Employee Insurance Information

Insurance Information


Health Insurance

  • Anthem Claims Forms
  • Frequently Asked Questions

Prescription Drug Program

  • Frequently Asked Questions

Contact Anthem

  • Important Phone Numbers
  • Anthem Online

Health Insurance

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Anthem Claims Forms

Medical Claim Form
Dental Claim Form
Prescription Order Form
Anthem Application
Summary Plan Description - Hourly
Summary Plan Description - Salaried
Dental Summary Plan Description
Medical and Dental Certificate
Delta Dental Certificate
Express Script Mail Order Drug Form
 
Mail claims to:

Medical:
Anthem Blue Cross and Blue Shield
Claims Department
P.O. Box 37690
Louisville, KY 40233-7690

Dental:
Delta Dental of Kentucky
P.O. BOX 242810
Louisville KY 40224-2810
 

 
For Assistance call:
Alayna Stinnett   (270) 444-4330
Karen Tucker   (270) 444-4304
Sherri Goodwin   (270) 444-4338
 

Frequently Asked Questions

Q: Must we use an Anthem network medical provider?
A: No, you can use a provider not in the Anthem medicalnetwork.
If you use a non-network provider:
  • You will pay a higher coinsurance amount (40% of reasonable & customary).
  • You will have a separate and higher deductible.
  • You will have a separate and higher maximum out-of-pocket.
  • You will be responsible for any amount your provider charges above reasonable
    & customary.
 
Q: Must we use an Delta Dental network dental provider?
A: No, you can use a provider not in the Delta Dental dental network.
If you use a non-network provider you will not have a higher coinsurance, separate deductibles,
or maximum out-of pocket. However, you may pay a higher rate for services, and you will be
responsible for any amount your provider charges above reasonable & customary.
 
Q: How do I know if a provider is in the Anthem network?
A: You can check the Anthem website at www.anthem.com, or you can call Anthem
Customer Service or Anthem Blue Card Customer Service if you are away from your home area.
 
Q: What is “Precertification” and must I do it?
A: Precertification (precert) is when providers must notify Anthem before performing certain tests or procedures.
Consult you plan booklet or call Anthem when in doubt. Since detailed medical questions are asked, your provider
should perform the precert. However, it is ultimately your responsibility to make sure it has been done.
Failure to precert may result in a reduced insurance payment or no payment at all.
 
Q: How do I get another medical card?
A: You can request a new card through the Anthem website.
 
Q: How do I add my spouse or child to my insurance coverage?
A: Contact the P&L Human Resource Department within 31 days of a marriage or birth of a child in order to complete
a new healthcare application. After 31 days, your new spouse or child cannot be added to the health plan until open
enrollment in November/December.
 
Q: Since I am getting divorced, how do I drop my spouse or step-child from my insurance coverage?
A: You cannot remove either until the divorce is final. At that time you must notify the P&L Human Resource Department
within 60 days of the final divorce decree in order to complete a new healthcare application. Failure to notify the
P&L Human Resource Department may result in action being taken to recover any claims paid on behalf of someone
not entitled to coverage.
 
Q: When does my dependent child lose coverage?
A: Children are covered until age 26.
 

Prescription Drug Program

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Frequently Asked Questions

Q: Where do I get my mail order prescriptions filled?
A:

Mail the prescription to:
Express Scripts
Home Delivery Service
PO BOX 66584
ST LOUIS, MO 63166-6584

 
Q: At which retail pharmacies can I get my prescription filled?
A: At any retail pharmacy that will honor your Anthem card. Most major retail stores will accept the Anthem card.
 
Q: “Why won’t they give me my drugs?”
A:
  • Some drugs are not covered by our health plan because the condition being treated is not
    covered by our health plan. Examples include drugs prescribed for cosmetic reasons, for birth control,
    sexual dysfunction, weight loss, etc.
  • We are not required to cover all drugs on the market only a drug in every pharmaceutical classification.
  • Some drugs have quantity limits. Examples include sleeping tablets and pain medications.
  • Some drugs require “Prior authorization.”
  • Some drugs require “Step Therapy.”
 
Q: What is dose optimization?
 
Q: What are quantity limits?
 

Contact Anthem

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Important Phone Numbers

Anthem Customer Service - (888) 650-4047
Anthem Precertification - (877) 814-4803
Rx Provider Services - (800) 962-02107
Contact Delta Dental - (800) 955-2030
www.DeltaDentalKY.com