org/healthyindiana
Hours of Operation: Facebook: @MDwise
Website: www.anthem.com/inmedicaid Hours of@MDwiseInc
Operation
Instagram:
Hours of Operation Member and Provider Services: 8 a.m. to 8 p.m. EST, Monday - Friday
8 a.m. to 8 p.m. Eastern Time, Monday – Friday
Hours of Operation: 8 a.m. to 8 p.m. Eastern Time, Monday – Friday
Referrals and Authorizations: Hours of Operation:
For non-urgent calls, you can leave a message after hours. We will return
8 a.m. to 8 p.m. Eastern Time, Monday – Friday For non-urgent calls, you can leave a message after hours. your call the next business day.
8 a.m. to 5 p.m., closed for lunch from Noon to 1 p.m. Eastern Time 8 a.m. to 8 p.m. Eastern Time, Monday–Friday
For non-urgent calls, you can leave a message after hours.
MHS Disease Management: For non-urgent calls, you can leave a message after hours.
Nurse on-call Nurse on your
callcall the next business day.
8:30 a.m. to 5 p.m. Eastern Time. After hours, you can leave a message. We will return
Nurse on-call 24 hours/day – 7 days/week: 844-206-5947 24 hours/day, 7 days/week: 800-356-1204 or 317-630-2831, Press
24 hours/day – 7 days/week: 866-800-8780 Option 1, then Option 4. Our nurses help you with questions about your
Nurse on-call Nurse
health. on-call
Our nurses are always here to help you with questions about your health.
POWER Account Contributions 24 hours/day – 7 days/week: 877-647-4848 24 hours/day – 7 days/week
You can make payments to your POWER Account Our nurses help you with questions about your health 24/7. 800-356-1204 or Press
800-356-1204, 317-630-2831,
Option Press Option
1, then 1, then
Option Option
4. Our 4. Our
nurses nurses
help
POWER Account Contributions in one of these ways: POWER
you
help with
Account
questions
you with about
questions
Contributions
aboutyour
yourhealth.
health.
You can make payments to your POWER Account • Check or money order. You, your employer or a non-profit organization can make payments to
in one of these ways: POWER Account Contributions your POWER Account in one of these ways:
• Debit, credit card or electronic check by phone. You can make payments to your POWER Account POWER Account Contributions
• Recurring bank draft. Have your payments taken from your checking or • Check or money order.
• Cash or debit card at any Indiana CVS. in one of these ways: You, your
You, your employer
employerororaanon-profit
non-profitorganization
organizationcan
canmake
makepayments
payments
toto
your
savings account each month. • Credit or debit card payments
your
POWER POWER Account
Account in oneinofone ofby
these phone.
these
ways: ways:
• Online through Anthem or your bank. • Cash or debit card at any Indiana Dollar General or Walmart location. • Cash, check or money order.
• Recurring payments by Electronic Funds Transfer. • Debit or credit card by phone. ••• Check
With or
Check ormoney
moneyorder.
MDwiseREWARDSorder. points.
• By mail. Send your invoice with a check or money order by mail. • Credit or debit
debit card atpayments by phone.(Walmart and CVS).
• Payroll deductions by your employer. • With earned healthy rewards dollars. •• Credit
Cash or or debitcard any MoneyGram
card payments by phone.
• Any MoneyGram location. You can find them at places like •• With
Cash MDwiseREWARDS
at any Key Bank points.
location.
Walmart or CVS. • Online at Caresource.com. • Visit a MoneyGram retailer like CVS/pharmacy or Walmart. Find a • Cash or debit card at any MoneyGram (includes Walmart and CVS).
• Cash or debit card at any MoneyGram (Walmart and CVS).
• By phone. Pay by credit card by calling Member Services. MoneyGram location by calling 800-926-9400. •• Cash
Payrollat deduction.
any Key Bank location.
• Cash at any Key Bank location.
• Employer/nonprofit contributions. Your employer or a nonprofit group, Case Management Services • Cash or debit card at any Indiana Wal-Mart store •• Payroll
WISEpay system at MDwise.org for:
deduction.
• Payroll deduction.
like a church or foundation, can pay some or all of your contribution. • Electronic Funds Transfer. » Electronic
•• WISEpay
Pay by phone credit or debit card payments online
We help you get the right health care services at the right time. system at MDwise.org for:
• Payroll deductions by your employer. »
• WISEpayAutomatic payroll
system deduction for:
at MDwise.org
» Electronic credit or debit card payments online
Case Management Services • Western Union money transfers »
» Electronic
Automatic credit
bank or
» Automatic debit card
draft
payroll payments online
deduction
» Automatic payroll deduction
We provide care management services to help you get the right health care • Via the MHS website at www.mhsindiana.com » Automatic
» Automatic bank draft
clearinghouse
» Automatic bank draft
services at the right time. »
» Automatic
» Automatic clearinghouse (ACH)
Electronic clearinghouse
funds transfer
Our nurses help you with questions about your health 24/7. » Electronic funds transfer (EFT)
» Electronic funds transfer

Case Management Services CaseManagement

Case
Care ManagementServices
Services
We provide care management services to help you get the right health care We offer
offercare
caremanagement
management services to help
services you get
to help youthe
getright healthhealth
the right care
services at the right time. CentAccount Rewards available! services
care at theat
services right
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right time.

Please see the back of this page for more plan benefits  HIP-MBR-001 (MAX)
Disease Mangement Programs Disease Management Programs Disease Management Programs Disease Mangement
DiseaseManagement
ManagementPrograms
Programs
Programs
We offer programs to help you and your family members We offer programs to help you and your family members understand and We offer programs to help you and your family members understand and We offer programs
MDwise programs to
tohelp
has a program
help you
youand
called andyour
yourfamily
INcontrol members
for members
family members with certain and
understand
understand and manage health conditions like: manage health conditions like: manage health conditions like: understand andconditions
health conditions,
manage health manage health
including: conditions
like:Asthma, like: deficit hyperactivity
attention
Asthma, autism, congestive heart failure, depression, diabetes, hypertension, disorder, autism, chronic kidney disease, congestive heart failure, chronic
Asthma, autism, congestive heart failure, depression, diabetes, hypertension, Asthma, autism, congestive heart failure, depression, diabetes, hypertension, Asthma, autism, congestive heart failure, depression, diabetes, hypertension,
obstructive pulmonary disease, coronary artery disease, depression,
HIV, pregnancy and many more. HIV, pregnancy and many more. HIV, pregnancy and many more. HIV, pregnancy
diabetes, and many
hypertension, more.
post-traumatic stress disorder, pregnancy, tobacco
cessation and more.
Educational Programs & Enhanced Services Educational Programs & Enhanced Services Enhanced Services Educational
Enhanced Programs & Enhanced Services
Enhanced Services
Services
Anthem Rewards earn gift cards when you complete a health survey
CareSource Life Services Assistance with training skills, job Preventive Care & Health Rewards Members can earn dollar Enhanced
Anthem
Free,
MDwiseREWARDS Services
Rewards
Unlimited Preventive
earn
Do gift
healthyCare
cards whenServices
you
activities complete
and earn upano
with health
to $300survey
charge to your
per
and complete certain preventitive care visits. and
POWER
year complete certain
account.
for: taking preventitive
a survey about yourcarehealth,
visits.getting your yearly checkup,
counseling and placement to aid employment efforts through JobConnect. rewards by completing their health needs assessments and staying up to date on MDwiseREWARDS Do healthy activities and earn up to $300 per
preventive care. Rewards can be used to pay monthly POWER Account completing
MDwise
year for: a
taking tobacco
Rewards a survey cessation
Program
about program,
your Earn
health, staying
points for
gettingatobacco
variety offree,
your yearly going like
activities,
checkup, to the
Blue Ticket to Health Team up with the Indianapolis Colts and An- Includes rides to and from JobConnect coaching and training sessions. Blue Ticket to Health Team up with the Indianapolis Colts and An-
contributions, or shop at Wal-Mart, Meijer, Rite Aid, Dollar General and gym
going and
to
completing more!
your doctor
a tobacco appointments.
cessation Then
program, shop for gift cards once the activity is
them to get your well visit and win prizes. them to get your well visit and win prizes.staying tobacco-free, going to the
Online Wellness and Disease Management Programs Family Dollar to buy healthy foods, personal items, over-the-counter medicines completed.
gym and more!
New Baby New Life Rewards and support for pregnant members. Instructional programs on a variety of topics and more. Then Baby
New
myMDwise
Choose New FREE
Member LifeGift Cardsisand
Rewards
Portal
forsupport
things like:
an online tool for available
pregnant24 members.
hours a
•Then chooseand
Groceries FREEfoodgift cards
($10, $25fororthings
$50) like:
day, 7 days a week at MDwise.org and through our myMDwise app for
Benefits for healthy living: Women, Infants and Children Health Care Management Free Unlimited Transportation to doctor visits, pharmacy after a •• Gas
Benefits ($50)for
Groceries andhealthy
food ($10, $25 or $50)
living:
viewing
• Clothing your POWER
($50) account balance, pharmacy claims, preventive service
doctor visit and Medicaid re-enrollment visits.
Get these benefits with a referral from your doctor or case manager: Program Includes enhanced services and programs below: •
Get Gas ($50)
information,
these making
benefits
• Gym reimbursement ($50) withpayments
a referralto your POWER
from your doctor account
or casethrough
manager: WISEpay,
• Baby Basics Month-by-month guide to a healthy pregnancy. MemberConnections® can help explain your health coverage and general account information and more.
• Weight Watchers. •• Weight
Clothing ($50)
Watchers.
connect you to other community resources. Apply your
Health Survey MDwiseREWARDS
Your health Dollars
information willtohelp
payusyour
helpHIP you.PLUS
Complete
• Gym membership or home fitness kit. • Babies First Member rewards program that encourages timely •
•POWERGym reimbursement
Gym membership
account and ($50)
orget
home fitness
vision, kit. and no copays.
dental
prenatal, postpartum and well-baby care. a health survey online at MDwise.org /myMDwise or by calling MDwise at
• Health & Wellness magezines. MHS Family Education Network is a partnership with the Indiana •Apply
Healthyour
877-822-7193. &MDwiseREWARDS
Wellness magezines. Dollars to pay your HIP PLUS POWER
• Kids First Member rewards program that encourages well-child visits, Minority Health Coalition to provide in-person benefit education FREE
account SmartPhone
and get vision,ordental Use andYournoOwn copays.Phone with SIM Card through
• Hypoallergenic bedding or air filter. for members. Free
•SafeLink.Smart
Hypoallergenic Phone
Includes 350 and
bedding orUse
monthly Your Own
air minutes
filter. of talk,Phone Program
unlimited text, 3GBGetofa data
dental care, well-child shots and more.
FREE
free smartphone
smart phone or use your own phone getwith SIM card through
• Home delivered meals after you have a surgery or have a baby in •andHomeFREE calls or
delivered to use your
MDwise.
meals ownyou
after phone
haveand free
a surgery orvoice
haveminutes,
a baby intexts and
Free Pregnancy Tests for members who consult with a pharmacist at Connections Plus® & SafeLink programs provide a cell phone to our SafeLink.
data. Includes 350 monthly
plan don’tminutes of talk, unlimited text, 3GB of
the NICU. theCalls
NICU.to your health reduce your minutes.
selected pharmacies. members who do not have a reliable telephone. data and FREE calls to MDwise.
Over 300,000 Discounts on Things You Need such as:
• Telehealth monitoring for members with certain health conditions. • Telehealth monitoring for members with certain health conditions.
•Over
Car Maintenance
300,000 discounts on things • Gym youMemberships
need, such as:
Medication Therapy Management Pharmacists complete Smoking Cessation programs are available in partnership with the Educational Programs
Hygiene Kits at no cost. •Hygiene
Shoes Kits at no cost.
• Car Maintenance • Food • Shoes
medication reviews and make suggestions to minimize side effects, avoid unsafe Indiana Tobacco Quitline at 800-QUIT-NOW. WEIGHTwise helps you lose, gain or stay at a healthy weight.
interactions and help keep you safe and healthy. • GymPrograms
FREE Memberships toatHelp You Be • Food
Successful and Healthy:
Pregnancy Tests at no cost for members who consult with a pharmacist at Pregnancy
WELLNESSchats Tests no cost
offers fun,for members
educational who consult
community with
events a pharmacist
where youat
select pharmacies. Electronic Communications select
FREE pharmacies.
programs
• WEIGHTwise
can learn about good to help
- 37% you
health. be successful and healthy:
off Weight Watchers Digital, 20% off
SafeLink Cell Phone with free smartphone, 1000 minutes a month, free • Fitbit
HELPlink
SafeLink
and health recipes
WEIGHTwise Cell
puts you in37%
Phone touch
andWeight
off
withwith
fitnessWatchers
freehealth
videos. WW Digital, 20% off
professionals
smartphone, that canahelp
1000 minutes you free
month, with
Website & Secure Member Portal See benefit info, choose a doctor, Fitbit and health recipes and fitness videos.
data, unlimited texting, plus one-time bonus of 200 minutes. access the free health library, or have a secure Live Chat to get questions an- • BLUEBELLEbeginnings
your
data, family’s
unlimited health andplus
texting, – includes
well-being.
one-time bonus of 200 minutes.
a month by month pregnancy
swered quickly. • booklet,
BLUEBELLEbeginnings
SMOKE-free emails,provides
bib andyou
community Includes
with free baby ashowers
month
resources by month
where
to help youyou
stoppregnancy
can
smoking
Community Health Workers in-person help. Community
booklet, Health
emails, Workers in-personbabyhelp.showers where you can
orget baby items
chewing youbaby
tobacco bib
need.
includingand
thecommunity
Indiana Quitline at 800-QUIT-NOW.
Emails and texts provide member educational and health information as get baby items you need.
Enhanced Transportation trips to the doctor and other health- related trips. Enhanced Transportation
BLUEBELLEbeginnings
• SMOKEfree - Earn up togives
$200trips
you toimportant
for the doctor and
completing a other health-
information
tobacco related trips.
about
cessation
well as community outreach updates. • program
SMOKEfree Earn up to $200
pregnancy and
and motherhood.
staying tobacco free. for completing a tobacco cessation
High School Equivalency Test Assistance to help you get your High School
program Equivalency
staying tobacco free.Test Assistance to help you get your
degree. • WORKwise – assistance with applications, resume, getting ready
degree.
• for
WORKwise Assistance with applications, resume, getting ready for
an interview and more. We also pay for High School Equivalency tests.
an interview and more. We also pay for High School Equivalency tests.
In-Home Assistance: In-Home Assistance:
• To connect you to community resources. • To connect you to community resources.
Electronic
•Electronic Communications
• To help you manage your health. Communications
To help you manage your health.
myMDwise member portal and app is an online tool available 24/7 at
Quitline - Kick the Smoking Habit programs to help you quit for Quitline
myMDwise
MDwise.org.- Kick
Thisthe
Membertool Smoking
Portal
helps youandHabit isprograms
Appyour
manage anhealthtocare
online helponyou
tool thequit
go.for24/7
available
good, including the Indiana Quitline at 800-QUIT-NOW. good,
at including the Indiana
This tool Quitline
helps you at 800-QUIT-NOW.
Emails, texts and virtual meetings give you the information you needgo.
MDwise.org. manage your health care on the and
keeps you updated.
Emails, Texts and Virtual Meetings give you the information you need
Electronic Communications Electronic Communications
and keeps you updated.
Secure Member Website features a member portal, free health Secure Member Website features a member portal, free health
library, benefits and wellness and information to help you find a doctor. library, benefits and wellness and information to help you find a doctor.

Email, Text and App Options to keep you updated on member, Email, Text and App Options to keep you updated on member,
educational, health and community outreach information. educational, health and community outreach information.