Health Insurance-Anthem

Miami offers two health plan options through Anthem. You choose the plan that is best for you and your family. Option 1 is the Traditional PPO and option 2, is the High Deductible Health Plan (HDHP) with a Health Savings Account. Both plans include pharmacy coverage.

Anthem Contact Information

1-833-995-1483
www.anthem.com

Group Number

OH2570

Syndey Health – Your Personalized Health Assistant

Healthcare is hard. Miami University is partnering with Anthem to make it easier. Meet Syndey Health, your personalized health assistant. Find all of your benefit information at your fingertips.  REGISTER NOW for your account.

Sydney Health is a mobile app anthem.com gives employees a new way to focus on their health, in one convenient place.  Employees can download Sydney Health and register on the app to take full advantage of their Anthem benefits in addition to a personalized, tailored experience.  Members who are registered on Anthem.com can use the same username and password.

Pharmacy-Anthem Rx

Contact AnthemRx for questions concerning drug coverage, mail order, drug tiers, etc.

1-833-267-2133

Essential Drug List

2024 PreventiveRx Drug List

Anthem’s pharmacy benefit manager, CarelonRx provides formulary clinical management. The following programs are included in the HDHP and PPO plans.

The Cost Relief Program works with covered members and drug manufacturers to provide copay assistance for certain specialty medications. Members taking certain specialty medications will need to call +1 (877) 638-4008 to complete the registration for Cost Relief. See the 2024 list of medications here: 2024 Cost Relief Drug List.

Rx Care Nexus "Higher Touch Rx Clinical Program" is a clinical care management solution. This program seeks opportunities to clinically engage individual members with prescription adherence.

Plan Summaries

PPO

HDHP

Hospital Tiering

Find a Provider

Call Anthem Health Guide at 1-833-995-1483 to find in-network providers.
  • In Ohio, Blue Access Options PPO Network
  • Outside of Ohio, National PPO (Bluecard PPO) Network

Search for a provider at  Anthem.com.

  • Under Find a Doctor:
    • Search by Plan
    • Choose Medical
    • Choose the State you are searching in
    • The type of plan is Medical (Employer-Sponsored)
    • Plan/Network is Blue Access Options PPO

Anthem Member Card

To order a new card, log into your Anthem account and do the following:
  • Select Your ID Card
  • Select the cards you wish to order
  • Select Mail. Make sure that your address is correct. If not, you must update it in BannerWeb Employee Services Online.
  • Click Send

Alternatively, you may call the Anthem Health Guide at 1-833-995-1483.

Who Can Be Covered?

You can add or remove health care coverage during the benefits open enrollment period in October for the following calendar year, or within 31 days of a qualifying event.

Spouses can be covered if:
  • unemployed.
  • self-employed and does not provide health insurance for anyone they employ.
  • self-employed and provides coverage, but pays more than 50% of the total premium.
  • retired and the only source of health coverage is Medicare.
  • eligible for retiree coverage, but required to pay more than 50% of the total premium.
  • employed, but not eligible for their employer’s coverage.
  • employed, but required to pay more than 50% of the total premium.

Dependent children can be covered through the end of the month when they turn age 26. 

Machine Readable Files

Beginning July 1, Anthem will publish the machine-readable files (MRFs) for the Traditional PPO and HDHP plans we administer and maintain. These files will be published on anthem.com and will be updated on the first day of each month.

Enter Miami’s employer identification number (31-6402089) to find:
  • Applicable In-Network Negotiated Rate Files
  • Out-of-Network Allowed Amount Files
  • Out-of-Area Rates (applicable when members use providers in non-Anthem states)

 

2023 Monthly Premiums

Single

Use the 2023 Premium Calculator to calculate your premium.

Health Plan Option % annual salary + annual base premium ÷ number of pays
Traditional PPO Plan 1.52% $888 24, 12 or 10
High Deductible Heath Plan (HDHP) 1.52% $0
24, 12 or 10

Employee +

Use the 2023 Premium Calculator to calculate your premium.

Health Plan Option % annual salary + annual base premium ÷ number of pays
Traditional PPO Plan 3.22% $1776 24, 12 or 10
High Deductible Heath Plan (HDHP) 3.22% $0
24, 12 or 10

Family

Use the 2023 Premium Calculator to calculate your premium.

Health Plan Option % annual salary + annual base premium ÷ number of pays
Traditional PPO Plan 4.72% $2376 24, 12 or 10
High Deductible Heath Plan (HDHP) 4.72% $0
24, 12 or 10

Single

Single

Use the 2023 Premium Calculator to calculate your premium.

Health Plan Option % annual salary + annual base premium ÷ number of pays
Traditional PPO Plan 1.52% $888 24, 12 or 10
High Deductible Heath Plan (HDHP) 1.52% $0
24, 12 or 10

Employee +

Employee +

Use the 2023 Premium Calculator to calculate your premium.

Health Plan Option % annual salary + annual base premium ÷ number of pays
Traditional PPO Plan 3.22% $1776 24, 12 or 10
High Deductible Heath Plan (HDHP) 3.22% $0
24, 12 or 10

Family

Family

Use the 2023 Premium Calculator to calculate your premium.

Health Plan Option % annual salary + annual base premium ÷ number of pays
Traditional PPO Plan 4.72% $2376 24, 12 or 10
High Deductible Heath Plan (HDHP) 4.72% $0
24, 12 or 10