ISMA Warning

Here is a recent memo from the Indiana State Medical Association (ISMA) giving warning to all physicians about the contract language coming from Anthem.

The ISMA has learned five managed care companies submitted bids to care for the state's uninsured population through the newly legislated Healthy Indiana Plan (designated by the General Assembly as the Indiana Check-Up Plan).

Medical offices now are receiving "letters" from Anthem that are, in fact, agreements to provide services under this plan for low-income Hoosiers – even though the state has not yet awarded the contract.

Physician practices already participating with commercial Anthem products likely will be the first to receive these contract letters from Anthem. The language will say "in the event Anthem is selected" and may sound like a letter of intent; however, these documents are actually agreements that will be binding when signed.

The ISMA knows at least three additional companies were interested in providing services under the program. Although not confirmed, Managed Health Services (MHS), MDwise and United Healthcare showed interest in learning about the bidding process.

If you have questions about the Anthem contract, consult with your legal advisor.

Please be advised about this questionably deceitful practice by Anthem and be careful because other insurance companies may follow with similar type of language.