Important Information on the HealthKeepers POS Select Product

HealthKeepers POS Select products are designed for National Account members. This allows employers with employees living or working in the Virginia service area for Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. to utilize additional, specific networks within the local market other than the BlueCard designated networks. When not in Anthem’s service area, select members can enjoy the benefits of the nationwide PPO network. Examples of identifying select members will be covered in the ID Card section below.

National HealthKeepers POS Select products should not be confused with local HealthKeepers HMO or local HealthKeepers POS products (these products may only be sold in Virginia).

• While in the Virginia service area, members with a national HealthKeepers POS Select PPO/POS (Preferred Provider Organization/Point of Service) product must utilize the HealthKeepers, Inc. commercial network. If a member utilizes services from a provider not in the HealthKeepers, Inc. commercial network, the claim will be processed with out-of-network benefits.
• Referrals are not required for national HealthKeepers POS Select products.
• A special note for Chiropractors: Members with HealthKeepers POS Select products do not use the American Specialty Health network. Instead, Chiropractors can contract directly with Anthem to provide services specifically for HealthKeepers POS Select members. If you employ a Nurse Practitioner, Physician or any other specialty provider in your office, those providers must be enrolled in the HealthKeepers, Inc. network for their services to be covered for national HealthKeepers, Inc. POS Select members.

The Chiropractic HMO network administered by American Specialty Health for Virginia is only available for local HealthKeepers HMO and POS products.

Laboratory Corporation of America^® (LabCorp) is the exclusive clinical reference laboratory provider for Anthem HealthKeepers and HealthKeepers POS Select members.

LabCorp offers a full range of diagnostic and preventive testing options, including non-invasive colorectal cancer screening tests. Physicians should refer all lab services, including preventive healthcare lab services, to LabCorp. By doing so, members are assured of having the highest benefit level and minimum out-of-pocket expense. If referrals are made to independent labs other than LabCorp, member claims are processed as out-of-network.

Laboratory specimens can be collected in the office with LabCorp courier pick-up available throughout Virginia. Members may also bring a LabCorp requisition form (completed by their physician) to any of the over 50 LabCorp patient service center locations throughout Virginia.

If you have questions about LabCorp services, need to set up a LabCorp account, order supplies, or schedule a pickup, call LabCorp at 800-762-0890.

ID Cards

To help identify the national HealthKeepers POS Select members, we’ve created an example of a national HealthKeepers POS Select ID card and examples of local HealthKeepers HMO and local HealthKeepers POS ID cards.

Example of an Anthem branded national HealthKeepers POS Select ID card that utilizes the HealthKeepers, Inc. network:

Note: The national HealthKeepers POS Select ID card is not branded on the upper left-hand side with the HealthKeepers, Inc. logo.

If the ID card has the HealthKeepers POS name in the bottom right corner, members access the HealthKeepers, Inc. network and receive reimbursement for this network rather than BlueCard PPO network reimbursement. As mentioned above, members must receive care from a provider with HealthKeepers, Inc. to receive in-network benefits. The PPO in a suitcase identifies to providers outside the service area for Anthem that the members have access to the nationwide BlueCard PPO networks.

Please note that the ID card may be branded as Anthem or another Blue company as non-Anthem companies have access to the HealthKeepers, Inc. commercial network.

Example of a local HealthKeepers HMO ID Card and a local HealthKeepers POS ID Card that must utilize the American Specialty Health (ASH) network:

Note: Local HealthKeepers HMO and local HealthKeepers POS ID cards are branded on the upper left-hand side with the HealthKeepers, Inc. logo. Please note that non-Anthem companies do not have access, and these are only local Anthem products in Virginia.

If you have any questions regarding this communication, contact your Network Manager. If you need help determining your Network Manager’s contact information, visit us at anthem.com and select the link For Providers at the top of the page. Then select Contact Us and select Virginia as your state. Your Network Manager can be found under Additional Support.