1. Anthem HIP 2.0 Indiana Primary Health Care Association Annual Conference 2015

2. Product MbrsMbr %Plan 1 Plan 2 Plan 3 Plan 4 Plan 6 Plan 7 Plan 9 Plan 10 Plan 12 Plan 13 Plan 14 Plan 15 Plan 16 Plan 17 Basic 4,4925% 154,477 State Basic 22,02424% 307119,521182,177 Plus 43,38448% 86 2 43,296 State Plus 21,20123% 8017,20073,914 Totals 91,101100% 86243,296154,4778017,20073,914307119,521182,177 HIP 2.0 Members Update As of 4/22/15, please see below the HIP Membership breakdown: 29 % of current total population are Basic/State Basic Members (5% Basic + 24% State Basic) 71 % of current total population are Plus/State Plus Members (48% Plus + 23% State Plus)

3. Power account increases to $2,500 Plan Options: HIP Plus, HIP Basic, HIP State Plan plus HIP Link (available summer 2015) Dental and Vision now covered in HIP Plus and HIP State Plan Cost sharing: PACs, PAC penalties, Co-pays HHW/HCC rates increased by 25%, BH 85% of MC and Prenatal/Maternity 100% of MC HIP 2.0 Changes

4. Emergency Care: Member will have a co-pay if they do not have an emergency health condition. $8 first time and $25 each time after. Power account funds cannot be used to pay ER co-pays. Co-pays will be collected by the hospital. Native Americans and Pregnant Members do not have a co-pay for an actual emergency. Member Information/Cost Sharing

5.  POWER Account (Personal Wellness and Responsibility)  Monthly contribution based on income  No co-pays, except for ER usage for non-emergent events  Health plan will bill the member each month  Member and PMP choose preventative care services Member Information

6.  Non-profits organizations can pay for member power account contributions. All non-profit organizations can participate.  One-time contribution or monthly contributions.  PACs can be paid through payroll deduction through an employer.  Employers may also pay for PACs, partial or full. Power Account Contributions

7. Mail Check: Anthem BC/BS IN HIP P.O. Box 105674 Atlanta, GA 30348-5674 Credit/Debit cards: phone or online Automatic bank draft Payroll deduction Electronic funds transfer Wal-Mart- cash only Power Account Contributions

8.  HIP Plus members who do not make contribution payments will lose their HIP Plus coverage. Payments that are 60 days late will be termed from HIP Plus.  Income less than $973 for an individual or $1,988 for a family of four per month will receive HIP Basic benefits If income is more member will be termed from HIP. Member Information

9.  HIP Basic requires a member to make a payment every time they receive a health care services. (Co- payments)  Physician or OP co-pay $4  Prescriptions $4 -$8  Hospital $75  If you are moved to the HIP Basic Plan due to non- payment you cannot move back to HIP Plus until a new 12 month benefit period begins Member Information

10. Changing your PMP:  Members can change physicians at any time as long as the physician is in network.  A member who sees a physician who is not their PMP and without authorization from Anthem may have to pay for those services.  Self-referral services: these services can be received without seeing your PMP to get a referral. Member Information

11. Self-referral Services  Behavioral health  Chiropractic care  Diabetes self-care training  Emergency services  Eye and vision care  Family planning  HIV/AIDS care management  Podiatry services  Immunizations Member Information

12. Individuals with certain complex medical or behavioral health conditions can qualify for State Plan Benefits under HIP. Anthem will work with members who claimed to have a medical condition upon initial application to see if they qualify for MF- initial 60 days of coverage. Health Needs Assessment to be completed. Medically Frail

13.  Provided under the HHW benefit if you qualify for HIP and you are already pregnant when you enrolled or re-enrolled. HIP Maternity plan only continues through two months post partum. You should apply for regular HIP as soon as you begin your post partum period. HIP Maternity

14. HIP 2.0 builds on the successes of the original HIP program which included lower ER usage by members, increasing use of preventative services, proven consumer-directed model (HSA) thus leading to increased savings of health care dollars and better health outcomes for Indiana. Empowerment of members. Member Information

15.  Anthem Clinic Days  Co-Branding  Sponsoring Events (Back to School events, National Health Center Week, Outreach Activities)  Webinars (Smoking Cessation) Working with IPHCA members

16.  Transportation to physician visits, WIC appointments, and redetermination appointments.  Anthem has also added pharmacy visits as a third leg of a visit.  Cellphones with 250 minutes per month and a one time bonus of 200 minutes.  Subscriptions to Eating Well and Parenting Magazine Enhanced Benefits

17.  Gift cards to Walmart for completing health survey and certain preventative care visits as outlined in the member handbook.  New Baby, New Life maternity program (replaces Future Moms program) (prenatal program)  Sports physicals for children with their assigned member  Local classes and programs dedicated to healthy living. Enhanced Benefits

18.  LCP Transportation: Value add benefit and Anthem has added pharmacy as third leg of a trip.  Schedule appointments: 1.800.508.7230  Monday to Friday, 8am-5pm  After hours service 1.866.408.6131 (24 hours a day, 7 days a week)  www.icptransportation.com Enhanced Benefits/Transportation

19. Anthem BCBS Member Handbook Customer Care Center- 1.866.408.6131 HIP Pharmacy Member Hotline: 1.866.408.6131 24/7 Nurseline: 1.866.800.8780 Transportation: 1.800.508.7230 Vision: VSP 1.866.866.5641 Dental: 1.888.291.3762 www.anthem.comwww.anthem.com (member website) Member Resources