P.O. in our Lawrence, KS 66046-0500, Note: if you receive an annuity from another program or need more information, please visit opm.gov. Medicare? Quickly and easily submit out-of-network claims online. the savings available with your benefits, choose a doctor within your network for routine care. Find learning opportunities to assist with administering your patient's health plan using Availity Essentials multi-payer features and payer spaces applications. Access your digital ID card, find doctors in your plan, review claims and payments, and more! Prescription drug coverage with affordable out-of-pocket copays. Non-core Benefits For a convenient summary of our three coverage options. You must have both Part A and B to enroll in a Medicare Advantage plan. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). If your state isn't listed, check out bcbs.com to find coverage in your area. Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. address and/or phone number provided above, including wireless numbers, if applicable, even if I have Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Excellus Blue-Cross Blue-Shield of New York, Maryland/District of Columbia/Northern Virginia, Anthem Blue-Cross Blue-Shield of Virginia, Highmark Blue-Cross Blue-Shield of Pennsylvania, Anthem Blue-Cross Blue-Shield of Missouri, Empire Blue-Cross Blue-Shield of New York, Blue-Cross Blue-Shield of Western New York, Anthem Blue-Cross Blue-Shield of Colorado, Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania, Anthem Blue-Cross Blue-Shield of Kentucky, Anthem Blue-Cross Blue-Shield of Wisconsin, Anthem Blue-Cross Blue-Shield of New Hampshire, Anthem Blue-Cross Blue-Shield of Connecticut, Horizon Blue-Cross Blue-Shield of New Jersey. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure FEP Blue Focus below. These pharmacies If you have questions about Radiant, please contact Member Services. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. Anthems those with low incomes. Blue Cross and Blue Shield of New Jersey, Inc. Blue Cross and Blue Shield of Western New York, Inc. Request a free consultation with a licensed agent, Have a licensed agent call you for a free consultation. of a Medicare Advantage, Prescription endstream endobj 12607 0 obj <>/Metadata 549 0 R/Names<>/Outlines 12651 0 R/PageLabels 12581 0 R/PageMode/UseOutlines/Pages 12584 0 R/StructTreeRoot 648 0 R/Type/Catalog/ViewerPreferences 12631 0 R>> endobj 12608 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 529/Tabs/S/Type/Page>> endobj 12609 0 obj <>stream . You can also fill out and submit a SF 2809 Form to your agencys personnel office. Want to see detailed benefits for this plan? The protection of your privacy will be governed by the privacy policy of that site. 0 people with End Stage Renal Disease. h[koGr+@`BmYkobx+ P@sN$Md?oOOwOu=NU }(m7{VZerWnrgj;h b"%qmjlJi%Rhg9~w//nWwhs__=~. Non-core benefits include services like any primary care and specialist visits beyond the first ten doctor visits, Anthem is a registered trademark of Anthem Insurance Companies, Inc. If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. Zip Code Shop Plans. Anthem Insurance Plans 844-781-2475 | TTY:711 Over 1.9 million people have enrolled in Anthem Medicare Advantage Plan Get Anthem plan premiums as low as $0 You will still have to pay your Medicare Part B premium. These rates do not apply to all enrollees. All Rights Reserved. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. For a complete list of available Review medical and pharmacy benefits for up to three years. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. trades as Anthem HealthKeepers providing HMO coverage, and their service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Anthem Blue Cross and Blue Shield of Ohio (Anthem) is committed to the Ohio Department of Medicaid's goal of focusing on the individual, and improving design, delivery, and timeliness of care coordination. Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. Do you or your family & friends need Special Needs Plans (SNPs)? call during our business hours. Find answers to all your questions with an Anthem representative in real time. FEP Blue Focus was designed with your needs and budget in mind. An official website of the State of Georgia. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. The plans represented do not discriminate on the basis of race, color, national origin, age, disability, or Wrap Benefits Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Verified Anthem Blue Cross Blue Shield Doctors in your area Zocdoc verifies all providers before they can appear in Zocdoc search results. Call us to see if we cover your medications and let's find out if your current dentist and eye doctor are request, Provide your information to get your free quote, By clicking the Get Free Quote button, I represent that I am 18+ years of age. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Anthem Medicaid helps you make healthy happen, wherever you go. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Michigan. We currently don't offer resources in your area, but you can select an option below to see information for that state. Illinois. ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples; ICD 10 code for HIV; E&M Codes; CPT Code for Consultation; Modifiers GA GX GY and GZ; . We can connect you with a licensed agent to explore benefits visits, urgent care, generic drugs, acupuncture and chiropractor visits. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). Quote and Apply for Coverage. Lets make healthy happen. or Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. PRIVATE SITE: This is a non-government website, and is not endorsed Wrap benefits cover home healthcare, maternity facility charges and physical therapy. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. FEP Blue Focus Option, Self Only, Enrollment Code 131: Non-Postal Premium Biweekly government share: $159.44 Biweekly your share: $53.14 Monthly government share: $345.44 Monthly your share: $115.15 FEP Blue Focus Option, Self Only, Enrollment Code 131: Postal Premium Category 1: Biweekly your share: $51.02 Category 2: Biweekly your share: $44.11 Explore Anthems MediBlue Rx Part D plans at https://www.anthem.com/medicare/medicare-part-d-plans/mediblue-rx-plans. See COVID-19 updates Receive email from Anthem Blue Cross and Blue Shield (Anthem) Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Privacy Policy and Terms of Use linked below. www.medicare.gov. Whether Radiant is involved or not, the process is the same. LAA. 844-781-2475. Vision Benefits Prescription Drug Dental Benefits By continuing to use this website, you consent to these cookies. The Fingerlakes Companies, Inc of New York. Access your member ID card from our website or mobile app. $0 plans in select areas. Price a medication, find a pharmacy,order auto refills, and more. Please give us a Available for iOS and Android devices. Preventive care visits covered at 100%. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Blue Cross and Blue Shield of Arizona, Inc. Blue Cross and Blue Shield of Connecticut, Inc. Blue Cross and Blue Shield of Delaware, Inc. Blue Cross and Blue Shield of Georgia, Inc. Anthem Blue Cross and Blue Shield of Indiana, Wellmark Blue Cross and Blue Shield of Iowa. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please, This website uses features which update page content based on user actions. Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Take the next step forward by registering your online account today. 12606 0 obj <> endobj Find out what you'll pay in premiums and out-of-pocket costs such as deductibles, copayments and To explore all Medicare Advantage and PDP plans, please contact Medicare.gov or LAB. . If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment. This page is about to expire for your security. Selecting this link will open a PDF. Prescription drug coverage with affordable out-of-pocket copays. ForwardHealth Phone: 800-947-3544. Every provider that appears in search is open to new patients. We combine national expertise with an experienced local staff to operate community-based healthcare plans. Compare plans available in your area and apply today. I understand that consent is not a representative who can connect you to a licensed insurance agent. Now you can supplement your benefits with Accident, Critical Illness, and Hospital Recovery plans. Our small business plans offer a full range of health insurance options for groups with 2 to 50 or 100 employees, depending on your state. Special Needs Plans (SNPs) are Medicare Advantage plans for people living with certain medical conditions, Effective November 1, 2021, the preferred formulary changes detailed in the table below will apply to Anthem Blue Cross and Blue Shield members enrolled in Hoosier Healthwise, Hoosier Care Connect, and Healthy Indiana Plan (HIP). Anthem Blue-Cross Blue-Shield of Ohio: E9W: Alaska: Premera Blue-Cross Blue-Shield of Alaska: E9X: California: Anthem Blue-Cross: E9Y: Massachusetts: Who may enroll in this Plan: All Federal employees, Tribal . In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. trades as Anthem HealthKeepers providing HMO coverage, and their service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or Your browser is not supported. We do our best to keep our coverage and benefits consistent with all current clinical and behavioral health guidelines. In Kentucky: Anthem Health Plans of Kentucky, Inc. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). See how Anthem Blue Cross Blue Shield gets involved. The resources for our providers may differ between states. You can also visit bcbs.com to find resources for other states. No referrals needed for a specialist visit. State-covered services. The Centers for Medicare & Medicaid Services (CMS) rates all Medicare Advantage and Part D plans and the plan carriers that provide them on the 5-point scale using various quality criteria. ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples; ICD 10 code for HIV; E&M Codes; CPT Code for Consultation; Modifiers GA GX GY and GZ; . Large Group We use cookies on this website to give you the best experience and measure website usage. Core benefits provide preventive care coverage, like annual checkups, vaccines and screenings, virtual doctor You will still have to pay your Medicare Part B premium. With the Anthem Medicaid mobile app, you can: Log in easily and securely with Touch ID Find a doctor, hospital, pharmacy or specialist that serves your plan. lab and diagnostic services, allergy treatments, hospital services and emergency care you may need. Learn more about our Foundation Guidelines and Community Involvement. To learn more about a plans nondiscrimination policy, please contact the plan. 24 hours a day/7 days a week to get information on all of your options. Access to quality doctors, care centers and hospitals from Anthem's network. If youre retired and want to enroll in the Service Benefit Plan or make a change, note the enrollment code for your family status and the plan option of your choice in the table above. Error: Please enter a valid email address. Our office is currently closed. Blue Cross and Blue Shield of Kansas, Inc. Anthem Blue Cross and Blue Shield of Kentucky, Inc. Blue Cross and Blue Shield of Maryland, Inc. Blue Cross and Blue Shield of Massachusetts, Inc. Blue Cross and Blue Shield of Mississippi, Inc. Blue Cross and Blue Shield of Kansas City, Alliance Blue Cross and Blue Shield of Missouri, Blue Cross and Blue Shield of New Hampshire. Welcome providers! 1. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. costs, coverage, and benefits vary by location. disorder, you may want to learn about Chronic Condition SNPs. Be the first to know about our latest benefits, incentives and discounts. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. Please do not submit the form anywhere else. offer all plans in your area. ANTHEM-SPECIFIC DISCLSOURES: To take full advantage of Explore our resources. Get quality healthcare coverage thats easy on your wallet. I agree to the Privacy Use our app, Sydney Health, to start a Live Chat. Generally, Medicare is available for people age 65 or older, younger people with disabilities and By clicking the Get Free Quote button, I hereby consent to receive marketing communications regarding Blue Cross Blue Shield Federal Phone Number. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure FEP Blue Focus below. Make your mental health a priority. Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. Pay outstanding doctor bills and track online or in-person payments. If you are 18+ years of age and wish to receive a quote without agreeing to Anthem is committed to excellence in quality of care and service. Coverage.net 2022. Read more about our Medical Policies. %%EOF Enroll Now Plan at a Glance Benefits Chart Benefits at a glance: In-network care only Your first 10 primary care and specialist visits for just $10 each Preferred drug coverage only A reward for getting your annual physical Three levels of benefits Core Benefits The following Anthem Blue Cross and Blue Shield plans offer Medicare Advantage Prescription Drug plan coverage. If you are an actively working federal employee and want to become a member of the Blue Cross and Blue Shield Service Benefit Plan, there are two ways you can enroll: Youll need the full name of the health plan and the enrollment code to enroll. What we all do impacts those around us. If you're a new employee eligible for Federal Employees Health Benefits (FEHB) coverage, you have 60 days from your start date (also known as your entry on duty date) to enroll in a health plan. %PDF-1.7 % Blue Cross and Blue Shield of Central New York, Inc. Blue Cross and Blue Shield of Utica-Watertown Inc. Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota, Anthem Blue Cross and Blue Shield of Ohio, Highmark Blue Cross and Blue Shield of Pennsylvania, Blue Cross and Blue Shield of Rhode Island, Blue Cross and Blue Shield of South Carolina, Wellmark Blue Cross and Blue Shield of South Dakota. All rights reserved. may enroll in the plan only during specific times of the year. and We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Were here with simple instructions to help you enroll in the Service Benefit Plan. There may be times when we use other companies to give our members and providers certain types of services, like Utilization Management or Case Management. hTMHTQ>==7;H2RC fJ2-@SF7e$O+0w@(GB3mQ;s o@ ? &RaR!B Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list Nov 1, 2022 State & Federal / Medicare Effective for dates of service on and after December 1, 2022, the specialty Medicare Part B drugs listed in the table below will be included in our precertification review process. This website uses features which update page content based on user actions. do offer in your area. We use cookies on this website to give you the best experience and measure website usage. Please review the terms of use and privacy policies of the new site you will be visiting. To receive quotes without providing consent, please call MedicareSearcher at Want to see detailed benefits for this plan? Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government Get the Sydney Health App. All actively working or retired federal employees can enroll in, change or cancel their health plan during Open Season, which is typically the second Monday of November through the second Monday of December each year. representative of Medicare Advantage organizations and stand-alone PDP prescription drug plans, including Anthem. Heres everything you need to know about it. Contact will be made by an insurance agent or insurance company. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. 888-245-4542. Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. Open Season Processing Center Anthem Blue-Cross Blue-Shield of Nevada: GZA-Unallocated/Not Assigned: GZB: California: Anthem Blue-Cross: GZC-Unallocated/Not Assigned: GZD: Michigan: By contacting your agencys personnel office, Call Open Season Express at 1-800-332-9798, Call the OPM Retirement Information Center at 1-888-767-6738 (TTY: 1-800-878-5707 or DC local 202-606-0551). Quote Status: Ready ')n SY'QbsG`4G8%F|@n~ DO Before making a final decision, please read the Plan's Federal brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: 71-017). Speak to a Licensed Insurance Agent. These budget-friendly insurance options help lessen the financial impact of unexpected health care costs. Check out the changes and updates to our plan in 2023. . Have questions? For a convenient summary of our three coverage options,download the 2023 Benefit Summary Book. with Anthem Blue Cross and Blue Some health services are not covered by Anthem and are instead covered under ForwardHealth, including chiropractic services, prescription drugs and some over-the-counter medications. Core Benefits Bui-so _:P|\Xe]R ymm}VKg t?qsw N~{#KFe}{Xt\ 9Ut@cnG?FTpVDk=. H Anthem ranks 50th on the Fortune 500 list and . the Terms and Conditions and Privacy Policy, please call Not connected with or endorsed by the U.S. Government or the federal Medicare program. Than English, language assistance services, Drugs, acupuncture and chiropractor visits 2023 summary. Based on user actions offer resources in your area Zocdoc verifies all providers before they appear. You are in a Special enrollment category, contact the agency or Tribal employer that manages health... Contact Member services and B to enroll in the Service Benefit plan Brochure FEP Blue Focus.. 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