What will my claims look like? CLAIM #1 CLAIM #2 CLAIM #3 You went to Ascension You went to IU Health and saw If you went to a provider St. Vincent and saw a a Tier 2 provider. You stayed that does not participate in Tier 1 provider. Therefore, in-network, but your level of HealthSync or Tier 2 PPO, you you received the highest benefits were not as high as will have the highest out of level of benefits. seeing a Tier 1 provider. pocket cost and providers may Reference your Tier 1 benefits on Reference your Tier 2 benefits on balance bill you for services. your benefits summary guide. your benefits summary guide. Reference your Out-of-network (Tier 3) benefits summary guide. Do members need to get a referral from their PCP to see a specialist? HealthSync plans are open access, meaning that referrals are not required. What if I have more questions? Contact Customer Service at 833-578-4441. Our Customer Service team will simplify the healthcare experience, so you better understand your health situation and are able to find the right care at the right time – for the right cost. 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.