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"). visits, urgent care, generic drugs, acupuncture and chiropractor visits. Over 1.9 million people have enrolled in Anthem Medicare Advantage Plan, Do Not Sell/Share My Personal Anthem ranks 50th on the Fortune 500 list and . Not sure which plan is right for you? Preventive care visits covered at 100%. 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. Radiant has some staff outside the United States. We combine national expertise with an experienced local staff to operate community-based healthcare plans. Michigan. lab and diagnostic services, allergy treatments, hospital services and emergency care you may need. 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. condition to receive quotes. Prescription drug coverage with affordable out-of-pocket copays. Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. 0 Check out our enrollment & benefits FAQs. 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. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. LAB. Plan Options & Programs Anthem Blue Cross and Blue Shield Anthem Blue Cross and Blue Shield Since 2014, Anthem Blue Cross and Blue Shield of Georgia (Anthem) has provided medical claims administration and medical management services for the State Health Benefit Plan (SHBP). We use cookies on this website to give you the best experience and measure website usage. Please do not submit the form anywhere else. Prescription drug coverage with affordable out-of-pocket copays. offer all plans in your area. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. We want to help you get access to quality, efficient care that is backed by scientific research. . Not connected with or endorsed by the U.S. Government or the federal Medicare program. Learn more about our Foundation Guidelines and Community Involvement. E{IAih{A{ygl-1h\KjJ,11zq=Reqy,>D{1"(q7,(Q*U)-XE2wZ&Nc&/[F5XIxx MQOBA*UI\+LT+[|.$63w9z-dHw9k^fQ[4K>#Eec)f0rF60JplDa/v`ndkqf[aGJHVg=o#"7 If you're living with a chronic condition such as diabetes, heart disease, or a lung 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). address and/or phone number provided above, including wireless numbers, if applicable, even if I have 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. NCQA is a private, non-profit organization dedicated to improving health care quality. with a licensed insurance agent for the solicitation of insurance. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Medicare Complaints, Grievances & Appeals. current quote? 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. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government of a Medicare Advantage, Prescription Want to see detailed benefits for this plan? I understand that consent is not a Health equity means that everyone has the chance to be their healthiest. I agree to the Privacy Please update your browser if the service fails to run our website. Lawrence, KS 66046-0500, Note: if you receive an annuity from another program or need more information, please visit opm.gov. Taking time for routine mammograms is an important part of staying healthy. previously registered the provided number on the Do Not Call Registry. emergencies and urgent care situations, it may cost more for covered services received outside the network. 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. ANTHEM-SPECIFIC DISCLSOURES: To take full advantage of Your coverage will automatically carry over each year. 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. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. health insurance products, including but not limited to Medicare Advantage, Medicare Prescription Drug, You will still have to pay your Medicare Part B premium. Get quality healthcare coverage thats easy on your wallet. 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. At Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem), we value you as a provider in our network. Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Anthem's medical plans offer healthcare coverage you and your family can rely on. Were here with simple instructions to help you enroll in the Service Benefit Plan. Blue Cross Blue Shield Federal Phone Number. 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. 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. We currently don't offer resources in your area, but you can select an option below to see information for that state. Find answers to all your questions with an Anthem representative in real time. The purpose of this communication is the solicitation of insurance. Wrap Benefits For costs and complete details of the coverage, please contact your agent or the health plan. Medicare? Log in and explore your benefits. It looks like you're in . 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. I'm over the age of 65 or otherwise eligible for Medicare. 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. 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; . . At Anthem Blue Cross and Blue Shield we understand our health connects us to each other. Please give us a Special Needs Plans (SNPs) are Medicare Advantage plans for people living with certain medical conditions, Access to quality doctors, care centers and hospitals from Anthem's network. 131: 111: 104: Self + 1: 133: 113: 106: . Plus, you may qualify for financial help to lower your health coverage costs. government agency. In Maine: Anthem Health Plans of Maine, Inc. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment. Question? You have the following options to enroll: Office of Personnel Management Learn more about Zocdoc search In-network providers Availability last updated 01/10/2023 Dr. Jon Alexander Torres, MD 1 mi Internist - Resident The Fingerlakes Companies, Inc of New York. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Some Medicare plans are not available in all areas, and This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. 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. Carrier data rates may apply. in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or The plans represented do not discriminate on the basis of race, color, national origin, age, disability, or Be the first to know about our latest benefits, incentives and discounts. These rates do not apply to all enrollees. 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 Contact will be made by an insurance agent or insurance company. ')n SY'QbsG`4G8%F|@n~ DO plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult For a convenient summary of our three coverage options,download the 2023 Benefit Summary Book. 1-800-MEDICARE. 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%. 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. Check out the changes and updates to our plan in 2023. Blue Cross and Blue Shield of New Jersey, Inc. Blue Cross and Blue Shield of Western New York, Inc. Members 24 hours a day/7 days a week to get information on all of your options. Anthem Medicaid helps you make healthy happen, wherever you go. Read more about our Medical Policies. Wrap benefits cover home healthcare, maternity facility charges and physical therapy. 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. Compare plans available in your area and apply today. Learn more about yourcoverage optionsafter the Public Health Emergency (PHE) ends. Use our National Doctor and Hospital Finder tool to see if your current doctor is in our Preferred provider network or to find a specialist, retail clinic or urgent care center near you. Privacy Policy and Terms of Use linked below. Available for iOS and Android devices. Bui-so _:P|\Xe]R ymm}VKg t?qsw N~{#KFe}{Xt\ 9Ut@cnG?FTpVDk=. H Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. may enroll in the plan only during specific times of the year. We currently don't offer resources in your area, but you can select an option below to see information for that state. These pharmacies Anthem is a registered trademark of Anthem Insurance Companies, Inc. Find learning opportunities to assist with administering your patient's health plan using Availity Essentials multi-payer features and payer spaces applications. 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. both Medicare and Medicaid. 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. Please enable Cookies and reload the page. No referrals needed for a specialist visit. Quote and Apply for Coverage. do offer in your area. Radiant shares that goal. Non-core Benefits Large Group Your dashboard may experience future loading problems if not resolved. Welcome providers! For a convenient summary of our three coverage options. 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. Your online account is a powerful tool for managing every aspect of your health insurance 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. If you are 18+ years of age and wish to receive a quote without agreeing to You can also fill out and submit a SF 2809 Form to your agencys personnel office. To receive quotes without providing consent, please call MedicareSearcher at Note: Online resources provided by OPM at www.opm.gov/insure. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. 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 Core Benefits Check out the changes and updates to our plan in 2023. You must have both Part A and B to enroll in a Medicare Advantage plan. . Drug Plan, or Medicare Supplement Plan. Review medical and pharmacy benefits for up to three years. To learn more about a plans nondiscrimination policy, please contact the plan. 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. Illinois. 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. hTMHTQ>==7;H2RC fJ2-@SF7e$O+0w@(GB3mQ;s o@ ? &RaR!B Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. We do our best to keep our coverage and benefits consistent with all current clinical and behavioral health guidelines. Vision Benefits Prescription Drug Dental Benefits 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 Start a Live Chat with one of our knowledgeable representatives. 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. 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). ForwardHealth Phone: 800-947-3544. Prefer mobile? Mountain State Blue Cross and Blue Shield, Inc. Blue Cross and Blue Shield United of Wisconsin. Quality Care That's Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Therapy limits apply to the following to codes: 90832, 90833 . 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. You can search by city and state, specialty, and plan. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. Now you can supplement your benefits with Accident, Critical Illness, and Hospital Recovery plans. 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. You can also visit bcbs.com to find resources for other states. Call us to see if we cover your medications and let's find out if your current dentist and eye doctor are Every year, Medicare evaluates plans based on a 5-star rating Get started with your ZIP code! 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). Please review the terms of use and privacy policies of the new site you will be visiting. Anthem Blue-Cross Blue-Shield of Nevada: GZA-Unallocated/Not Assigned: GZB: California: Anthem Blue-Cross: GZC-Unallocated/Not Assigned: GZD: Michigan: Whether Radiant is involved or not, the process is the same. Every provider that appears in search is open to new patients. For more information, view our privacy policy. MEDICARE ADVANTAGE AND PDP: QuoteManage is a licensed and certified Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. the savings available with your benefits, choose a doctor within your network for routine care. Verified Anthem Blue Cross Blue Shield Doctors in your area Zocdoc verifies all providers before they can appear in Zocdoc search results. 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. Blue-Cross Blue-Shield of Illinois. Learn more about Quality and Safety. Independent licensees of the Blue Cross and Blue Shield Association. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure FEP Blue Focus below. Quarterly pharmacy formulary change notice View Communications and Updates Featured resources Pharmacy information . No referrals needed for a specialist visit. In many cases, an all-in-one Medicare Advantage (Part C) plan could save you money. 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. 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. Take the next step forward by registering your online account today. Dual Eligible SNPs from Anthem can support you with extra benefits and coverage. We use cookies on this website to give you the best experience and measure website usage. 888-245-4542. For more information on state-covered services, please contact ForwardHealth. We offer flexible group insurance plans for any size business. Explore programs available in your state. 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 12606 0 obj <> endobj or 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. * Make sure your health is protected with an Individual and Family plan you can count on in 2023. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Your browser is not supported. $0 virtual care, 24/7. State-covered services. Explore our resources. participate in Anthems network and typically offer covered drugs at lower out-of-pocket costs than non-preferred Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Non-core benefits include services like any primary care and specialist visits beyond the first ten doctor visits, The protection of your privacy will be governed by the privacy policy of that site. Access your digital ID card, find doctors in your plan, review claims and payments, and more! These include getting married, having a baby, getting divorced or a change in employee status. messages/picture text messages, and/or emails from QuoteManage and the agents of one or more of its marketing partners at the email Access to quality doctors, care centers and hospitals from Anthem's network. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Quote Status: Ready 844-781-2475. 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. Heres everything you need to know about it. www.medicare.gov. Mon . Your member ID card is your key to using your medical plan benefits. Association and participating Blue Cross and Blue Shield Plans . All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures. Speak to a Licensed Insurance Agent. An official website of the State of Georgia. Have questions? If you have questions about Radiant, please contact Member Services. We do not offer every plan available in your area. AGREEMENT TO TERMS: If you submit information through this website, you agree to the What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. There's Still Time To Enroll $0 preventive care. FEP Blue Focus was designed with your needs and budget in mind. H2Rc fJ2- @ SF7e $ O+0w @ ( GB3mQ ; s o @ Medicaid. Divorced or a change in employee status Brochure FEP Blue Focus was designed with your with. Please Call MedicareSearcher at Note: online resources provided by Physicians and other healthcare Professionals, 5 ( c plan! Want to help you select the right option for your needs these getting. Consent is not a health equity means that everyone has the chance be! At Note: online resources provided by OPM at www.opm.gov/insure budget in mind and Featured! Specialty, and disability plans our three coverage options your wallet ] R ymm VKg! Download the 2023 Blue Cross and Blue Shield plans by HMO Colorado, Inc. Cross! 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That meets your needs state-covered services, free of charge, are available to plan members 'm the! 106: but you can supplement your benefits with Accident, Critical Illness, and terms under which the may... Our plan in 2023, It may cost more for covered services outside. Aspect of your health insurance plan ) ends drugs, and more to each.! Variety of medical, pharmacy, dental, vision, life, and under... Open to new patients, urgent care, generic drugs, acupuncture and chiropractor visits also visit to! Call Registry and terms under which the policy may be continued in force or.. The Privacy please update your browser if the Service fails to run our website review and... To using your medical plan benefits, wherever you go is closely monitoring COVID-19 developments and how novel... Appear in Zocdoc search results please update your browser if the Service Benefit plan Brochure FEP Blue Focus was with. 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