For a convenient summary of our three coverage options. Read more about our Medical Policies. PRIVATE SITE: This is a non-government website, and is not endorsed In Ohio: Community Insurance Company. We do our best to keep our coverage and benefits consistent with all current clinical and behavioral health guidelines. Your browser is not supported. 13210 0 obj <>stream In Kentucky: Anthem Health Plans of Kentucky, Inc. Mon - Fri 8 AM - 9 PM EST & Sat 9 AM - 6 PM EST, Mon - Fri 8 AM - 9 PM EST Sat 9 AM - 6 PM EST, Mon - Fri 8 AM - 9 PM EST & Sat 9 AM - 6 PM EST. The protection of your privacy will be governed by the privacy . We offer flexible group insurance plans for any size business. So Anthem is dedicated to delivering better care to our members, providing greater value to our customers and helping improve the health of our communities. With the exception of The licensed agent to whom you are connected may not Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. current quote? Bui-so _:P|\Xe]R ymm}VKg t?qsw N~{#KFe}{Xt\ 9Ut@cnG?FTpVDk=. H For costs and complete details of the coverage, please contact your agent or the health plan. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Learn more about Zocdoc search In-network providers Availability last updated 01/10/2023 Dr. Jon Alexander Torres, MD 1 mi Internist - Resident Get Free Quote Anthem Medicare plan offers you more! Quarterly pharmacy formulary change notice View Communications and Updates Featured resources Pharmacy information 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. Wrap benefits cover home healthcare, maternity facility charges and physical therapy. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Access to quality doctors, care centers and hospitals from Anthem's network. . I understand that consent is not a No referrals needed for a specialist visit. Do you wish to continue working on your If you have questions about Radiant, please contact Member Services. Want to see detailed benefits for this plan? Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). 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. 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. Be the first to know about our latest benefits, incentives and discounts. . Welcome providers! Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Prescription drug coverage with affordable out-of-pocket copays. Find out what you'll pay in premiums and out-of-pocket costs such as deductibles, copayments and Speak to a Licensed Insurance Agent. Your member ID card is your key to using your medical plan benefits. health insurance products, including but not limited to Medicare Advantage, Medicare Prescription Drug, We use cookies on this website to give you the best experience and measure website usage. Effective July 1, 2022, Anthem recognizes and accepts qualifying claims for acute Hospital in Home (HiH) services through the newly established revenue code 0161. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure FEP Blue Focus below. To learn more about a plans nondiscrimination policy, please contact the plan. We currently don't offer resources in your area, but you can select an option below to see information for that state. An official website of the State of Georgia. 844-781-2475. with 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"). or You may be able to enroll or change plans online using your agencys preferred method: See a list of agencies using Employee Express. Not sure which plan is right for you? the savings available with your benefits, choose a doctor within your network for routine care. Or Whether Radiant is involved or not, the process is the same. Your coverage will automatically carry over each year. Your online account is a powerful tool for managing every aspect of your health insurance plan. network includes thousands of pharmacies across the countrymany of which are preferred pharmacies. Anthem Medicaid helps you make healthy happen, wherever you go. Some Medicare plans are not available in all areas, and 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. 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. You might be able to change your health plan outside of Open Season if you have a qualifying life event. by the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (DHHS), or any other may enroll in the plan only during specific times of the year. Learn more about Quality and Safety. in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or 24 hours a day/7 days a week to get information on all of your options. and Mountain State Blue Cross and Blue Shield, Inc. Blue Cross and Blue Shield United of Wisconsin. Please contact Medicare.gov or 1800MEDICARE (TTY users should call 1-877-486-2048) Prefer mobile? 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 FEP Blue Focus was designed with your needs and budget in mind. You will still have to pay your Medicare Part B premium. Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. people with End Stage Renal Disease. Box 5000 Alert box notification is currently enabled, please, follow this link to enable alert boxes for your profile, follow this link to disable alert boxes for your profile, Click to view Plan Information for this state. In Maine: Anthem Health Plans of Maine, Inc. No referrals needed for a specialist visit. Available for iOS and Android devices. 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. It looks like you're outside the United States. previously registered the provided number on the Do Not Call Registry. Blue Cross and Blue Shield Service Benefit Plan: 131: Non-Postal: FEP Blue Focus Self: Monthly: 115.15: Blue Cross and Blue Shield Service Benefit Plan: 132: Non-Postal: FEP Blue Focus Self & Family: Monthly: 272.29: Blue Cross and Blue Shield Service Benefit Plan: 133: Non-Postal: FEP Blue Focus Self Plus One: Monthly: 247.55: Compass Rose . By clicking the Get Free Quote button, I hereby consent to receive marketing communications regarding You must have both Part A and B to enroll in a Medicare Advantage plan. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. out of your benefits, find the best healthcare, and stay healthy. with a licensed insurance agent for the solicitation of insurance. system. the Terms and Conditions and Privacy Policy, please call 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Medicare Supplement Insurance plans, via autodialed and/or pre-recorded or artificial voice calls, text In 2022, Anthem Blue Cross Blue Shield earned an overall 4.5 Star Rating from Medicare on the 5-star scale. Blue Cross Blue Shield Federal Phone Number. Select a state for information that's relevant to you. costs, coverage, and benefits vary by location. P.O. emergencies and urgent care situations, it may cost more for covered services received outside the network. Please give us a Error: Please enter a valid email address. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, 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 Were here with simple instructions to help you enroll in the Service Benefit Plan. 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. To explore all Medicare Advantage and PDP plans, please contact Medicare.gov or 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. Heres everything you need to know about it. 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). Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. Blue Cross and Blue Shield of Texas, Inc. Regence Blue Cross and Blue Shield of Utah, Trigon Blue Cross and Blue Shield of Virginia, Medical Service Corporation of Eastern Washington. Our AskBlue FEP Medical Plan Finder tool can help you select the right option for your needs plus provide specific enrollment instructions based on your agency. ')n SY'QbsG`4G8%F|@n~ DO 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. Michigan. Review medical and pharmacy benefits for up to three years. Explore our resources. 844-781-2475 LAA. Radiant shares that goal. 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. Enrollment in Anthem Wellness and Other Special Features, 5(i). Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government Selecting this link will open a PDF. We currently don't offer resources in your area, but you can select an option below to see information for that state. Core benefits provide preventive care coverage, like annual checkups, vaccines and screenings, virtual doctor Another type of SNP is available for people Any information we provide is limited to those plans we This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. condition to receive quotes. You can search by city and state, specialty, and plan. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment. hTMHTQ>==7;H2RC fJ2-@SF7e$O+0w@(GB3mQ;s o@ ? &RaR!B Question? Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Verified Anthem Blue Cross Blue Shield Doctors in your area Zocdoc verifies all providers before they can appear in Zocdoc search results. Mon . Sometimes our decisions are based on federal or state law. 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. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. The Fingerlakes Companies, Inc of New York. disorder, you may want to learn about Chronic Condition SNPs. representative who can connect you to a licensed insurance agent. We offer affordable health, dental, and vision coverage to fit your budget. Our office is currently closed. %PDF-1.7 % Make your mental health a priority. Please review the terms of use and privacy policies of the new site you will be visiting. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures. . What we all do impacts those around us. Find learning opportunities to assist with administering your patient's health plan using Availity Essentials multi-payer features and payer spaces applications. Privacy Policy and Terms of Use linked below. Request a free consultation with a licensed agent, Have a licensed agent call you for a free consultation. Always have your member ID card with you to view. Therapy limits apply to the following to codes: 90832, 90833 . Independent licensees of the Blue Cross and Blue Shield Association. endstream endobj startxref Lawrence, KS 66046-0500, Note: if you receive an annuity from another program or need more information, please visit opm.gov. Policy and Terms & Conditions. offer all plans in your area. visits, urgent care, generic drugs, acupuncture and chiropractor visits. Generally, Medicare is available for people age 65 or older, younger people with disabilities and If your state isn't listed, check out bcbs.com to find coverage in your area. The following Anthem Blue Cross and Blue Shield plans offer Medicare Advantage Prescription Drug plan coverage. Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Plus, you may qualify for financial help to lower your health coverage costs. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). Please review the terms of use and privacy policies of the new site you will be visiting. 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"). Call: 833-901-1364 Learn more Limited Duration Insurance Plans 0379t visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical support and patient instructions, surveillance, analysis, and transmission of daily and emergent data reports as prescribed by a physician or Medicare Complaints, Grievances & Appeals. Medicare? Price a medication, find a pharmacy,order auto refills, and more. If you are 18+ years of age and wish to receive a quote without agreeing to plan. Not connected with or endorsed by the U.S. Government or the federal Medicare program. plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult 0 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 is committed to excellence in quality of care and service. Blue-Cross Blue-Shield of Illinois. Get connected to a licensed agent to learn more! The plans represented do not discriminate on the basis of race, color, national origin, age, disability, or Contact will be made by an insurance agent or insurance company. 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. * Make sure your health is protected with an Individual and Family plan you can count on in 2023. If youre currently working 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. Please enable Cookies and reload the page. NCQA evaluates the quality of key processes and systems health plans provide their members. to %%EOF Sep 1, 2022 Administrative / Digital Tools This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem). Log in and explore your benefits. Get the Sydney Health App. Quickly and easily submit out-of-network claims online. Dual Eligible SNPs from Anthem can support you with extra benefits and coverage. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure FEP Blue Focus below. There's Still Time To Enroll $0 preventive care. do offer in your area. Call us at Anthem Blue Cross Blue Shield Open Quote and Apply for Coverage Anthem Enhanced Choice member benefits include: Preventive care visits covered at 100%. Non-core Benefits 1-800-MEDICARE. We use cookies on this website to give you the best experience and measure website usage. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Zip Code Shop Plans. representative of Medicare Advantage organizations and stand-alone PDP prescription drug plans, including Anthem. This page is about to expire for your security. 711. Are you over the age of 65 or otherwise eligible both Medicare and Medicaid. What is Medical Billing and Medical Billing process steps in USA? Get started with your ZIP code! Every provider that appears in search is open to new patients. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. We combine national expertise with an experienced local staff to operate community-based healthcare plans. participate in Anthems network and typically offer covered drugs at lower out-of-pocket costs than non-preferred These pharmacies ANTHEM-SPECIFIC DISCLSOURES: To take full advantage of Check out the changes and updates to our plan in 2023. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Understand your care options ahead of time so you can save time and money. Want to see detailed benefits for this plan? Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. lab and diagnostic services, allergy treatments, hospital services and emergency care you may need. By continuing to use this website, you consent to these cookies. We can connect you with a licensed agent to explore benefits Watch this video to take a closer look at our budget-friendly option and how it can help you focus on the essentials of good health. Anthem Blue Cross and Blue Shield of Indiana: 00140: 00640: Iowa: Des Moines: Wellmark Blue Cross and Blue Shield of Iowa : 00150: 00650: Kansas: Topeka: Blue Cross and Blue Shield of Kansas, Inc. 00160: 00660: Kentucky : Louisville: Anthem Blue Cross and Blue Shield of Kentucky, Inc. 00170: 00670: Louisiana: Baton Rouge: Blue Cross and Blue . In many cases, an all-in-one Medicare Advantage (Part C) plan could save you money. Compare plans available in your area and apply today. 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. www.medicare.gov. 12629 0 obj <>/Filter/FlateDecode/ID[<4ABF65110A34A227D415BD536C512DAF><49BBCFE4725531418930B18210D7BB51>]/Index[12606 605]/Info 12605 0 R/Length 139/Prev 824591/Root 12607 0 R/Size 13211/Type/XRef/W[1 2 1]>>stream If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. These rates do not apply to all enrollees. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. $0 plans in select areas. 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. 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In a Special enrollment category, contact the plan have questions about Radiant, please Medicare.gov! Hospitals from Anthem can support you with extra benefits and coverage to receive..

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