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Primary Care

Insurance Reimbursement Process

Reimbursement Process for TriHealth Medical Insurance Carriers

TriHealth team members and family on the Blue Connection health plans should pay the full amount up front for a visit to TriHealthNow, but will receive a reimbursement. Team members with the HMO plan will receive a $44 reimbursement through Anthem, making a visit to TriHealthNow $5 following that reimbursement. Team members with the HD80 plan will have the $49 visit go toward their deductible upon submitting Anthem Medical Claim. Coinsurance will apply if your deductible is met making the price per encounter $9.80 on HD80 Blue Connection and $17.15 on HD80 Blue Access. To receive your reimbursement, follow these steps:

  1. Print TriHealthNow receipt: Following a completed TriHealthNow visit, patient will receive an email with a link to access their visit summary. View and print your receipt from within that summary.
  2. Print Anthem medical claim form: You can click here to download and print the form, or visit HR Central>Quick Links>All Forms>Benefit Forms>Anthem Medical Claim Form
  3. Submit claim form with receipt: Follow the instructions on the Anthem Medical Claim Form and submit it to Anthem with a copy of the TriHealthNow receipt.

For Non-TriHealth Insurance Carriers

Visits are just $49 and secure credit card payment makes it easy, convenient, and safe. You will be provided an electronic receipt that can be submitted to your health plan provider for possible reimbursement* dependent on your carrier and plan.

*TriHealtth does not guarantee other-carrier reimbursement for non-TriHealth insurance plans.

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