Anthem Blue Cross Blue Shield Health Insurance

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PW_AD086864
Medical Policies 
 
The “Last Review Date” set forth in the Medical Policy is the most recent date the Medical Policy and Technology Assessment Committee has reviewed or revised the policy. This is not necessarily coincident with the “Current Effective Date” which is also shown on the policy. For example, we may require lead time in order to program a medical policy on our claims systems. In cases where a new or revised policy results in the denial of benefits for services which have historically been covered, we may opt to provide advance notice of the changes prior to the policy taking effect. To confirm the effective date of a particular policy for your state or region, please contact us.  
 
 
Administrative 
ADMIN.00001 Medical Policy Formation
ADMIN.00002 Preventive Health Guidelines
ADMIN.00004 Medical Necessity Criteria
ADMIN.00005 Investigational Criteria
ADMIN.00006 Review of Services for Benefit Determinations in the Absence of a Company Applicable Medical Policy or Clinical Utilization Management (UM) Guideline
ADMIN.00007 Immunizations
 
Ancillary, Miscellaneous 
ANC.00006 Biomagnetic Therapy
ANC.00007 Cosmetic and Reconstructive Services: Skin Related
ANC.00008 Cosmetic and Reconstructive Services of the Head and Neck
ANC.00009 Cosmetic and Reconstructive Services of the Trunk and Groin
 
 
Behavioral Health 
BEH.00001 Opioid Antagonists Under Heavy Sedation or General Anesthesia as a Technique of Opioid Detoxification
BEH.00002 Transcranial Magnetic Stimulation as a Treatment of Depression and Other Neuropsychiatric Disorders
BEH.00004 Treatment of Autism, Asperger’s Syndrome, Rett Syndrome, Childhood Disintegrative Disorder, and Pervasive Developmental Disorder Not Otherwise Specified (NOS)
 
 
Durable Medical Equipment 
DME.00004 Electrical Bone Growth Stimulation
DME.00005 Glucose Monitoring and Related Supplies
DME.00009 Vacuum Assisted Wound Therapy in the Outpatient Setting
DME.00011 Electrical Stimulation as a Treatment for Pain and Related Conditions: Surface and Percutaneous Devices
DME.00012 Oscillatory Devices for Airway Clearance including High Frequency Chest Compression (Vest™ Airway Clearance System) and Intrapulmonary Percussive Ventilation (IPV)
DME.00019 Continuous Passive Motion Devices
DME.00022 Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES)
DME.00024 Transtympanic Micropressure for the Treatment of Ménière’s Disease `
DME.00025 Patient-Operated Spinal Unloading Devices
DME.00027 Ultrasound Bone Growth Stimulation
DME.00028 Stretching Devices for the Treatment of Joint Stiffness and Contracture
DME.00030 Altered Auditory Feedback (AAF) Devices for the Treatment of Stuttering
DME.00032 Automated External Defibrillators for Home Use
DME.00033 TempTouch® Dermal Thermometer
DME.00034 Standing Frames
 
 
Prescription Drug  
DRUG.00002 Tumor Necrosis Factor Antagonists
DRUG.00003 Chelation Therapy
DRUG.00004 Prostacyclin Infusion Therapy and Inhalation Therapy for Treatment of Pulmonary Arterial Hypertension (epoprostenol [Flolan®], treprostinil [TYVASO™, Remodulin®], iloprost [Ventavis®])
DRUG.00006 Botulinum Toxin
DRUG.00009 Growth Hormone
DRUG.00013 Intravenous Immunoglobulin as a Treatment of Recurrent Spontaneous Abortion
DRUG.00015 Prevention of Respiratory Syncytial Virus Infections
DRUG.00017 Hyaluronan Injections for Musculoskeletal Conditions in Joints Other Than the Knee
DRUG.00024 Omalixumab (Xolair®) for Treatment of Asthma
DRUG.00026 Aerosolized Anti-infective Therapy for Sinusitis
DRUG.00027 Ziconotide Intrathecal Infusion (Prialt®) for Severe Chronic Pain
DRUG.00028 Intravitreal and Periocular Injection Treatment for Retinal Vascular Conditions
DRUG.00030 Histamine Desensitization Therapy
DRUG.00031 Subcutaneous Hormone Replacement Implants
DRUG.00032 Fluocinolone Acetonide Intravitreal Implant
DRUG.00034 Insulin Potentiation Therapy
DRUG.00035 Panitumumab (Vectibix™)
DRUG.00036 Cetuximab (Erbitux®)
DRUG.00038 Bevacizumab (Avastin®) for Oncologic Indications
DRUG.00039 Trastuzumab (Herceptin®)
DRUG.00040 Abatacept (Orencia®)
DRUG.00041 Rituximab (Rituxan®)
DRUG.00042 Ustekinumab (Stelara™)
DRUG.00043 Tocilizumab (Actemra®)
 
 
Genetics  
GENE.00001 Genetic Testing for Cancer Susceptibility
GENE.00002 Preimplantation Genetic Diagnosis Testing
GENE.00003 Genetic Testing and Biochemical Markers for the Diagnosis of Alzheimer’s Disease
GENE.00004 Janus Kinase 2 (JAK2) V617F Gene Mutation Assay
GENE.00005 BCR-ABL Mutation Analysis
GENE.00006 Epidermal Growth Factor Receptor (EGFR) Testing for Non-Small Cell Lung Cancer (NSCLC)
GENE.00007 Cardiac Ion Channel Genetic Testing
GENE.00008 Analysis of Fecal DNA for Colorectal Cancer Screening and Surveillance
GENE.00009 Gene-Based Tests for Screening, Detection and Management of Prostate Cancer
GENE.00010 Genotype Testing for Genetic Polymorphisms to Determine Drug-Metabolizer Status
GENE.00011 Gene Expression Profiling for Managing Breast Cancer Treatment
GENE.00012 Preconceptional or Prenatal Genetic Testing of a Parent or Prospective Parent
GENE.00013 Diagnostic Genetic Testing of a Potentially Affected Individual (Adult or Child)
GENE.00014 Analysis of KRAS Status in Metastatic Colorectal Cancer
GENE.00015 Predictive Genetic Testing for Non-Malignant Diseases
 
 
Laboratory  
LAB.00003 In Vitro Chemosensitivity Assays and In Vitro Chemoresistance Assays
LAB.00011 Analysis of Proteomic Patterns
LAB.00012 Hyaluronan Binding Assay (HBA)
LAB.00015 Detection of Circulating Tumor Cells in the Blood as a Prognostic Factor in Patients with Metastatic Cancer
LAB.00016 Fecal Analysis in the Diagnosis of Intestinal Dysbiosis
LAB.00019 Serum Markers for Liver Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease
LAB.00020 Intraepidermal Nerve Fiber Density Testing
LAB.00024 Immune Cell Function Assay for the Management of Organ Transplant Rejection
LAB.00025 Topographic Genotyping (PathFinderTG® Test)
 
 
Medicine  
MED.00002 Diagnosis of Sleep Disorders
MED.00004 Technologies for the Evaluation of Skin Lesions (including Dermatoscopy, Epiluminescence Microscopy, Videomicroscopy, Ultrasonography)
MED.00005 Hyperbaric Oxygen Therapy (Systemic/Topical)
MED.00006 Ophthalmologic Techniques for Evaluating Glaucoma
MED.00007 Prolotherapy/Sclerotherapy for Joint and Ligamentous Injections
MED.00008 Ultraviolet Light, including Laser Therapy, for the Treatment of Skin Disorders
MED.00010 Enhanced External Counterpulsation (EECP) in the Outpatient Setting
MED.00011 Sensory Stimulation for Brain-Injured Patients in Coma or Vegetative State
MED.00013 Parenteral Antibiotics for the Treatment of Lyme Disease
MED.00015 Allergy Testing
MED.00023 Biofeedback Therapy and Neurofeedback
MED.00024 Adoptive Immunotherapy and Cellular Therapy
MED.00026 Hyperthermia for Cancer Therapy
MED.00032 Treatment of Hyperhidrosis
MED.00041 Microvolt T-Wave Alternans
MED.00046 Electrical Stimulation and Electromagnetic Therapy for Wound Healing
MED.00047 Exhaled Nitric Oxide and Breath Condensate pH Measurement for Respiratory Disorders
MED.00050 Skin Contact Monochromatic Infrared Energy Therapy (MIRE)
MED.00051 Real-Time Remote Heart Monitors
MED.00053 Non-Invasive Measurement of Left Ventricular End Diastolic Pressure (LVEDP) in the Outpatient Setting
MED.00054 Treatment for Obstructive Sleep Apnea in Adults
MED.00055 Wearable Cardioverter Defibrillators
MED.00056 Techniques for the Measurement of Body Composition
MED.00057 MRI Guided High Intensity Focused Ultrasound Ablation of Uterine Fibroids
MED.00059 Idiopathic Environmental Illness (IEI)
MED.00061 Biofeedback for Constipation or Fecal Incontinence
MED.00062 Biofeedback for Muscle Re-education and Chronic Pain
MED.00064 Transcatheter Ablation of Arrhythmogenic Foci in the Pulmonary Veins as a Treatment of Atrial Fibrillation (Radiofrequency and Cryoablation)
MED.00065 Hepatic Activation Therapy
MED.00066 Cooling Devices and Combined Cooling/Heating Devices in the Outpatient Setting
MED.00069 Carotid Intimal Medial Thickness Measurement
MED.00073 Treatment of Tinnitus
MED.00074 Computer Analysis of Electrocardiography (ECG)
MED.00076 Inhaled Nitric Oxide for the Treatment of Respiratory Failure
MED.00077 In Vivo Analysis of Colorectal Polyps
MED.00079 Manipulation Under Anesthesia of the Spine and Joints other than the Knee
MED.00081 Cognitive Rehabilitation
MED.00082 Quantitative Sensory Testing
MED.00083 Melanoma Vaccines
MED.00085 Antineoplaston Therapy
MED.00087 Imaging Techniques for Screening and Identification of Cervical Cancer
MED.00089 Quantitative Muscle Testing Devices
MED.00090 Wireless Capsule for the Evaluation of Suspected Gastric and Intestinal Motility Disorders (SmartPill GI Monitoring System®)
MED.00091 Rhinophototherapy
MED.00092 Automated Nerve Conduction Testing
MED.00093 Corneal Hysteresis
MED.00094 Electrocardiographic (ECG) Body Surface Mapping
MED.00095 Anterior Segment Optical Coherence Tomography
MED.00096 Low-Frequency Ultrasound Therapy for Wound Management
MED.00097 Neural Therapy
MED.00098 Hyperoxemic Reperfusion Therapy
MED.00099 Electromagnetic Navigational Bronchoscopy
MED.00100 Diaphragmatic/Phrenic Nerve Stimulation
MED.00101 Physiologic Recording of Tremor using Accelerometer(s) and Gyroscope(s)
MED.00102 Ultrafiltration of Decompensated Heart Failure
MED.00103 Automated Meibomian Gland Evacuation
MED.00104 Non-invasive Measurement of Advanced Glycation Endproducts (AGEs) in the Skin
 
 
Orthotics/Prosthetics  
OR-PR.00002 Adjustable Cranial Orthosis for Synostotic and Non-Synostotic Indications
OR-PR.00003 Microprocessor Controlled Lower Limb Prosthesis
 
 
Radiology  
RAD.00001 Computed Tomography to Detect Coronary Artery Calcification
RAD.00002 Positron Emission Tomography (PET) and PET/CT Fusion
RAD.00004 Peripheral Bone Mineral Density Measurement
RAD.00011 Transcatheter Arterial Chemoembolization (TACE) and Transcatheter Arterial Embolization (TAE)
RAD.00012 Ultrasound for the Evaluation of Paranasal Sinuses
RAD.00014 Brachytherapy for Oncologic Indications
RAD.00015 Proton Beam Radiation Therapy
RAD.00016 Intravascular Brachytherapy (Coronary and Non-Coronary)
RAD.00017 Intraoperative Radiation Therapy
RAD.00019 Magnetic Source Imaging and Magnetoencephalography
RAD.00022 Magnetic Resonance Spectroscopy (MRS)
RAD.00023 Single Photon Emission Computed Tomography (SPECT) Scans for Noncardiovascular Indications
RAD.00029 CT Colonography (Virtual Colonoscopy) as a Screening or Diagnostic Test for Colorectal Cancer
RAD.00030 Wireless Capsule Endoscopy for Esophageal and Small Bowel Imaging and the Patency Capsule
RAD.00031 Radioimmunotherapy and Somatostatin Receptor Targeted Radiotherapy
RAD.00033 Selective Internal Radiation Therapy (SIRT) of Primary or Metastatic Liver Tumors (i.e., SIR-Sphere and TheraSpheres)
RAD.00034 Dynamic Spinal Visualization (Including Digital Motion X-ray and Cineradiography/ Videofluoroscopy)
RAD.00035 Coronary Artery Imaging: Contrast-Enhanced Coronary Computed Tomography Angiography (CCTA) and Coronary Magnetic Resonance Angiography (MRA)
RAD.00036 MRI of the Breast
RAD.00037 Whole Body CT Scanning
RAD.00038 Use of 3-D and 4-D Ultrasound in Maternity Care
RAD.00040 PET Scanning Using Gamma Cameras
RAD.00041 Intensity Modulated Radiation Therapy (IMRT)
RAD.00042 SPECT/CT Fusion Imaging
RAD.00043 CT Scans with or without Computer Assisted Detection (CAD) for Lung Cancer Screening
RAD.00044 Magnetic Resonance Neurography
RAD.00045 Cerebral Perfusion Imaging Using Computed Tomography
RAD.00046 Cerebral Perfusion Studies using Diffusion and Perfusion Magnetic Resonance Imaging
RAD.00047 Neutron Beam Radiotherapy
RAD.00049 Low Field and Conventional Magnetic Resonance Imaging (MRI) for Screening, Diagnosing and Monitoring
RAD.00051 Functional Magnetic Resonance Imaging (fMRI)
RAD.00052 Positional MRI
RAD.00053 Cervical and Thoracic Discography
RAD.00054 MRI of the Bone Marrow
RAD.00055 MR Angiography (MRA) of the Spinal Canal
RAD.00056 Intraocular Epiretinal Brachytherapy
RAD.00057 Near-Infrared Imaging as an Aid for the Evaluation of Coronary Artery Plaques (LipiScan™ Coronary Imaging System)
RAD.00058 Real-Time Intra-Fraction Target Tracking During Radiation Therapy
 
 
Rehabilitation  
REHAB.00003 Hippotherapy
 
 
Surgery  
SURG.00001 Carotid, Vertebral and Intracranial Artery Angioplasty with or without Stent Placement
SURG.00005 Partial Left Ventriculectomy
SURG.00007 Vagus Nerve Stimulation
SURG.00008 Mechanized Spinal Distraction Therapy for Low Back Pain (VAX-D® Therapy, DRS® System, Accu-Spina System™, IDD Therapy)
SURG.00009 Refractive Surgery
SURG.00010 Treatments for Urinary Incontinence and Urinary Retention
SURG.00011 Autologous, Allogeneic, Xenographic, Synthetic and Composite Products for Wound Healing and Soft Tissue Grafting
SURG.00014 Cochlear Implants and Auditory Brainstem Implants
SURG.00016 Stereotactic Radiofrequency Pallidotomy
SURG.00017 Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiotherapy (SBRT)
SURG.00019 Transmyocardial Revascularization
SURG.00020 Bone Anchored Hearing Aids
SURG.00022 Lung Volume Reduction Surgery
SURG.00023 Breast Procedures, including Reconstructive Surgery, Implants and Other Breast Procedures
SURG.00024 Surgery for Clinically Severe Obesity
SURG.00025 Cryosurgical Ablation of Solid Tumors Outside the Liver
SURG.00026 Deep Brain Stimulation
SURG.00028 Surgical and Minimally Invasive Treatments for Benign Prostatic Hyperplasia (BPH) and Other Genitourinary Conditions
SURG.00032 Transcatheter Closure of Cardiac Defects
SURG.00033 Implantable Cardioverter-Defibrillator (ICD)
SURG.00036 Fetal Surgery for Prenatally Diagnosed Malformations
SURG.00037 Treatment of Varicose Veins (Lower Extremities)
SURG.00043 Electrothermal Shrinkage of Joint Capsules, Ligaments and Tendons Shrinkage
SURG.00044 Breast Ductal Examination and Fluid Cytology Analysis
SURG.00045 Extracorporeal Shock Wave Therapy for Orthopedic Conditions
SURG.00046 Gastric Electrical Stimulation
SURG.00047 Transendoscopic Therapy for Gastroesophageal Reflux Disease
SURG.00048 Panniculectomy and Abdominoplasty
SURG.00049 Mandibular/Maxillary (Orthognathic) Surgery
SURG.00050 Radiofrequency Ablation to Treat Tumors Outside the Liver
SURG.00051 Hip Resurfacing
SURG.00052 Intradiscal Annuloplasty Procedures (Percutaneous Intradiscal Electrothermal Therapy [IDET], Percutaneous Intradiscal Radiofrequency Thermocoagulation [PIRFT] and Intradiscal Biacuplasty)
SURG.00053 Unicondylar Interpositional Spacer
SURG.00054 Endovascular/Endoluminal Repair of Aortic Aneurysms
SURG.00055 Artificial Intervertebral Discs
SURG.00056 Transanal Radiofrequency Treatment of Fecal Incontinence
SURG.00059 Recombinant Human Bone Morphogenetic Protein
SURG.00060 Implanted Spinal Cord Stimulators (SCS)
SURG.00061 Presbyopia and Astigmatism-Correcting Intraocular Lenses
SURG.00062 Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
SURG.00064 Cardiac Resynchronization Therapy (CRT) with or without an Implantable Cardioverter Defibrillator (CRT/ICD) for the Treatment of Heart Failure
SURG.00065 Locally Ablative Techniques for Treating Primary and Metastatic Liver Malignancies
SURG.00066 Percutaneous Neurolysis for Chronic Back Pain
SURG.00067 Percutaneous Spinal Procedures (Vertebroplasty, Kyphoplasty and Sacroplasty)
SURG.00068 Implantable Infusion Pumps
SURG.00070 Photocoagulation of Macular Drusen
SURG.00071 Percutaneous and Endoscopic Spinal Surgery
SURG.00072 Lysis of Epidural Adhesions
SURG.00073 Epiduroscopy
SURG.00074 Nasal Surgery for the Treatment of Obstructive Sleep Apnea (OSA) (Including Radiofrequency Ablation of Nasal Turbinates for Nasal Obstruction with or without OSA)
SURG.00075 Intervertebral Stabilization Devices
SURG.00076 Nerve Graft after Prostatectomy
SURG.00077 Laparoscopic and Percutaneous MRI-Image Guided Techniques for Myolysis as a Treatment of Uterine Fibroids
SURG.00079 Nasal Valve Suspension
SURG.00081 Total Ankle Replacement
SURG.00082 Computer-Assisted Musculoskeletal Surgical Navigational Orthopedic Procedures
SURG.00084 Semi-Implantable Middle Ear Hearing Aids
SURG.00085 Mastectomy for Gynecomastia
SURG.00086 Reduction Mammaplasty
SURG.00087 Transciliary Fistulization for the Treatment of Glaucoma
SURG.00088 Coblation® Use for Musculoskeletal Conditions
SURG.00089 Balloon Sinuplasty
SURG.00090 Radiofrequency Ablation for Trigeminal Neuralgia
SURG.00092 Implanted Devices for Spinal Stenosis
SURG.00093 Treatment of Osteochondral Defects of the Knee and Ankle
SURG.00094 High Intensity Focused Ultrasound (HIFU) for the Treatment of Prostate Cancer
SURG.00095 Canaloplasty
SURG.00096 Surgical Treatment of Migraine Headaches
SURG.00097 Vertebral Body Stapling for the Treatment of Scoliosis in Children and Adolescents
SURG.00098 Mechanical Embolectomy for Treatment of Acute Stroke
SURG.00099 Convection Enhanced Delivery of Therapeutic Agents to the Brain
SURG.00100 Cryoablation for Plantar Fasciitis and Plantar Fibroma
SURG.00101 Suprachoroidal Injection of a Pharmacologic Agent
SURG.00102 Artificial Anal Sphincter for the Treatment of Severe Fecal Incontinence
SURG.00103 Intraocular Anterior Segment Aqueous Drainage Devices (without extraocular reservoir)
SURG.00104 Subtalar Arthroereisis
SURG.00105 Biocompartmental Knee Arthroplasty
SURG.00106 Radiofrequency Ablation as a Treatment for Barrett’s Esophagus
SURG.00107 Prostate Saturation Biopsy
SURG.00108 Endothelial Keratoplasty
SURG.00109 Surgical Treatment of Femoroacetabular Impingement Syndrome
SURG.00110 Transanal Endoscopic Microsurgical (TEM) Excision of Rectal Lesions
SURG.00111 Axial Lumbar Interbody Fusion
SURG.00112 Occipital Nerve Stimulation
SURG.00113 Artificial Retinal Devices
SURG.00114 Facet Joint Allograft Implants for Facet Disease
SURG.00115 Keratoprosthesis
SURG.00116 High Resolution Anoscopy Screening for Anal Intraepithelial Neoplasia (AIN) and Squamous Cell Cancer of the Anus
 
 
Transplants  
TRANS.00004 Cell Transplantation (Mesencephalic, Adrenal-Brain and Fetal Xenograft)
TRANS.00008 Liver Transplantation
TRANS.00009 Lung and Lobar Transplantation
TRANS.00010 Autologous and Allogeneic Islet Cell Transplantation
TRANS.00011 Pancreas Transplantation and Pancreas Kidney Transplantation
TRANS.00013 Small Bowel and Multivisceral Transplant including Small Bowel/Liver
TRANS.00014 Mechanical Circulatory Assist Devices (Ventricular Assist Devices and Artificial Hearts)
TRANS.00015 Meniscal Allograft Transplantation of the Knee
TRANS.00016 Umbilical Cord Blood Progenitor Cell Collection, Storage and Transplantation
TRANS.00018 Donor Lymphocyte Infusion for Hematologic Malignancies after Allogeneic Hematopoietic Progenitor Cell Transplantation
TRANS.00022 Autologous Cell Therapy for the Treatment of Damaged Myocardium
TRANS.00023 Hematopoietic Stem Cell Transplantation for Multiple Myeloma and Amyloidosis
TRANS.00024 High-Dose Chemotherapy with Hematopoietic Stem Cell Transplantation for Select Leukemias and Myelodysplastic Syndrome
TRANS.00025 Laboratory Testing as an Aid in the Diagnosis of Heart Transplant Rejection
TRANS.00026 Heart/Lung Transplantation
TRANS.00027 Hematopoietic Stem Cell Transplantation for Pediatric Solid Tumors
TRANS.00028 Hematopoietic Stem Cell Transplantation for Hodgkin Disease and non-Hodgkin Lymphoma
TRANS.00029 Hematopoietic Stem Cell Transplantation for Genetic Diseases and Aplastic Anemias
TRANS.00030 Hematopoietic Stem Cell Transplantation for Germ Cell Tumors
TRANS.00031 Hematopoietic Stem Cell Transplantation for Autoimmune Disease and Miscellaneous Solid Tumors
TRANS.00033 Heart Transplantation
TRANS.00034 Hematopoietic Stem Cell Transplantation for Diabetes
TRANS.00035 Mesenchymal Stem Cell Therapy For Orthopedic Indications
 
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri: RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Missouri (excluding 30 counties in the Kansas City area), Ohio, Wisconsin, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123). Use of the Anthem Web sites constitutes your agreement with our Terms of Use