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Nov 15, 2023
As Cigna leaves the Individual market on the exchange, the Centers for Medicare and Medicaid Services (CMS) and the state of Missouri are mapping their Individual clients to Anthem and other carriers, based on location.
Newly mapped members will receive a welcome letter and phone call from Anthem within the next 45 days. They should review all providers in our Pathway X network as their current provider may not be in our network. For example BJC/Children’s is not in network. As a reminder, only emergency care is covered when the provider is not in our network.
Members who have a monthly premium must make their initial payment by January 1, 2024, to begin coverage at the start of the year.
Please contact your Anthem Sales representative for more information.
Ohio law requires insurers offering health care plans through a health insurance exchange to make the following information available to existing and potential members upon request: A list of the top 20% of services based on use An insured's expected contribution for each service The top 20...
Due to ongoing, national supply issues, starting May 15, 2024, and until the medications become readily available, members will not be able to fill the following GLP-1 drugs via CarelonRx Pharmacy home delivery: Mounjaro Trulicity Wegovy Saxenda We will notify you and your clients when th...