Live Your Life Without Hip or Knee Pain

Live your life without hip or knee pain A Designated Orthopedic Network facility can help If you experience hip or knee pain, everyday activities can be challenging, and the 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 HealthSync Options 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 lower costs. To learn more about how our program can support your health journey and to see a list of Designated Orthopedic Network facilities, please visit anthem.com/indianahealthsync/. 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 at an affordable cost. • 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 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 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 your member ID card to see if your suggested procedure is eligible for coverage. 1 Your time frame 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. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. 1066616INMENABS 08/25