Member Materials

• HIP Member Handbook - English
• HIP Member Handbook - Spanish
• HHW Member Handbook - English
• HHW Member Handbook - Spanish
• HCC Member Handbook - English
• HCC Member Handbook - Spanish
• IN HIP Quick Start Guide - English
• IN HIP Quick Start Guide - Spanish
• HHW Quick Start Guide - English
• HHW Quick Start Guide - Spanish
• HCC Quick Start Guide - English
• HCC Quick Start Guide - Spanish
• Access to behavioral health benefits - English
• Access to behavioral health benefits - Spanish

We care about the quality of care you get from your doctors and us. If you’re not happy with the care you get from one of the doctors in your plan, please let us know. There are two ways you, or someone you choose to act for you, can let us know your problem:

• Call us at 1-866-408-6131 (TTY 711).
• Send us a letter at:

Appeals Department
Anthem Blue Cross and Blue Shield
P.O. Box 62429
Virginia Beach, VA 23466

Our Member Services staff will try to take care of your problem right away.

If you want to file an appeal about how we solved your problem, it can be requested within 60 calendar days from the day of our decision on the grievance resolution letter.

Send your appeal to:

Appeals Department
Anthem Blue Cross and Blue Shield
P.O. Box 62429
Virginia Beach, VA 23466

• Member Grievance Form - English
• Member Grievance Form - Spanish
• Member Appeal Form - English
• Member Appeal Form - Spanish

Sometimes, Anthem may need to deny, stop, suspend or reduce previously-approved services. Learn more.

• Not Medically Necessary Letter - English
• Not Medically Necessary Letter - Spanish
• Coverage Approval Letter - English
• Coverage Approval Letter - Spanish

• Important phone numbers - English
• Important phone numbers - Spanish
• PMP Selection Form - English
• PMP Selection Form - Spanish
• On-hold Message
• Provider Directory Buckslip - English
• Provider Directory Buckslip - Spanish
• Advance Directives Health Tips - English
• Advance Directives Health Tips - Spanish
• Physician Incentive Program Description - English
• Physician Incentive Program Description - Spanish
• Other Health Insurance (OHI) Form – English
• Other Health Insurance (OHI) Form – Spanish

If you’re eligible for the Right Choices program, you’ll have access to providers who will help you manage your health care needs. This team of experts will help you use your services the right way, so you feel better. Find out if you’re eligible by calling us at 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711.

Our Goals

The RCP lasts for two years. Within that time, a nurse care manager will help you:

• Learn how to best use your medical benefits.
• Get the best-coordinated care.
• Have a medical home that will help keep you healthy and safe.

• Right Choices Program - English
• Right Choices Program - Spanish

• Member Rights - English
• Member Rights - Spanish
• Notice of Privacy Practices
• Rider Rights and Responsibilities – English
• Rider Rights Responsibilities – Spanish
• Access to Records – English
• Access to Records – Spanish
• Accounting of Disclosures – English
• Accounting of Disclosures – Spanish
• Amendment of Records – English
• Amendment of Records – Spanish
• Cancel Authorization – English
• Cancel Authorization – Spanish
• Cancel Confidential Communications – English
• Cancel Confidential Communications – Spanish
• Cancel Restrictions – English
• Cancel Restrictions – Spanish
• Confidential Communications – English
• Confidential Communications – Spanish
• Member Authorization Form – English
• Member Authorization Form – Spanish
• Restriction of Information – English
• Restriction of Information – Spanish

• HIP/HHW Marketing Brochure – English
• HIP/HHW Marketing Brochure – Spanish
• HCC Marketing Brochure - English and Spanish
• Healthy Indiana Plan Welcome Call Script - Basic - English
• Healthy Indiana Plan Welcome Call Script - Basic - Spanish
• Healthy Indiana Plan Welcome Call Script - Above 100 - English
• Healthy Indiana Plan Welcome Call Script - Above 100 - Spanish
• Healthy Indiana Plan Welcome Call Script - Below 100 - English
• Healthy Indiana Plan Welcome Call Script - Below 100 - Spanish
• Hoosier Healthwise Welcome Call Script - English
• Hoosier Healthwise Welcome Call Script - Spanish
• Hoosier Care Connect Welcome Call Script - English
• Hoosier Care Connect Welcome Call Script - Spanish