Important Information for Patients with Anthem Health Insurance

UPDATE (March 20, 2020): As the community faces unprecedented burdens from Coronavirus (COVID-19), Parkview Health has prompted Anthem to extend their contract deadline by 90 days to ensure uninterrupted access to healthcare services. Anthem has accepted this proposal and the contract will now terminate on July 28, 2020, unless an agreement can be reached in the meantime.

Anthem of Indiana has chosen to terminate its contract with Parkview Health. This decision by Anthem will put all Parkview physicians, caregivers and services out-of-network on July 28, 2020 unless a new agreement can be reached. If this occurs, Anthem will consider all Parkview caregivers and services out-of-network, and Anthem-insured patients could see higher costs.

Here is what you need to know:

  • Anthem of Indiana plans to terminate its contract with Parkview on July 28, 2020. This means Anthem-insured patients could see higher costs for the care Parkview caregivers provide.
  • Parkview is committed to finding a solution that will protect patients. We are focused on lowering costs for patients and plan to offer Anthem a solution to accomplish this goal.

Patients First

Even though Anthem chose to terminate our contract, Parkview is committed to finding a patient-centered solution. We are focused on lowering costs for patients, plan to offer Anthem a solution to accomplish this goal and will continue working to protect our valued patients.

As caregivers, nothing is more important than ensuring our friends and neighbors have access to the care they need. We believe that no patient should be placed out-of-network by Anthem.

It’s important for our valued patients to know that nothing will change before July 28, 2020. Patients should keep the appointments they have scheduled with Parkview caregivers. As we move forward, we will continue to provide updates on our efforts to protect patients.


Patient Options

  • Call Anthem at the number on the back of your health insurance card. Ask Anthem to protect your in-network access to Parkview Health caregivers and services.
  • Talk to your employer and/or human resources representative about your continued access to Parkview Health’s high-quality caregivers and services.
  • Call Parkview at 1-844-241-0032, Monday - Friday, 8:00 a.m.-5:00 p.m., if you have additional questions.
  • Medicare patients: Contact your legislators, who may ask the Centers for Medicare and Medicaid Services to grant a special election period for Anthem members. By granting a special election period, Anthem members may enroll early with a different insurance company to ensure coverage from July 28 through the end of 2020.

    Medicare patients may also contact the State Health Insurance Assistance Program (SHIP), a free and impartial counseling program for those with Medicare, to be connected to a counselor. SHIP is not affiliated with an insurance company or agency and does not sell insurance. The program is staffed by volunteers who support Medicare patients with a variety of questions and concerns. Call 1-800-452-4800 to speak with a counselor or click here for more information.

FAQ

What is happening between Parkview Health and Anthem?

Anthem of Indiana has chosen to terminate its contract with Parkview. This decision by Anthem will put all Parkview physicians, caregivers and services out-of-network on July 28, 2020 unless a new agreement can be reached.
 

When would Parkview Health be out-of-network with Anthem?

Even though Anthem chose to terminate our contract, Parkview is committed to finding a solution that will protect patients. We are focused on lowering costs for patients, plan to offer Anthem a solution to accomplish this goal and will continue working to protect our valued patients. If Anthem is unwilling to work toward an agreement, patients will be out-of-network on July 28, 2020.
 

If there is a change in Anthem/Blue Cross participation, what plans will be affected?

All Anthem/Blue Cross health plans would be impacted (Commercial, Medicaid, Medicare Advantage, HIP).  
 

Would a change in participation apply to all Parkview Health entities and physicians?

Yes, all of Parkview Health Indiana locations would be considered out-of-network.

  • Parkview Physicians Group
  • Parkview Regional Medical Center
  • Parkview Randallia Hospital
  • Parkview Orthopedic Hospital
  • Parkview Surgery One
  • Parkview DeKalb Hospital
  • Parkview Huntington Hospital
  • Parkview Lagrange Hospital
  • Parkview Noble Hospital
  • Parkview Wabash Hospital
  • Parkview Warsaw
  • Parkview Whitley Hospital
  • Parkview Behavioral Health
  • Parkview Labs
  • Parkview Home Health and Hospice

Parkview Physicians Group providers based in Ohio are not impacted and will remain in-network. However, some specialists who regularly practice in Indiana will be considered out-of-network when they travel to see patients in Ohio. To find out if your specialty physician will remain in-network, call Parkview at 1-844-241-0032, Monday - Friday, 8 a.m.-5 p.m.
 

Would Anthem/Blue Cross members still be able to use Parkview Health after July 28, 2020?

Yes, however all services would be processed by Anthem as out-of-network. As such, the patient cost will be greater than previously when in-network.
 

What can patients do to protect their in-network access to Parkview Health?

Patients can:

  • Call Anthem at the number on the back of their health insurance card. Ask Anthem to protect their in-network access to Parkview Health caregivers and services.
  • Talk to your employer and/or human resources representative about your continued access to Parkview Health’s high-quality caregivers and services.
     

Where can I learn more about healthcare costs?

Healthcare costs are complex and include factors beyond the delivery of care. Though hospitals and health systems cannot reduce the cost of care alone, Parkview is doing its part to provide the highest quality care at the best price. To truly move the needle, all stakeholders – from insurance companies to healthcare providers to employers – must come together in a collaborative way. This partnership must be built on accurate information. The 2018 and 2019 RAND reports do not provide an accurate picture of healthcare costs at Parkview Health or in the state of Indiana.

The Facts