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HMO Site of Service Health Plan

Site Of Service Tools and Resources:

Site of Service Components


LABS * X-RAYS AND ULTRASOUNDS 
HIGH COST IMAGING * OUTPATIENT SURGERY * PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY

Site of service chart. Using a site of service location vs. using a NON-site of service location

Effective 9/1/22 short term rehabilitative therapy
will be subject to a $20 copay for non-SOS facilities
for all groups except for USWAA.

Traditional Components of the HMO (Not affected by Site of Service)

  • Preventative Care
  • Primary Care
  • Specialty Care
  • Physical Therapy, Speech Therapy, Occupational Therapy (only for USWAA)
  • Inpatient Care
  • Inpatient Labs and Imaging
  • Skilled Nursing and Rehabilitation Facility Care Inpatient
  • Durable Medical Equipment
  • Emergency Room and Urgent Care Visits
  • Mental Health and Substance Abuse Care
  • Pharmacy Care

SmartShopper

This can also help you earn incentives:

  1. Call (866) 832-2436 or search www.SmartShopper.com and select the lower cost location that will earn an incentive.
  2. Schedule your appointment with the location you've selected and have the service completed.
  3. Once the claim has been processed, the incentive check will be mailed to you.

Remember SOS and SmartShopper are not the same. Always select a SOS location to avoid copays.

Away from Home Care Program​

Offered for HMO members thru Anthem Blue Cross and Blue Shield

  • Away From Home Care Brochure
    This brochure shows how the Away from Home Care provides healthcare coverage while you are away from your Home, such as a child going to college out of state. 
  • Away From Home Care Participating States Booklet
    This booklet shows the states in the US that participate in Anthem's Away From Home Care program. There are some areas within the participating states that do not offer the program so call Anthem to verify the area you are going to is a participant.
  • Away From Home Letter & Application Form
    Detailed description of the Away From Home program and application form including phone number & mailing address. 

​Away from Home Care Contact Information:
Away From Home Care
Anthem Blue Cross and Blue Shield
Mailstop: ME0103-W070
2 Gannett Dr.
South Portland, ME  04106
Phone: (877) 326-6200
Fax #:  (207) 822-8902
Email: AFHCAE@Anthem.com

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