Main Content
Member News

October 09, 2025
 
indianahealthsync
 

Live your life without knee or hip pain

 

If you experience hip or knee pain, everyday activities can be challenging, and discomfort can even keep you up at night.

When other treatment options don’t provide relief, it may be time for surgery. As part of the plan, you have access to a Designated Orthopedic Network of facilities specifically developed for hip and knee replacements (for your primary procedure and/or revision surgery). This special Designated Network ensures you can receive high quality care, and costs.
 
Starting January, 2026, Anthem plan members will be directed to Designated Network facilities for hip and knee procedures, where they can benefit from coordinated care, advanced resources, and trusted specialists.
 
Should you need a hip or knee replacement and/or revision, your care will be directed to one of our Designated Orthopedic Network facilities to ensure the best outcomes.
 
  • Franciscan Orthopedic Surgery Center LLC (aka Forte Sports Medicine and Orthopedics) 
    • 10777 Illinois St Ste H3000 Carmel, IN, 46032
    • (Forté) Initial Visit Locations: Members may use this link to schedule appointments for general orthopedic services.
  • OrthoIndy
    • 8400 Northwest Blvd Indianapolis, IN 46278
    • (OrthoIndy) Initial Visit Locations : Members may use this link to schedule appointments for general orthopedic services.
    • OrthoIndy Concierge : 317-802-2188
 

The Designated Orthopedic Network facilities offer you:

  • Peace of mind, knowing you received care at a nationally recognized specialty care hospital.
  • Access to high quality surgeons.
  • Priority scheduling, with initial evaluations scheduled within three business days and surgeries within four weeks.1
  • Concierge-level service which can help make appointments and schedule follow-up care.

What does it cost?
Eligible hip and knee surgeries and/or revisions at one of these Designated Orthopedic Network facilities will be covered under your benefit plan, with normal cost-sharing (such as deductibles or coinsurance) applying. To receive these benefits, procedures must be performed at one of the Designated Orthopedic Network facilities. Services received at a facility outside of the Designated Orthopedic Network are not eligible for coverage under any benefit tier; however, you may request an exception through the appeal process, and individual circumstances will be reviewed.²

 

Learn more
Call the number on the back of your member ID card to discuss your needs and see if your suggested procedure is eligible for coverage.

 
 
 

1 Your timeframe for surgery may vary based on when you decide to pursue surgery following a surgical recommendation and is dependent upon your current health status.
2 If a surgery is already authorized before 1/1/26, It may proceed as scheduled.