UA Net HMO

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UA Net HMO is a limited network HMO which offers access to the providers and hospitals affiliated with the University of Colorado School of Medicine and the University of Colorado Hospital, including a limited number of community physicians associated with the University of Colorado School of Medicine (“UA Network”). All members must select a UA Net primary care physician (PCP) from the UA Net HMO Provider Directory (Find A Doctor). Specialty care can ONLY be accessed through a PCP referral, and this plan offers in-network coverage only, except in cases of an emergency. All employees/retirees under 65 statewide my elect the UA Net HMO. *This plan is available to Colorado residents only. 
The Prescription Drug Formulary for UA Net HMO is limited to Tiers 1 (Generic) and 2 (Brand Name Formulary) only. Medications listed as Non-Formulary are not covered. You can request mail order drugs through Anthem’s Pharmacy Benefit Manager (WellPoint NextRx) at 1-800-962-8192 or the CU Mail Prescription Service at University of Colorado Hospital at 720-848-1432. Certain medications will require prior authorization. 
Please note that while referrals are needed for specialists visits, you do not need a referral to see an in-network ob-gyn provider or an in-network ophthalmologist. 
Provider search functions using Anthem.com for MyAnthem.com cannot be used to find participating UA Net physicians at this time. To find a participating provider, please click on the “Find a Doctor” link below which will take you to the online directory of participating UA Net Providers. 
Find a Doctor
Formulary
Lista de Medicamentos
Formualry Search
Mail Order Prescriptions
2008 Health Plan Description Form
2009 Health Plan Description Form
2008 Medical Benefit Certificate
2009 Medical Benefit Certificate
2008 Vision Benefit Certificate
2009 Vision Benefit Certificate
Identification Card Sample
Pre-Certification/Authorization List
Rx Edits and Prior Authorizations
Continuity of Care Form
Coverage While Traveling
 

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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