WISWELL INSURANCE

Anthem

Welcome to the Anthem Health Plans page!

This page contains important details regarding your new Anthem Health Plan. You'll be able to download your summary of benefits, learn how to make your payment, and find the answers to our most frequently asked questions. Before scrolling further, please note, this page is for those who are enrolled in an Anthem plan. If you are not yet enrolled, please reach out to your broker. Click the button below for contact details.

Next Steps

Now that you've enrolled in an Anthem Health Plan, there are a few things you should do. Check off each item from the list below and don't hesitate to contact us with any questions.

Next Steps

Locate in-network doctors and facilities by selecting the tab for your network and following the instructions. No referral required to see a specialist.

Follow the instructions below to begin your search.

1. Click the button below - Doctors/Facilities Search.

2. Click the link - Basic search as a guest.

3. Using the drop-down menus, select the following:

Select the type of plan or network - Medical Plan or Network (may also include dental, vision, or pharmacy benefits)
Select the state where the plan or network is offered - Colorado
Select how you get health insurance - Medical (Individual & Families)
Select a plan or network - select Pathway Essentials HMO

4. Click Continue.

5. Enter zip code and begin search.

Doctors/Facilities Search

Follow the instructions below to begin your search.

1. Click the button below - Doctors/Facilities Search.

2. Click the link - Basic search as a guest.

3. Using the drop-down menus, select the following:

Select the type of plan or network - Medical Plan or Network (may also include dental, vision, or pharmacy benefits)
Select the state where the plan or network is offered - Colorado
Select how you get health insurance - Medical (Individual & Families)
Select a plan or network - select Pathway HMO

4. Click Continue.

5. Enter zip code and begin search.

Doctors/Facilities Search

Follow the instructions below to begin your search.

1. Click the button below - Doctors/Facilities Search.

2. Click the link - Basic search as a guest.

3. Using the drop-down menus, select the following:

Select the type of plan or network - Medical Plan or Network (may also include dental, vision, or pharmacy benefits)
Select the state where the plan or network is offered - Colorado
Select how you get health insurance - Medical (Individual & Families)
Select a plan or network - select Mountain Enhanced HMO

4. Click Continue.

5. Enter zip code and begin search.

Doctors/Facilities Search

Anthem Pathway Essentials Network

Anthem Pathway Essentials care partners are: Boulder Community Hospital, HealthOne, and New West Physicians.

HealthOne Hospitals:

North Suburban Medical Center
Swedish Medical Center
Presbyterian St. Luke’s Medical Center
Rocky Mountain Hospital for Children
Medical Center of Aurora (North and South Campus)
Rose Medical Center
Sky Ridge Medical Center
Craig Hospital

Anthem Pathway Network

Anthem Pathway care partners are: Boulder Community Hospital, HealthOne, UCHealth, and New West Physicians.

UCHealth Hospitals:

UCHealth Poudre Valley
UCHealth Medical Center of the Rockies
UCHealth Memorial
UCHealth Highlands Ranch
UCHealth Longs Peak
UCHealth Greeley
UCHealth University Hospital Denver
UCHealth Broomfield

HealthOne Hospitals:

North Suburban Medical Center
Swedish Medical Center
Presbyterian St. Luke’s Medical Center
Rocky Mountain Hospital for Children
Medical Center of Aurora (North and South Campus)
Rose Medical Center
Sky Ridge Medical Center
Craig Hospital

Anthem Mountain Enhanced Network

The following counties will have in-network providers: Archuleta, Eagle, LaPlata, Mesa, Moffat, Montezuma, Rio Blanco, Routt, and Summit.

In-network hospitals:

Vail: Vail Health
Frisco/Breckenridge: St. Anthony Summit Medical Center
Durango: Mercy Regional Medical Center, Animas Surgical Hospital
Cortez: Southwest Memorial Hospital
Pagosa Springs: Pagosa Mountain Hospital
Grand Junction: Community Hospital
Craig: The Memorial Hospital
Steamboat Springs: UCHealth Yampa Valley Medical Center

How do I make a payment?

Contact Anthem Member Services at (855) 453-7031 to submit your payment.
I have a question about my plan benefits.

We are here to help! Contact your broker or send an email to contact@wiswellinsurance.com.
When will I receive my Member ID card?

Once your payment has been processed, Anthem will mail your member ID cards to you. Cards typically arrive 10-14 business days following the receipt of your payment. If you did not receive your cards, please contact Anthem Member Services at (855) 453-7031.
How do I contact Anthem Member Services?

Anthem Member Services can be reached by calling (855) 453-7031. They are available -
I can't remember the name of my plan.

Send an email to contact@wiswellinsurance.com or contact Anthem Member Services to confirm your plan name.
Where can I access my 1095A?

Login to your Connect for Health account. Scroll down to the section - Additional resources. Click the blue hyperlink under, "Do you want to upload or review documents?" Under the section - Past Documents and Letters - you will see a document titled "IND_IRS 1095A Tax Form". Click the drop-down arrow, then click Download.