711. 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. Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More Learn more about your coverage options after the Public Health Emergency (PHE) ends. Question? Carrier data rates may apply. We would always make sure that it was approved by law and allowed by our contracts beforehand. If you're living with a chronic condition such as diabetes, heart disease, or a lung We want to help you get access to quality, efficient care that is backed by scientific research. government agency. Please review the terms of use and privacy policies of the new site you will be visiting. Understand your care options ahead of time so you can save time and money. In 2022, Anthem Blue Cross Blue Shield earned an overall 4.5 Star Rating from Medicare on the 5-star scale. . We offer flexible group insurance plans for any size business. Quarterly pharmacy formulary change notice View Communications and Updates Featured resources Pharmacy information 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. Quote Status: Ready We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Quickly and easily submit out-of-network claims online. You can search by city and state, specialty, and plan. by the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (DHHS), or any other FEP Blue Focus was designed with your needs and budget in mind. Read more about our Medical Policies. Get connected to a licensed agent to learn more! All rights reserved. Access your digital ID card, find doctors in your plan, review claims and payments, and more! BCBS Prefix List 2021 - Alpha. These budget-friendly insurance options help lessen the financial impact of unexpected health care costs. The plans represented do not discriminate on the basis of race, color, national origin, age, disability, or Effective July 1, 2022, Anthem recognizes and accepts qualifying claims for acute Hospital in Home (HiH) services through the newly established revenue code 0161. 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 . Select a state for information that's relevant to you. At Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem), we value you as a provider in our network. 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. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. 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). 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. 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. Information. in our or Not connected with or endorsed by the U.S. Government or the federal Medicare program. Want to see detailed benefits for this plan? ForwardHealth Phone: 800-947-3544. You will still have to pay your Medicare Part B premium. 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. 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 Medicare Complaints, Grievances & Appeals. Heres everything you need to know about it. By continuing to use this website, you consent to these cookies. Radiant Services, LLC may be part of the approval process for care you receive. Every provider that appears in search is open to new patients. Check out the changes and updates to our plan in 2023. Generally, Medicare is available for people age 65 or older, younger people with disabilities and Were here with simple instructions to help you enroll in the Service Benefit Plan. Find answers to all your questions with an Anthem representative in real time. Check out the changes and updates to our plan in 2023. Your dashboard may experience future loading problems if not resolved. endstream endobj startxref If your state isn't listed, check out bcbs.com to find coverage in your area. Call our Customer Service number, (TTY: 711). 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. participate in Anthems network and typically offer covered drugs at lower out-of-pocket costs than non-preferred Coverage.net 2022. Lawrence, KS 66046-0500, Note: if you receive an annuity from another program or need more information, please visit opm.gov. pharmacies. Call: 833-901-1364 Learn more Limited Duration Insurance Plans By continuing to use this website, you consent to these cookies. We combine national expertise with an experienced local staff to operate community-based healthcare plans. For a complete list of available Access your member ID card from our website or mobile app. I understand that consent is not a Vision Benefits Prescription Drug Dental Benefits to Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. with The following Anthem Blue Cross and Blue Shield plans offer Medicare Advantage Prescription Drug plan coverage. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. No referrals needed for a specialist visit. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. By clicking the Get Free Quote button, I hereby consent to receive marketing communications regarding Health equity means that everyone has the chance to be their healthiest. visits, urgent care, generic drugs, acupuncture and chiropractor visits. Blue Cross and Blue Shield of New Jersey, Inc. Blue Cross and Blue Shield of Western New York, Inc. Already registered? Large Group 1. Our office is currently closed. Access to quality doctors, care centers and hospitals from Anthem's network. Learn more about Zocdoc search In-network providers Availability last updated 01/10/2023 Dr. Jon Alexander Torres, MD 1 mi Internist - Resident 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. These include getting married, having a baby, getting divorced or a change in employee status. Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. The resources for our providers may differ between states. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment. Request a free consultation with a licensed agent, Have a licensed agent call you for a free consultation. 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. Your browser is not supported. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure FEP Blue Focus below. 2020 Blue Cross Blue Shield Association. FEP Blue Focus was designed with your needs and budget in mind. If you are 18+ years of age and wish to receive a quote without agreeing to Compare plans available in your area and apply today. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). 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. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. 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. 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. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. 228 Park Ave South #21505, New York, NY 10003. Your online account is a powerful tool for managing every aspect of your health insurance plan. P.O. Be the first to know about our latest benefits, incentives and discounts. Always have your member ID card with you to view. NCQA evaluates the quality of key processes and systems health plans provide their members. Plus, you may qualify for financial help to lower your health coverage costs. Your member ID card is your key to using your medical plan benefits. For more information, view our privacy policy. Pay outstanding doctor bills and track online or in-person payments. Log in and explore your benefits. disorder, you may want to learn about Chronic Condition SNPs. representative of Medicare Advantage organizations and stand-alone PDP prescription drug plans, including Anthem. Policy and Terms & Conditions. You can also fill out and submit a SF 2809 Form to your agencys personnel office. These rates do not apply to all enrollees. PRIVATE SITE: This is a non-government website, and is not endorsed 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. 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 Medicare Supplement Insurance plans, via autodialed and/or pre-recorded or artificial voice calls, text Prescription drug coverage with affordable out-of-pocket copays. Please contact Medicare.gov or 1800MEDICARE (TTY users should call 1-877-486-2048) %PDF-1.7 % 12606 0 obj <> endobj Another type of SNP is available for people 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Therapy limits apply to the following to codes: 90832, 90833 . End-Stage Renal disease. Now you can supplement your benefits with Accident, Critical Illness, and Hospital Recovery plans. If you have questions about Radiant, please contact Member Services. We use cookies on this website to give you the best experience and measure website usage. Non-core benefits include services like any primary care and specialist visits beyond the first ten doctor visits, Learn more about Quality and Safety. Make your mental health a priority. Some Medicare plans are not available in all areas, and Bui-so _:P|\Xe]R ymm}VKg t?qsw N~{#KFe}{Xt\ 9Ut@cnG?FTpVDk=. H messages/picture text messages, and/or emails from QuoteManage and the agents of one or more of its marketing partners at the email At Anthem Blue Cross and Blue Shield we understand our health connects us to each other. plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult Learn more about yourcoverage optionsafter the Public Health Emergency (PHE) ends. This page is about to expire for your security. may enroll in the plan only during specific times of the year. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Anthem Medicaid helps you make healthy happen, wherever you go. Special Needs Plans (SNPs) are Medicare Advantage plans for people living with certain medical conditions, Or Explore Anthems MediBlue Rx Part D plans at https://www.anthem.com/medicare/medicare-part-d-plans/mediblue-rx-plans. . Wrap benefits cover home healthcare, maternity facility charges and physical therapy. Are you over the age of 65 or otherwise eligible 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%. Verified Anthem Blue Cross Blue Shield Doctors in your area Zocdoc verifies all providers before they can appear in Zocdoc search results. Mountain State Blue Cross and Blue Shield, Inc. Blue Cross and Blue Shield United of Wisconsin. Get the Sydney Health App. Please review the terms of use and privacy policies of the new site you will be visiting. 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. Welcome providers! 0 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. Sometimes our decisions are based on federal or state law. Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. For more information on state-covered services, please contact ForwardHealth. . 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. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Over 1.9 million people have enrolled in Anthem Medicare Advantage Plan, Do Not Sell/Share My Personal Prefer mobile? Taking time for routine mammograms is an important part of staying healthy. 1-800-MEDICARE. Note: Online resources provided by OPM at www.opm.gov/insure. 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. address and/or phone number provided above, including wireless numbers, if applicable, even if I have Quote and Apply for Coverage. and 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 . offer all plans in your area. 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. Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. 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; . The protection of your privacy will be governed by the privacy policy of that site. 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. All Rights Reserved. Independent licensees of the Blue Cross and Blue Shield Association. In Connecticut: Anthem Health Plans, Inc. Illinois. Please update your browser if the service fails to run our website. Anthems Privacy Policy and Terms of Use linked below. The licensed agent to whom you are connected may not To receive quotes without providing consent, please call MedicareSearcher at Whether Radiant is involved or not, the process is the same. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). For a convenient summary of our three coverage options. Anthem's medical plans offer healthcare coverage you and your family can rely on. There's Still Time To Enroll $0 preventive care. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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. Heres everything you need to know about it. We currently don't offer resources in your area, but you can select an option below to see information for that state. Find learning opportunities to assist with administering your patient's health plan using Availity Essentials multi-payer features and payer spaces applications. See how Anthem Blue Cross Blue Shield gets involved. Available for iOS and Android devices. Do you or your family & friends need Special Needs Plans (SNPs)? Please do not submit the form anywhere else. For a convenient summary of our three coverage options,download the 2023 Benefit Summary Book. Prescription drug coverage with affordable out-of-pocket copays. For costs and complete details of the coverage, please contact your agent or the health plan. $0 virtual care, 24/7. MEDICARE SUPPLEMENT: Medicare Supplement insurance is available to those age 65 and older enrolled Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Find a Medicare plan that fits your healthcare needs and your budget. To learn more about a plans nondiscrimination policy, please contact the plan. A choice of six plans to meet every need and budget. BCBS Company. Dual Eligible SNPs from Anthem can support you with extra benefits and coverage. lab and diagnostic services, allergy treatments, hospital services and emergency care you may need. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). Anthem Blue-Cross Blue-Shield of Ohio: E9W: Alaska: Premera Blue-Cross Blue-Shield of Alaska: E9X: California: Anthem Blue-Cross: E9Y: Massachusetts: Get Free Quote Anthem Medicare plan offers you more! AGREEMENT TO TERMS: If you submit information through this website, you agree to the Have questions? Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Your coverage will automatically carry over each year. Box 5000 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. Members $0 plans in select areas. Error: Please enter a valid email address. Review medical and pharmacy benefits for up to three years. hbbd``b@H@$$b@ "Htqk#`I&. 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 I agree to the Privacy I'm over the age of 65 or otherwise eligible for Medicare. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. %%EOF As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. Blue Cross and Blue Shield depends on contract renewal. Medicare? Contact will be made by an insurance agent or insurance company. * Make sure your health is protected with an Individual and Family plan you can count on in 2023. in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or for Non-core Benefits both Medicare and Medicaid. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. 888-245-4542. Do you wish to continue working on your Please give us a Blue-Cross Blue-Shield of Illinois. 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. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. In Indiana: Anthem Insurance Companies, Inc. note the enrollment code for your family status and the plan option of your choice in the table above. You must have both Part A and B to enroll in a Medicare Advantage plan. Get quality healthcare coverage thats easy on your wallet. 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. No referrals needed for a specialist visit. do offer in your area. Selecting this link will open a PDF. with a licensed insurance agent for the solicitation of insurance. It looks like you're in . Anthem is a registered trademark of Anthem Insurance Companies, Inc. Learn more about our Foundation Guidelines and Community Involvement. To explore all Medicare Advantage and PDP plans, please contact Medicare.gov or Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, James V. 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