Kentucky Pathway Transition HMO

Effective January 1, 2019, Anthem will be expanding the offering of the Pathway Transition HMO into 17 Kentucky counties, primarily centered around Jefferson and Fayette counties. This individual product has a narrow provider network, so it is imperative that both Covered Individuals and Providers are aware of the network composition. Covered Individuals must be referred/admitted to Providers within the Pathway Transition HMO network. In the event a medically necessary service is not available within the network, the Provider must obtain prior approval from Anthem before rendering the service.

In the Louisville area, the network consists of University of Louisville Hospital, University of Louisville Physicians (ULP), Family Health Centers, plus ancillary and behavioral health providers.

In Hardin County, the network consists of Hardin Memorial Hospital and physicians.

In Carroll County, the network consists of Carroll County Memorial Hospital and physicians.

In Lexington and the surrounding area, the network consists of University of Kentucky Healthcare. 

Please reference the Provider Directory for network updates.

 

2019 Pathway Transition HMO Counties: Bourbon, Bullitt, Carroll, Clark, Fayette, Hardin, Henry, Jefferson, Jessamine, Larue, Nelson, Oldham, Scott, Shelby, Spencer, Trimble, Woodford

 

If you have any questions about this product or network, please contact your Network Relations Consultant.