Questions and Answers for MCHCP Members – MU Health Care and Anthem Negotiations

1. Why is MU Health Care leaving MCHCP’s network?
   • Missouri Consolidated Health Care Plan (MCHCP) partners with Anthem to manage our health plan. MU Health Care and Anthem are currently in negotiations over reimbursement rates and other factors. The current contract expired on March 31. MU Health Care became non-network as of April 1. They are still negotiating, and if an agreement is reached, MU Health Care may return to the network in the future.
   • Members on MCHCP's Medicare Advantage plan through United HealthCare are not affected by these negotiations.
   
   
2. I am in the middle of treatment. Can I still see my MU Health Care Provider?

   Anthem offers continuity of care for certain ongoing care and treatments. Examples of services that may be continued as network include:

   • Upcoming surgery or prospective transplant
   • Services for women in their third trimester of pregnancy
   • Cancer treatment
   • Physical, speech, or occupational therapy
   • Other services required by federal or state law

   To request continuity of care, call Anthem Member Services at 844-516-0248 7 a.m.–7 p.m. CT, M-F. Anthem will review your case and notify you of approval or next steps.

3. What if I just like my provider? Can I continue to see them?

   Members can still see their MU Health Care provider, but member costs will be higher since they are non-network.

   • Claims will apply to non-network deductibles, and members may have to pay more until the deductible is met.
   • After the deductible, members still have coinsurance until their non-network out-of-pocket maximum is reached.
   • Emergency services will continue to be covered at the in-network level, even if MU Health Care is non-network. For more details, check the plan overview.
   
   
4. What if I don’t want to pay more for care from MU? What other options do I have to choose from since MU is not a network provider with Anthem?

   MCHCP contracts with Anthem, which has a large network of providers. If you need to find a new provider:

   • Visit Anthem's website or use the Sydney Health app to search for in-network providers.
   • Call Anthem Member Services for assistance in finding a provider.
   • A member’s primary care provider (PCP) may also be able to recommend alternative in-network specialists.

   At this time, coverage through Anthem is the only offering through MCHCP for non-Medicare members. MCHCP constantly evaluates patient access to providers and ensures Anthem maintains sufficient in-network providers to meet the needs of its members.

   • We understand that this situation may be concerning, and we are committed to keeping members informed.
   • Anthem and MCHCP are working to minimize disruption and will provide updates as negotiations progress. If an agreement is reached between Anthem and MU Health Care, MCHCP will post information online to update members as soon as possible.

   If members have further questions or need assistance, please contact MCHCP Member Services at 800-487-0771, M-F 8:30 a.m.-12 p.m. & 1-4:30 p.m., or Anthem Member Services directly.

For ongoing updates from Anthem please check their website: https://www.anthem.com/muhealth