HealthSync FAQ

Your HealthSync network Questions and answers to help you save on healthcare costs HealthSync is a network of carefully chosen, high-quality care providers who offer their services at the lowest rates available. That means you can see a doctor who is truly invested in your health. HealthSync also offers: • Access to high-performing care providers who are driven by quality. • Lower costs when you use a care provider in your plan’s network. • Access to nearly 10,000 care providers and 45 hospitals across Indiana. • Easy-to-use access to care if you’re out of state or away from home through BlueCard. Below is information to help answer any questions you may have. What are the benefits of HealthSync? Anthem and your employer want you and your covered family members to have strong relationships with top-performing doctors to keep you at your healthiest. That’s why HealthSync offers: • Care providers with a proven track record of success for high-quality, personalized care and keeping costs low. • Access to telehealth visits for minor or routine covered services. • Lower costs. What are tiers of coverage? Your health plan has three tiers of coverage. The least-expensive options are when you receive care from providers in the HealthSync network (tier 1). You may still access care from providers in the Anthem preferred provider organization network (tier 2), and those expenses will be considered in your plan’s network. Care providers in tier 3 are considered out of network and will have higher out-of-pocket costs. Here’s a breakdown: Tier 1 – HealthSync network (lowest costs for you) Care providers in this network have agreed to become even stronger partners by giving enhanced care to patients, meeting best-practice quality standards, and charging the lowest fees for their services. A great deal of research goes into creating this network to benefit our members. Tier 2 – Your health plan’s network but not HealthSync (lower costs for you) Care providers in your plan’s network are not part of the HealthSync network, but they are still considered to be in network. That means your costs will still be lower than using care providers who are out of your plan’s network. Tier 3 – Outside of your plan’s network (higher costs for you) These care providers do not have contracted arrangements with Anthem, so there are no set limits for what they can charge. That can leave you with more out-of-pocket expenses for services. How do HealthSync medical expenses work? Your medical expenses will count toward your HealthSync and in-network deductible. This includes charges from HealthSync care providers, care providers in your plan’s network, and prescriptions. • Once you reach your HealthSync out-of-pocket maximum, HealthSync care providers will be covered 100%. • Care providers in your plan’s network will continue to apply toward your in-network deductible and in-network out-of-pocket maximum. 1052288INMENABS 04/23