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PathWays Health Plan Comparison

Member Services
Category Anthem Blue Cross and Blue Shield Humana Healthy Horizons UnitedHealthcare Community Plan of Indiana
Medicaid Member Services 833-412-4405 866-274-5888 800-832-4643
TTY/TDD 711 711711
Website www.anthem.com/inmedicaid Humana.com/HealthyIndianahttps://www.uhc.com/communityplan/indiana
Member Services Email Please use Sydney portal for email correspondence: www.anthem.com/register/INHealthyHorizons@humana.comIN_HPops@uhc.com
Hours of Operation 8 a.m. - 8 p.m. ET, Monday–Friday live 8 a.m. - 8 p.m. ET, Monday–Friday live 8 a.m. - 8 p.m. ET, Monday–Friday live
Nurse on Call
Category Anthem Blue Cross and Blue Shield Humana Healthy Horizons UnitedHealthcare Community Plan of Indiana
Live833-412-4405 800-449-9039 800-832-4643
TTY/TDD 711 711 711
Provider Services
Category Anthem Blue Cross and Blue Shield Humana Healthy Horizons UnitedHealthcare Community Plan of Indiana
Provider Helpline Phone Number 833-569-4739 866-274-5888 877-610-9785
Provider Services Email Address For provider contracting questions: inmltssproviderrelations@anthem.com. For all other provider service needs, please utilize Availity for provider secure messaging. INMedicaidProviderRelations@humana.com IN_providerservices@uhc.com
Provider-facing websiteshttps://providers.anthem.com/indiana-provider/patient-care/pathways-aginghttps://www.humana.com/provider/medical-resources/indiana-medicaidhttps://www.uhcprovider.com/en/health-plans-by-state/indiana-health-plans/in-comm-plan-home.html
Social Media Pages Facebook: @AnthemMedicaid; Twitter: @AnthemBCBS; YouTube: @Anthem_BCBS; LinkedIn: @AnthemBCBS; #AnthemCares Facebook: @humanahealthyhorizons Facebook: @ UnitedHealthcareCommunityPlan; Instagram: @UnitedHealthcare; Twitter: @UHC; LinkedIn: @uhccs  
Covered Services
Category Anthem Blue Cross and Blue Shield Humana Healthy Horizons UnitedHealthcare Community Plan of Indiana
Primary care Day-to-day healthcare given by a health care provider. Day-to-day healthcare given by a health care provider. Day-to-day healthcare given by a health care provider.
Acute care Short-term treatment for a severe injury or episode of illness, an urgent medical condition or during recovery from surgery. Short-term treatment for a severe injury or episode of illness, an urgent medical condition or during recovery from surgery. Short-term treatment for a severe injury or episode of illness, an urgent medical condition or during recovery from surgery.
Behavioral health Behavioral health and substance use disorder services. Behavioral health and substance use disorder services. Behavioral health and substance use disorder services.
Emergency services Service provided to a member after the sudden onset of an emergency medical condition. Service provided to a member after the sudden onset of an emergency medical condition. Service provided to a member after the sudden onset of an emergency medical condition.
Care coordination services Help you manage your health conditions. Help you manage your health conditions. Help you manage your health conditions.
Service coordination Help you manage your waiver services. Help you manage your waiver services. Help you manage your waiver services.
Transition support Planning and preparation for transitions from one care setting to another and the follow-up care after transitions are completed. Planning and preparation for transitions from one care setting to another and the follow-up care after transitions are completed. Planning and preparation for transitions from one care setting to another and the follow-up care after transitions are completed.
Pharmacy and drugs Prescription and some over the counter. Prescription and some over the counter. Prescription and some over the counter.
Pharmacy Benefit Manager CarelonRx CenterWell OptumRx
Dental Dental screenings, teeth cleaning, fillings, extractions and x-rays. Dental screenings, teeth cleaning, fillings, extractions and x-rays. Dental screenings, teeth cleaning, fillings, extractions and x-rays.
Dental Benefits Manager DentaQuest DentaQuest UHC Dental
Transportation Trips to medical appointments and other health-related trips at no cost. Trips to medical appointments and other health-related trips at no cost. Trips to medical appointments and other health-related trips at no cost.
Transportation Benefit Manager WellTrans LCP Transportation LCP Transportation
Vision Eye exams, glasses frames and lenses Eye exams, glasses frames and lenses Eye exams, glasses frames and lenses
Vision Benefit Manager Superior Vision EyeMed MARCH Vision

Covered Home and Community Based Services (HCBS) and Long Term Care (LTC) Benefits

*The following services apply only to  individuals eligible for Medicaid Long Term Services and Supports.

HCBS Waiver Benefits
  • Adult Day Service and Family Care
  • Attendant Care, Self-Directed Attendant Care services and Participant-Directed Home Care Service
  • Adult Day Service and Family Care
  • Attendant Care, Self-Directed Attendant Care services and Participant-Directed Home Care Service
  • Informal Caregiver Coaching and Behavior Management
  • Adult Day Service and Family Care
  • Attendant Care, Self-Directed Attendant Care services and Participant-Directed Home Care Service
  • Informal Caregiver Coaching and Behavior Management

Indiana Pathways for Aging Health Plan Summary

  • Informal Caregiver Coaching and Behavior Management
  • Community Home Share Assisted Living
  • Community Transition
  • Customized Living
  • Home Modification Assessment and Home Modifications
  • Goal Engagement (CAPABLE)
  • Home and Community Assistance (FKA Homemaker)
  • Home Delivered Meals
  • Integrated Health Care Coordination
  • Nutritional Supplements
  • Participant-Directed Attendant Care
    Personal Emergency Response Systems
  • Pest Control
  • Respite
  • Specialized Medical Equipment and Supplies
  • Structured Family Caregiving
  • Transportation
  • Vehicle Modifications
  • Community Home Share Assisted Living
  • Community Transition
  • Customized Living
  • Home Modification Assessment and Home Modifications
  • Goal Engagement (CAPABLE)
  • Home and Community Assistance (FKA Homemaker)
  • Home Delivered Meals
  • Integrated Health Care Coordination
  • Nutritional Supplements
  • Participant-Directed Attendant Care
    Personal Emergency Response Systems
  • Pest Control
  • Respite
  • Specialized Medical Equipment and Supplies
  • Structured Family Caregiving
  • Transportation
  • Vehicle Modifications
  • Community Home Share Assisted Living
  • Community Transition
  • Customized Living
  • Home Modification Assessment and Home Modifications
  • Goal Engagement (CAPABLE)
  • Home and Community Assistance (FKA Homemaker)
  • Home Delivered Meals
  • Integrated Health Care Coordination
  • Nutritional Supplements
  • Participant-Directed Attendant Care
    Personal Emergency Response Systems
  • Pest Control
  • Respite
  • Specialized Medical Equipment and Supplies
  • Structured Family Caregiving
  • Transportation
  • Vehicle Modifications
Long Term Care
Long Term Care in a Nursing FacilityLong Term Care in a Nursing FacilityLong Term Care in a Nursing Facility
Commonly Offered Programs/ Services
Category Anthem Blue Cross and Blue Shield Humana Healthy Horizons UnitedHealthcare Community Plan of Indiana
Member Rewards Program Earn gift cards and other items when you complete certain preventative care visits. Earn gift cards and other items when you complete certain preventative care visits. Earn gift cards and other items when you complete certain preventative care visits.
Member portal Online tool available 24 hours a day, 7 days a week to help you find a doctor, view benefits, and view a free health library. Online tool available 24 hours a day, 7 days a week to help you find a doctor, view benefits, and view a free health library. Online tool available 24 hours a day, 7 days a week to help you find a doctor, view benefits, and view a free health library.
Tobacco cessation and dependence treatment Programs available in partnership with the Indiana Tobacco Quitline at 800-QUIT-NOW. Programs available in partnership with the Indiana Tobacco Quitline at 800-QUIT-NOW. Programs available in partnership with the Indiana Tobacco Quitline at 800-QUIT-NOW.
Caregiver Supports Support for adult family members or other informal caregivers providing care to individuals. Support for adult family members or other informal caregivers providing care to individuals. Support for adult family members or other informal caregivers providing care to individuals.
Housing supports Assisting with transition or post-transition activities including requests and referrals, special needs/accommodations and location of housing options. Assisting with transition or post-transition activities including requests and referrals, special needs/accommodations and location of housing options. Assisting with transition or post-transition activities including requests and referrals, special needs/accommodations and location of housing options.  
Additional MCE- Specific Programs
Anthem 
Fresh Food Connect Healthy food options that meet your lifestyle needs, delivered to your doorstep.
Companion Connect Connect with a loved one 24/7 through a smart video speaker.
Healthy Adults, Healthy Results Online resources to promote stability, mobility and strength, plus choice of home fitness kit.
Home Safety Benefit Safety items like medication lockbox, non-skid tub mat, smoke alarm, fire extinguisher, carbon monoxide detector.
COPD/Asthma/Allergy Relief Products Choose from items like hypoallergenic bedding, HEPA air filters, pillow and mattress covers, inhalers, nebulizers.
Humana
Enhanced Dental Members can receive allowance to apply towards additional cost incurred during dental services.
Enhanced Vision Members can receive allowance to apply towards purchasing glasses (frame and lenses) and/or contacts.
Enhanced Hearing Members can receive unlimited visits for fitting and evaluations, allowance to use towards purchasing hearing aids and supplies for hearing aid batteries.
Transition Assistance to Living in Community Transition Assistance to Living in Community Description: Members can receive up to $5,000 allowance to apply towards costs incurred moving from nursing facility into a community setting.
Home-Delivered Meals Members can receive home delivered meals at no cost after inpatient hospitalization or discharge from nursing home.
United
Enhanced Dental and Vision Enhanced Dental and Vision Description: Benefit from extra services that include more visits and new glasses every year.
Fitness Memberships Want to work out? Our program includes many gyms across Indiana. Over 20,000 online classes are also available.
Fresh FoodRefrigerated meals or fresh fruits and vegetables are available when you need them most.
Respite Support If you get help from a friend or family member, we offer a special program to support them.
Virtual Community Center It’s never too late to learn how to use and enjoy the internet. Connect with peers who can help you interact online!

This page was last updated on February 27, 2025