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
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
2022 PreventiveRx Drug List (PDF 75KB)
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 2023 list of medications here: 2023 Cost Relief Drug List (PDF 46KB).
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
Find a Provider
- 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
- 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?
- 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
- 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)