MEDICAL

Anthem BCBS of Indiana Plans

Anthem IN $1,500 PPO

Summary of Benefits and Coverage

Benefit Summary

Wellbeing Solutions Flyer

Anthem IN $2,500 PPO

Summary of Benefits and Coverage

Benefit Summary

Wellbeing Solutions Flyer

Anthem IN $4,500 PPO

Summary of Benefits and Coverage

Benefit Summary

Wellbeing Solutions Flyer

Anthem IN $4,400 HSA

Summary of Benefits and Coverage

Benefit Summary

Wellbeing Solutions Flyer

Find a provider

www.anthem.com
Policy # W11833

CONTACT US

Anthem
833-578-4441

Pharmacy Member Services
833-267-2133

Pharmacy Home Delivery
833-396-0309

Coverage While Traveling
1-800-810-2583

24/7 NurseLine
1-800-337-4770

HMSA Plans (KITV)

HMSA HMO

Summary of Benefits and Coverage

HMO Guide to Benefits

HMO Rx Plan Certificate

HMO Vision Plan Certificate

Learn More

HMSA Member Portal

Telehealth Resources

Mail Order Prescriptions

Travel Benefits (Mainland/International)

2026 HC-5 Form (if waiving coverage)

CONTACT US

HMSA
www.hmsa.com
Policy # 84202001
808-948-6372
800-776-4672

HMSA PPO

Summary of Benefits and Coverage

PPO Guide to Benefits

PPO Rx Plan Certificate

PPO Vision Plan Certificate

Learn More

HMSA Member Portal

Telehealth Resources

Mail Order Prescriptions

Travel Benefits (Mainland/International)

2026 HC-5 Form (if waiving coverage)

CONTACT US

HMSA
www.hmsa.com
Policy # 84202001
808-948-6372
800-776-4672

Kaiser Permanente Hawaii Plan (KITV)

Kaiser HMO

Summary of Benefits and Coverage

Benefit Summary

Learn More

Fit Rewards

Member Enrollment Guide

Calm & Headspace Flyer

Convenient Care Flyer

Member Services (One #)

kp.org and Kaiser app

2026 HC-5 Form (if waiving coverage)

CONTACT US

Kaiser Permanente Hawaii
kpinhawaii.org
Policy # 408
800-966-5955

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