HomeMy WebLinkAboutAnthem Blue Cross & Blue Shield/Human Resources/Renewal Letter 2023 Plans and Products,Employee Health Benefit_Plans DocuSign Envelope ID:C6116F7F-BE53-4F6E-A420-7D7E8247D1BB
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Megan Walker
Anthem Blue Cross & Blue Shield
220 Virginia Ave.
September 23, 2022 Indianapolis, IN 46204
Lisa Hartz APPROVED
City of Carmel By Jon Oberlander at 9:39 am,Oct 12,2022
2023 Renewal Confirmation
Dear Lisa :
Thank you for renewing your benefit plans and programs with Anthem Blue Cross and Blue Shield for the 2023 plan
year. We look forward to another year of partnering together to deliver better care to our members, providing greater
value to you, our customer, and helping improve the health of our communities.
The purpose of this letter is to confirm benefits, programs,fees and other terms for the upcoming renewal year. Please
review the items below carefully and provide your approval by signing this letter and returning it, via email to your
Anthem Account Team. You may also send an email to your Anthem Account Team containing the renewal information
indicating your approval.
2023 PLANS and PRODUCTS
Active Plans for 2023
➢ PPO
➢ HSA
➢ Dental
Renewing Products
➢ Clinical programs:
o ASO Enhanced Foundational
➢ LiveHealth Online
Terming Products
➢ None
2023 Benefit Plan Changes:
• Both medical plans—update benefit for ABA therapy to follow Anthem standard benefit—precertification
required. Remove weekly limit of 20 hours.
• PPO plan—update behavioral health outpatient facility and professional to deductible/coinsurance
• PPO plan—update emergency room benefits—facility and professional—to$250 copay+coinsurance—no
deductible required
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DocuSign Envelope ID:C6116F7F-BE53-4F6E-A420-7D7E8247D1BB
Anthem. ro9 U
Annual Benefit Changes(check if accepting—unchecked if excluding):
❑ Virtual Primary Care
❑ LHO Diabetes Prevention Outreach
❑ LHO PCP and Mental Health Copay($0 copay for PPO;Ded/$0 for HSA)
❑ Kidney Benefit—Human Organ and Tissue Transplant(kidney transplants covered under the HOTT benefit at a COE)
Other Renewal/Change Information:
➢ ID Cards: Changes only,will not mass-reprint ID cards.
Financial Terms and Guarantees
➢ Financial terms to follow. Updated pharmacy pricing document included with signature paperwork.
It is our pleasure to work with you. We look forward to continuing our relationship for many years to come. On behalf
of Anthem,thank you for your business.
Sincerely,
Megan Walker
City of carmel authorized signature/date
Confirmation of 2023 Benefit/Program/Financial Changes
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DocuSign Envelope ID:C6116F7F-BE53-4F6E-A420-7D7E8247D1BB
Approved and Adopted thisl9thday of October , 20 22
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
Not Present
James Brainard, Presiding Officer
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