PathWays Health Plan Comparison
| Member Services | |||
|---|---|---|---|
| Category | Anthem Blue Cross and Blue Shield | Humana Healthy Horizons | UnitedHealthcare Community Plan of Indiana |
| Medicaid Member Services | Coming Soon | Coming Soon | Coming Soon |
| TTY/TDD | Coming Soon | Coming Soon | Coming Soon |
| Website | www.anthem.com/inmedicaid | Humana.com/HealthyIndiana | https://www.uhc.com/communityplan/indiana |
| Member Services Email | Please use Sydney portal for email correspondence: www.anthem.com/register/ | INHealthyHorizons@humana.com | IN_HPops@uhc.com |
| Hours of Operation | 8 a.m. - 8 p.m. ET, Monday–Friday | 8 a.m. - 8 p.m. ET, Monday–Friday | 8 a.m. - 8 p.m. ET, Monday–Friday |
| Nurse on Call | |||
|---|---|---|---|
| Category | Anthem Blue Cross and Blue Shield | Humana Healthy Horizons | UnitedHealthcare Community Plan of Indiana |
| 24 hours/day, 7 days/week | Coming Soon | Coming Soon | Coming Soon |
| TTY/TDD | Coming Soon | Coming Soon | Coming Soon |
| Provider Services | |||
|---|---|---|---|
| Category | Anthem Blue Cross and Blue Shield | Humana Healthy Horizons | UnitedHealthcare Community Plan of Indiana |
| Provider Helpline Phone Number | 833-569-4739 | 866-274-5888 | 877-610-9785 |
| Provider Services Email Address | For provider contracting questions: inmltssproviderrelations@anthem.com. For all other provider service needs, please utilize Availity for provider secure messaging. | INMedicaidProviderRelations@humana.com | IN_providerservices@uhc.com |
| Provider-facing websites | https://providers.anthem.com/indiana-provider/patient-care/pathways-aging | https://www.humana.com/provider/medical-resources/indiana-medicaid | https://www.uhcprovider.com/en/health-plans-by-state/indiana-health-plans/in-comm-plan-home.html |
| Social Media Pages | Facebook: @AnthemMedicaid; Twitter: @AnthemBCBS; YouTube: @Anthem_BCBS; LinkedIn: @AnthemBCBS; #AnthemCares | Facebook: @humanahealthyhorizons | Facebook: @ UnitedHealthcareCommunityPlan; Instagram: @UnitedHealthcare; Twitter: @UHC; LinkedIn: @uhccs |
| Covered Services | |||
|---|---|---|---|
| Category | Anthem Blue Cross and Blue Shield | Humana Healthy Horizons | UnitedHealthcare Community Plan of Indiana |
| Primary care | Day-to-day healthcare given by a health care provider. | Day-to-day healthcare given by a health care provider. | Day-to-day healthcare given by a health care provider. |
| Acute care | Short-term treatment for a severe injury or episode of illness, an urgent medical condition or during recovery from surgery. | Short-term treatment for a severe injury or episode of illness, an urgent medical condition or during recovery from surgery. | Short-term treatment for a severe injury or episode of illness, an urgent medical condition or during recovery from surgery. |
| Behavioral health | Behavioral health and substance use disorder services. | Behavioral health and substance use disorder services. | Behavioral health and substance use disorder services. |
| Emergency services | Service provided to a member after the sudden onset of an emergency medical condition. | Service provided to a member after the sudden onset of an emergency medical condition. | Service provided to a member after the sudden onset of an emergency medical condition. |
| Care coordination services | Help you manage your health conditions. | Help you manage your health conditions. | Help you manage your health conditions. |
| Service coordination | Help you manage your waiver services. | Help you manage your waiver services. | Help you manage your waiver services. |
| Transition support | Planning and preparation for transitions from one care setting to another and the follow-up care after transitions are completed. | Planning and preparation for transitions from one care setting to another and the follow-up care after transitions are completed. | Planning and preparation for transitions from one care setting to another and the follow-up care after transitions are completed. |
| Pharmacy and drugs | Prescription and some over the counter. | Prescription and some over the counter. | Prescription and some over the counter. |
| Pharmacy Benefit Manager | CarelonRx | CenterWell | OptumRx |
| Dental | Dental screenings, teeth cleaning, fillings, extractions and x-rays. | Dental screenings, teeth cleaning, fillings, extractions and x-rays. | Dental screenings, teeth cleaning, fillings, extractions and x-rays. |
| Dental Benefits Manager | DentaQuest | DentaQuest | UHC Dental |
| Transportation | Trips to medical appointments and other health-related trips at no cost. | Trips to medical appointments and other health-related trips at no cost. | Trips to medical appointments and other health-related trips at no cost. |
| Transportation Benefit Manager | WellTrans | LCP Transportation | LCP Transportation |
| Vision | Eye exams, glasses frames and lenses | Eye exams, glasses frames and lenses | Eye exams, glasses frames and lenses |
| Vision Benefit Manager | Superior Vision | EyeMed | MARCH Vision |
| Commonly Offered Programs/ Services | |||
|---|---|---|---|
| Category | Anthem Blue Cross and Blue Shield | Humana Healthy Horizons | UnitedHealthcare Community Plan of Indiana |
| Member Rewards Program | Earn gift cards and other items when you complete certain preventative care visits. | Earn gift cards and other items when you complete certain preventative care visits. | Earn gift cards and other items when you complete certain preventative care visits. |
| Member portal | Online tool available 24 hours a day, 7 days a week to help you find a doctor, view benefits, and view a free health library. | Online tool available 24 hours a day, 7 days a week to help you find a doctor, view benefits, and view a free health library. | Online tool available 24 hours a day, 7 days a week to help you find a doctor, view benefits, and view a free health library. |
| Tobacco cessation and dependence treatment | Programs available in partnership with the Indiana Tobacco Quitline at 800-QUIT-NOW. | Programs available in partnership with the Indiana Tobacco Quitline at 800-QUIT-NOW. | Programs available in partnership with the Indiana Tobacco Quitline at 800-QUIT-NOW. |
| Caregiver Supports | Support for adult family members or other informal caregivers providing care to individuals. | Support for adult family members or other informal caregivers providing care to individuals. | Support for adult family members or other informal caregivers providing care to individuals. |
| Housing supports | Assisting with transition or post-transition activities including requests and referrals, special needs/accommodations and location of housing options. | Assisting with transition or post-transition activities including requests and referrals, special needs/accommodations and location of housing options. | Assisting with transition or post-transition activities including requests and referrals, special needs/accommodations and location of housing options. |
| Additional MCE- Specific Programs | ||
|---|---|---|
| Anthem | ||
| Fresh Food Connect | Healthy food options that meet your lifestyle needs, delivered to your doorstep. | |
| Companion Connect | Connect with a loved one 24/7 through a smart video speaker. | |
| Healthy Adults, Healthy Results | Online resources to promote stability, mobility and strength, plus choice of home fitness kit. | |
| Home Safety Benefit | Safety items like medication lockbox, non-skid tub mat, smoke alarm, fire extinguisher, carbon monoxide detector. | |
| COPD/Asthma/Allergy Relief Products | Choose from items like hypoallergenic bedding, HEPA air filters, pillow and mattress covers, inhalers, nebulizers. | |
| Humana | ||
| Enhanced Dental | Members can receive allowance to apply towards additional cost incurred during dental services. | |
| Enhanced Vision | Members can receive allowance to apply towards purchasing glasses (frame and lenses) and/or contacts. | |
| Enhanced Hearing | Members can receive unlimited visits for fitting and evaluations, allowance to use towards purchasing hearing aids and supplies for hearing aid batteries. | |
| Over-the-Counter Pharmacy Allowance | Members can receive allowance to purchase over the counter products such as pain relievers, cold relief medicine and first aid equipment. | |
| Home-Delivered Meals | Members can receive home delivered meals at no cost after inpatient hospitalization or discharge from nursing home. | |
| United | ||
| Virtual Visits | If you need health advice, we have online options. Get help with medical, dental and mental health questions. | |
| Fitness Memberships | Want to work out? Our program includes many gyms across Indiana. Over 20,000 online classes are also available. | |
| Fresh Food | Refrigerated meals or fresh fruits and vegetables are available when you need them most. | |
| Respite Support | If you get help from a friend or family member, we offer a special program to support them. | |
| Virtual Community Center | It’s never too late to learn how to use and enjoy the internet. Connect with peers who can help you interact online! | |
