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
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. See the prior authorization document for a list of those services requiring approval.
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.
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).
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.
View preventative health guidelines (English)
View preventative health guidelines (Spanish)
For more information on check-ups for members younger than age 21, you can visit Ohio’s Healthchek website.
You can get no-cost rides to and from your appointments. Visit the Transportation page to learn more about setting up a ride.
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)
$100 allowance to purchase over-the-counter supplies online or in store
Free home-delivered meals to eligible members after hospital discharge
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 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 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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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
- $10 for completing the combo 10 vaccine before age 2
- Up to $20 when you refill asthma medication
- $10 for completing a lead screening (blood test) before age 2
- $10 for completing child and adolescent wellness visits
- 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
- $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 at 888-990-8681 (TTY 711) Monday through Friday from 9 a.m. to 8 p.m. Eastern time.
Member Resources
We want you to understand your benefits and receive the best possible care. Here are some resources to help.
As a new member, we know you have questions. Read our tips to help you get started with your new health plan.
Complete benefit information can be found in your member handbook.
Member handbook - English [PDF]
Member handbook - Spanish [PDF]
Find more useful resources on the Member Materials page
Have questions about your benefits? We’re here to help via live chat, secure messaging, or a phone call.
24/7 NurseLine
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.
If You Have Questions About Anthem
Contact UsCall Member Services at 833-912-0938 (TTY 711) Monday through Friday from 7 a.m. to 8 p.m. Eastern time.