Grievances and Appeals | Indiana Medicaid

Let Us Know If We Made A Mistake

You may want to file a grievance if:

You're not satisfied with Anthem for any reason.

You’ve had a problem with the quality of care you’ve received from our services or network providers.

You’ve had difficulty getting access to care.

You feel your rights and dignity have been disrespected.

You have experienced rude behavior from a provider or an Anthem HealthKeepers Plus associate.

To appoint a representative to act on your behalf, please provide your written consent. Your representative can be a friend or family member, your doctor, or an attorney.

Filing A Grievance

If you have a complaint or problem with the care you are getting, you can file a grievance with Anthem. A grievance can be filed in writing, or by phone. A grievance can be filed with Anthem at any time.

Call us at:

Hoosier Healthwise, Healthy Indiana Plan

866-408-6131 (TTY 711)

Hoosier Care Connect

844-284-1797 (TTY 711)

Indiana PathWays for Aging

833-412-4405 (TTY 711)

Monday-Friday 8 a.m.–8 p.m. Eastern time. Our Member Services staff will try to take care of your problem right away.

Send your appeal to:

Grievance Coordinator

Anthem Blue Cross and Blue Shield

P.O. Box 62429

Virginia Beach, VA 23466

Complete the Member Grievance Form found below. Fax your letter or completed Member Grievance Form, along with any documents, to 855-516-1083.

Member Grievance Form - English

Member Grievance Form - Spanish

You Can Appeal If Your Service Gets Denied

You have the right to ask for an appeal if you don’t agree with our decision to deny or reduce a service. An appeal is when you ask us to look again at the care we denied to make sure we made the right decision.

If we deny, reduce, or end treatment or services, we’ll send you a Notice of Adverse Determination. It will:

Explain why we won't pay for the care or services your provider asked for.

Tell you about your right to appeal our decision.

You, or your approved representative, can appeal the decision.

Filing An Appeal

If you want to file an appeal about how we solved your problem, you must do so within 60 calendar days from the day of our decision on the grievance resolution letter.