Anthem Blue Cross and Blue Shield Benefits

We help make sure you and your family get all your Medicaid benefits. Plus, Anthem members get extra benefits at no cost!

What You Get With Anthem

  Doctor Visits

  Prescriptions

  Vision Care

Medical Care

 

As a member, you get all of your Medicaid benefits and services, including:

 

  • Primary care provider (PCP) visits 
  • Immunizations and wellness visits 
  • COVID-19 testing, treatment, and vaccinations
  • Maternity care 
  • Virtual care options, including telehealth and 24/7 NurseLine
  • Hospital care 
  • Lab and X-ray services 
  • Home health and personal care services 
  • Hospice care 
  • Emergency and urgent care 
  • Specialty care  
  • Behavioral health services (Mental Health and Substance Abuse Services) 

 

See your member handbook a full list of benefits. All services must be medically necessary.  

Pharmacy And Prescription Drugs

 

Your pharmacy benefits are covered under the state Medicaid program and managed by Gainwell Technologies. If you have questions about your pharmacy benefits, call 833-491-0344.

Dental Care

As a part of your benefits, you receive dental coverage through DentaQuest. For more information, contact DentaQuest at 888-291-3762 (TTY 800-466-7566).
 

Find a dentist  

Vision Care

Your benefits include routine eye exams and eyeglasses, if needed. 

 

Find an eye doctor 

 

 

Wellness Care

This guide can help you know when to set up doctor visits and important screenings for you and your children. Ask your doctor which exams, tests, and vaccines are right for you, when you need them, and how often. For more information, you can visit Ohio’s Healthchek website.

 

Transportation Services

You can get no-cost rides to and from your appointments. Visit the Transportation page to learn more about setting up a ride.

 

Go to the Transportation page

Care Management

 

Managing your healthcare alone can be hard, especially if you are dealing with many health problems at the same time. If you need extra support to get and stay healthy, we can help. As a member of Anthem, you may have a care manager on your healthcare team. A care manager is a specially trained health professional who works with you and your doctors to make sure you get the right care when and where you need it.

Extra Benefits

We know that healthcare is more than just doctor visits. As an Anthem member, you have access to no-cost extras to help you live your best. Contact Member Services to learn more about these value-added services. Note: Some benefits have eligibility requirements.

Extras To Live Well

Enhanced adult dental — one additional cleaning, X-rays, and scaling and root planning services (for members 21 and older)

Transportation services — rides to appointments, $100 Uber gift card, $100 gas card, or up to $300 in car repairs for members ages 18 and older

$100 allowance to purchase over-the-counter supplies online or in store

Free home-delivered meals to eligible members after hospital discharge

Extras For Education

Up to 24 hours of one-on-one, virtual tutoring services for kids and teens ages 6–18

Free laptop computer for recent high school or college grads to help with employment and educational pursuits

 

 

 

Extras For New And Expecting Parents

Baby essentials bundle — choice of two: Boppy pillow, highchair, booster seat, portable crib, car seat, breastfeeding support kit, or safe sleep kit

Up to $75 worth of diapers shipped directly to your home

Up to $30 in organic baby food

 

 

Extras For Taking The Next Step

Employment certification assistance — Anthem will cover the cost of certain industry certifications

Substance use disorder recovery support

 

 

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Benefit Reward Hub

 

Log in to get started today!

 

You can redeem some benefits online through your secure account. View the extra benefits you’re eligible for on the Benefit Reward Hub. or call Member Services at 844-912-0938 (TTY 711).

Visit The Benefit Reward Hub

Healthy Rewards

 

Healthy Rewards is a no-cost, optional program for health plan members. The program encourages you to get the care you need to create a healthy lifestyle and then rewards you for completing healthy activities. 

 

You may be eligible to earn these Healthy Rewards through the Benefit Reward Hub:

Pregnant Women And New Moms

 

  Up to $80 for completing prenatal and postpartum care visits, including a bonus new mom maternity reward

 

  Up to $100 for completing eight well-child visits, ages 0–30 months, including a bonus well-child and vaccine reward

Child Wellness
  • $10 for completing the combo 10 vaccine before age 2
  • $10 when you refill asthma medication
  • $10 for completing a lead screening (blood test) before age 2
  • $10 for completing child & adolescent wellness visits
Healthy Lifestyle And Preventive Care
  • Up to $80 annually for diabetic screenings
  • Up to $50 for women’s preventive screenings (breast and cervical cancer and chlamydia)
  • Up to $40 for tobacco cessation programs and completion
  • Up to $45 for completing an annual health screener and dental visit
Mental Health
  • $20 for follow-up with the doctor after a hospital stay
  • $20 for screening and testing for members taking antipsychotic medication

Enroll And Earn Rewards

 

To see what you’re eligible to earn, enroll in Healthy Rewards by logging into your Anthem account and visiting the Benefit Reward Hub. You can also enroll in the program or learn more by calling Healthy Rewards.

 

888-990-8681 (TTY 711)

 

Monday through Friday from 9 a.m. to 8 p.m. Eastern time.

Visit The Benefit Reward Hub

Member Resources

We want you to understand your benefits and receive the best possible care. Here are some resources to help.

New Member Information

As a new member, we know you have questions. Read our tips to help you get started with your new health plan. 

 

New member guide

Member Handbook

Complete benefit information can be found in your member handbook.

 

Member handbook - English

 

Member handbook - Spanish

 

Find more useful resources on the Member Materials page

 

Member Services

Have questions about your benefits? We’re here to help via live chat, secure messaging, or a phone call. 

 

Contact us

24/7 NurseLine

Need to talk with a nurse?

 

  833-430-0341 (TTY 711)

Whether it’s 3 a.m. or a Sunday afternoon, health issues come up. That’s why you can always call our 24/7 NurseLine and speak directly to a nurse. Get answers to your medical questions anytime, day or night.

Want To Join Anthem?

Find out if you qualify and how to enroll.

Learn More

If You Have Questions About Anthem

Contact Us

Call Member Services at 833-912-0938 (TTY 711) Monday through Friday from 7 a.m. to 8 p.m. Eastern time.