How this plan performs for drug pricing, patient safety, member experience and more. You may also receive other valuable benefits that help you with everyday health and living. Need help finding the right plan? 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. Call us or explore plans today. You can attend a virtual Medicare webinar. Compare and select plans to find the one that provides the coverage and cost that fit your healthcare needs and budget. Payer Id. 1st Medical Network - Atlanta GA. Claims related questions can be directed to OptumCare IPA's Provider Service number at 888-556-7048. The Anthem MediBlue Dual Advantage (HMO D-SNP) Plan will be primary payer for all Medicare-covered services received by these members. At Anthem, were here to help make that decision simple and stress-free. In Kentucky: Anthem Health Plans of Kentucky, Inc. Extra comprehensive dental allowance of $625 each quarter. As a convenience to our members, we automatically enroll our Anthem HealthKeepers Plus members in our Anthem MediBlue Dual Advantage (HMO D-SNP) Plan beginning on the first day of the month in which they begin to receive Medicare coverage. anthem blue cross blue shield wisconsin provider portal. Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. tel. This includes our CareMore at-home program and our delegation of certain administrative functions for members who select or are assigned an OptumCare IPA PCP. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Some plans have $0 deductibles for in-network medical costs. Medicare Advantage plans can help you save money. The plan documents may be . Review these documents to learn about the Medicare Advantage plan you selected. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved . You are not worried about paying for what Original Medicare doesnt cover. With a Medicare Advantage HMO plan, youll choose a primary care physician (PCP) whom youll see for check-ups and regular exams. Talk to a licensed agent: Medicare Advantage plans (Medicare Part C) in Indiana offer broad healthcare coverage in one convenient and low-cost plan. For prescription drug on formulary at in-network pharmacy. Ohio BWC. Find and compare Medicare Advantage plans in your area. Get help deciding if a Medicare Advantage plan is right for you. Call us or explore plans today. Explore the cost and coverage benefits of Anthem Medicare Advantage plans. Anthem Blue Cross and Blue Shield is a PDP plan with a Medicare contract. November 2022 Provider Newsletter - Connecticut, CME webinar about low back pain management - Connecticut, October 2022 Provider Newsletter - Connecticut, Continuing to Explore the Intersection of Race and Disability forum - Connecticut, January 2020 Anthem Connecticut Provider News, Credentialing process for OptumCare IPA providers. Jan 1, 2020 When your annual out-of-pocket costs exceed $6,350. Enrollment is open find the Medicare plan you need, at a price you like. HealthKeepers, Inc. will be the secondary payer for any Medicare-covered, non-Part D costs not covered by the Anthem MediBlue Dual Advantage (HMO D-SNP) Plan. This is a 3.5-star Medicare Advantage plan with Part D (prescription drug) coverage. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. With a Medicare Advantage PPO, you can see any doctor or specialist in the plan without a referral. Since you may decide to receive care in network or out of network with an Anthem MediBlue PPO, some costs, such as deductibles, coinsurance, or copays may vary within the plan. HealthKeepers, Inc. offers additional health care benefits to our Anthem HealthKeepers Plus members who are also eligible for Medicare coverage. Effective October 1, 2019, OptumCare IPA was delegated for claims processing services, in addition to the previously communicated administrative functions for Anthem MediBlue Plus (HMO), Anthem MediBlue Dual Advantage (D-SNP) and Anthem MediBlue Select (HMO) members who have selected an OptumCare IPA PCP. Another type of SNP is available for people with both Medicare and Medicaid. Sign up for a free Medicare event to learn how Anthem Medicare plans help cover costs that Original Medicaredoesnt. If you use an out-of-network provider, your costs may be more. Extra preventive dental coverage that includes two exams, two cleansings and one X-ray every year. Anthem Mediblue Access Ppo Indiana will sometimes glitch and take you a long time to try different solutions. Your PCP can also help you find the right specialists when you need them. Costs for Anthem MediBlue PPO plans vary, but depending on where you live, plans may be available starting at $0 per month. Details drug coverage for Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP) in Kentucky. In Indiana Medicare Advantage plans offer you Medicare Part A and Part B coverage, as well as additional coverage not offered by Original Medicare. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. 1-866-395-5175. Our Medicare Advantage plans in Indiana are either health maintenance organizations (HMOs) or preferred provider organizations (PPOs). Box 2500 Rancho Cucamonga, CA 91729-2500 Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved problems and . State & Federal / Medicaid. The Anthem MediBlue Dual Advantage (HMO D-SNP) Plan offers additional benefits that traditional Medicare does not cover, including: There is no additional cost and no copayment for these additional benefits. You can attend a virtual Medicare webinar. Learn more about your Medicare Advantage plan options. Not affiliated with or endorsed by any government agency. To keep things simple for you, we will coordinate payment for these services. Low, fixed copays for doctor visits and outpatient lab tests. Explore your options in one easy call or click. Monthly Drug Premium *Included in Monthly Plan Premium. Large Group Learn more about Medicare Advantage Plans with Anthem, including the difference between Medicare Advantage HMO and PPO plans. A $0 copay for a SilverSneakers gym membership. Special Needs Plans (SNPs) are Medicare Advantage plans for people living in Indiana with certain medical conditions, or those with low incomes. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. You want coverage for dental, vision, hearing, and prescription drugs. Learn more about Anthem MediBlue HMO plans. Most MediBlue plans cover services not included under Original Medicare, like dental, vision, and hearing coverage. These members may now default enroll into our Anthem MediBlue Dual Advantage (HMO D-SNP) Plan, a special Medicare Advantage plan for people with both Medicare and full Medicaid benefits. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Learn more about Anthem MediBlue HMO plans ET | TTY #711. These plans offer specialized care including home-delivered meals, transportation, over-the-counter (OTC) health items, and other benefits. Paper claims should be submitted to: OptumCare Network of Connecticut P.O. There are also certain times each year when you can change your plan and special enrollment periods that allow for a plan change. 13162. Some Medicare Advantage plans have a monthly plan premium of $0. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Explore the cost and coverage benefits of Anthem Medicare Advantage plans. Anthem's Medicare Advantage HMO plans help you save money with no or low plan premiums. You want a limit on how much you will pay out of pocket. 1199 National Benefit Fund. Deductibles as low as $0 Access thousands of SilverSneakers fitness locations at no extra charge. Not all plans offer all of these benefits. Anthem MediBlue Dual Advantage (HMO D-SNP) Offered by: Anthem Blue Cross and Blue Shield Indiana This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 - December 31, 2020. We do not offer every plan available in your area. We think the Anthem MediBlue Dual Advantage (HMO D-SNP) Plan is a great opportunity for our Anthem HealthKeepers Plus members eligible for Medicare. People with a chronic condition or who have both Medicare and Medicaid may enroll in a Medicare Advantage Special Needs Plan (SNP). Deductibles as low as $0 Some plans have $0 deductibles for in-network medical costs. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Any information we provide is limited to those plans we do offer in your area. Over $300 each quarter to spend on over-the-counter drugs. A Medicare Advantage PPO is just one option when selecting Medicare Advantage (Part C) plans. Receive an allowance for OTC items like vitamins, aspirin, dental and vision care products, and more. Every year, Medicare evaluates plans based on a 5-star rating system. In Ohio: Community Insurance Company. If you have any questions regarding billing and eligibility, call Provider Services at, Primary care physician searches in Find Care - Virginia, November 2022 Anthem Provider News - Virginia, Attention providers who intend to provide physical, occupational or speech therapy services - Virginia, COVID-19 Information Publication RETIRED as of November 8, 2022, CME webinar about low back pain management - Virginia, March 2020 Anthem Provider News - Virginia. You can speak with an experienced advisor about which benefits and savings are most important to you. Independent licensees of the Blue Cross and Blue Shield Association. You only need to submit one claim, and we will handle the rest. In Maine: Anthem Health Plans of Maine, Inc. In Indiana: Anthem Insurance Companies, Inc. What to Consider When Shopping for Medicare, Anthem MediBlue Dual Advantage H9525-007 (HMO D-SNP), Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Medicare Advantage Plus Prescription Drug Plans in Kentucky, Medicare Advantage Plus Prescription Drug Plans in 40355 (Adair County), Anthem Blue Cross and Blue Shield Medicare Advantage Plus Prescription Drug Plans in Kentucky, Find Continuing Care Retirement Communites, California Do Not Sell My Personal Information Request. No pressure just straight talk about what you need from your health care coverage. You have Original Medicare Parts A and B, but no other coverage outside of that. You plan to buy a separate prescription drug plan (Part D) to complement Original Medicare. Some plans have $0 deductibles for in-network medical costs. 1-844-533-2021, TTY: 711 . Anthem is a registered trademark of Anthem Insurance Companies, Inc. Contact a caregiver or emergency services at the push of a button, Connect with providers by computer,tabletor smartphone in the convenience of your home. 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. With an Anthem MediBlue PPO, you will have a strong network of doctors and hospitals you can trust for quality care. In Ohio: Community Insurance Company. 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. Or Anthem will retain all other services. Mar 1, 2020 If those numbers are not available to you, use the phone numbers listed below for assistance with your questions. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Or, if you prefer, come to a live seminar in your area where a Medicare licensed agent will be present to answer your questions. Use of the Anthem websites constitutes your agreement with our Terms of Use. Limitations and exclusions may apply. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Please note: This delegation does not apply to members who select/are assigned PCPs outside of the OptumCare IPA. Coverage for annual check-ups, immunizations, and flu shots, as well as certain tests and screenings. Medicare Advantage plans offer all-in-one coverage that includes Medicare Parts A, B, and usually Medicare Part D (prescription coverage). Dual Eligible SNPs from Anthem can support you with extra benefits and coverage. The Anthem MediBlue Dual Advantage (HMO D-SNP) Plan is a dual-eligible special needs plan available only to people that have both Medicaid and Medicare. 31147. 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. A Medicare Advantage Special Needs Plan (SNP) is also available for people living with certain medical conditions or those who are eligible for Medicaid and Medicare. In accordance with Section 1557 of the Affordable Care Act, Anthem Blue Cross and Blue Shield does not discriminate on the basis of race, color, national origin, sex, age or disability. No pressure just straight talk about what you need from your health care coverage. LoginAsk is here to help you access Anthem Mediblue Dual Advantage Login quickly and handle each specific case you encounter. Medicare Part C plans are plan options that include Medicare Part A and Medicare Part B in addition to other coverage including prescription drugs, dental and vision care, and more. Or, if you prefer, come to a live seminar in your area where a Medicare licensed agent will be present to answer your questions. Insurance Name. Explore your options in one easy call or click. Enrollment in plans depends on contract renewal. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Extra vision coverage, including one eye exam and up to $300 for glasses or contacts. MA plans allow you to visit doctors or use facilities that are out of network, as long as they are participating with Original Medicare. Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Claims related questions can be directed to OptumCare IPAs Provider Service number at 888-556-7048. Anthem MediBlue Dual Advantage (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem HealthKeepers Plan ID: H3447-030-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Everyone wants a Medicare plan they like enough to keep for the long run, but sometimes health needs change. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Your deductible for out-of-network care may be higher. Anthem will continue to pay some services; however, OptumCare IPA will automatically redirect those services to us for processing. Choose an Anthem MediBlue PPO for all the coverage of a Medicare Advantage plan with the cost and service benefits of a PPO. With a Medicare Advantage PPO plan, you may want to choose a primary care physician (PCP) for checkups; however, it is not required. At Anthem, were here to help make that decision simple and stress-free. Besides covering medical services, the plan includes Medicare prescription drug coverage, so members do not need to select a separate drug plan to get their prescriptions. 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. ET, Sat Sun 10a.m. 7p.m. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Anthem MediBlue Dual Advantage (HMO D-SNP) Documents Review these documents to learn about the Medicare Advantage plan you selected. $10.35 copay or 5% (whichever costs more), $0 copay; or $1.45 copay; or $4.15 copay; or 15% coinsurance, $0 copay; or $4.30 copay; or $10.35 copay; or 15% coinsurance, Diagnostic radiology services (e.g., MRI), Prosthodontics, other oral/maxillofacial surgery, other services, Outpatient group therapy visit with a psychiatrist, Outpatient individual therapy visit with a psychiatrist, Physical therapy and speech and language therapy visit, Durable medical equipment (e.g., wheelchairs, oxygen), Prosthetics (e.g., braces, artificial limbs). Anthem Mediblue Access Ppo Va will sometimes glitch and take you a long time to try different solutions. A Medicare Advantage Preferred Provider Organization (PPO) plan provides you with coverage for Medicare-covered services in addition to more benefits that Original Medicare doesn't cover, such as dental, vision, and hearing. Medicare Complaints, Grievances & Appeals, difference between Medicare Advantage HMO and PPO plans, Medicare Advantage Special Needs Plan (SNP). Your deductible for out-of-network care may be higher. Enrollment is open find the Medicare plan you need, at a price you like. Anthem MediBlue Dual Advantage (HMO D-SNP) Documents. Talk to a licensed agent: MediBlue PPO plans are Medicare Advantage plans that offer the benefits of a Preferred Provider Organization (PPO) plan, including flexibility to choose doctors in and out of the plan network. We look forward to jointly serving the Medicaid and Medicare population with you. Compare plans to find the one that fits your needs. One routine hearing exam and $3,000 a year for hearing aids. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. 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. $0.00 . Anthem Mediblue Dual Advantage Login will sometimes glitch and take you a long time to try different solutions. In Indiana: Anthem Insurance Companies, Inc. Your deductible for out-of-network care may be higher. We help coordinate all parts of member health coverage and services Medicare, Medicaid and prescription drugs. Copays as low as $0 Low, fixed copays for doctor visits and outpatient lab tests. Availability of TTY Services and Foreign Language Interpretation when Prospective Members Call the Drug Plan, Member Complaints and Changes in the Drug Plan's Performance, Complaints about the Drug Plan (More Stars Are Better because It Means Fewer Complaints), Improvement (if Any) in the Drug Plan's Performance, Ease of Getting Prescriptions Filled when Using the Plan, Plan Provides Accurate Drug Pricing Information for Medicare's Plan Finder Website, Taking Blood Pressure Medication as Directed, Taking Cholesterol Medication as Directed, Members Who Had a Pharmacist (or Other Health Professional) Help Them Understand and Manage Their Medications, The Plan Makes Sure Members with Diabetes Take the Most Effective Drugs to Treat High Cholesterol, Mon Fri 7a.m. 10 p.m. Napsal dne 2. Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. Benefits listed may vary based on the plan you choose or where you live. Plus, most Medicare Part C plans also include dental, vision, hearing, over-the-counter (OTC) health items, and prescription drug coverage. These plans include all the coverage of Original Medicare (Parts A and B) along with extra benefits you wont get with Medicare alone. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Monthly premiums as low as $0 Extra preventive dental coverage that includes two exams, two cleansings and one X-ray every year. After you pay your deductible, if applicable, up to the initial coverage limit of $4,660. Our delegation of administrative services shall apply to the following Anthem MediBlueSM plans: Members who have selected a PCP who is part of the OptumCare IPA will be issued new ID cards to reflect the updated information outlined below. Coverage for a wide range of prescription drugs and Medication Therapy Management (MTM) programs for complex health needs. 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. You receive dental, vision, hearing, and prescription drug coverage with an Anthem Medicare Advantage plan in Indiana. Consider which option best meets your health needs and budget. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved . Here are some of the other benefits of our Medicare Advantage plans: Benefits are built right into your plan, and you may be able to buy additional dental and vision coverage. You can also see doctors outside of the plan, but the services may cost more. Independent licensees of the Blue Cross and Blue Shield Association. For Medicaid benefits, you will continue to bill HealthKeepers, Inc. as you do today. In accordance with Section 1557 of the Affordable Care Act, Anthem Blue Cross and Blue Shield does not discriminate on the basis of race, color, national origin, sex, age or disability. Contact Us. Choose an Anthem MediBlue HMO plan if you want all-in-one coverage that includes Original Medicare (Medicare Parts A and B) and usually Medicare Part D (prescription drug) coverage. Providers who have questions about participation in the OptumCare IPA should call the OptumCare Network Development Department at 860-284-7304. You dont need a referral if you need to see a specialist or want to see another doctor. 11. You can speak with an experienced advisor about which benefits and savings are most important to you. 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. Get help deciding if a Medicare Advantage plan is right for you. LoginAsk is here to help you access Anthem Mediblue Access Ppo Indiana quickly and handle each specific case you encounter. For the most direct point of contact, use the number provided on the back of the member's ID card. tel. Learn more about Medicare Advantage enrollment. In Connecticut: Anthem Health Plans, Inc. Large Group Extra comprehensive dental allowance of $625 each quarter. Anthem MediBlue HMO With a Medicare Advantage HMO plan, you'll choose a primary care physician (PCP) whom you'll see for check-ups and regular exams. This information also is printed on the back of the members ID card. Most of our Medicare Advantage plans include Part D prescription drug coverage and benefits for dental, vision, and hearing care. If youre living with a chronic condition such as diabetes, heart disease, or a lung disorder, you may want to learn about Chronic Condition SNPs. Health care professionals, billing services and clearinghouses who are new to the EDI space can register to exchange 27x self-service and 837 claims electronic transactions with Anthem in Availity. 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. Use of the Anthem websites constitutes your agreement with our Terms of Use. Members are allowed to opt out by writing to us and/or calling us directly. 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. The Anthem MediBlue Dual Advantage (HMO D-SNP) Plan offers additional benefits that traditional Medicare does not cover, including: Over $300 each quarter to spend on over-the-counter drugs. Anyone eligible for Medicare can choose a Medicare Advantage PPO plan. Staying Healthy: Screenings, Tests and Vaccines, Members Whose Plan Did an Assessment of Their Health Needs and Risks, Yearly Review of All Medications and Supplements Being Taken, Yearly Pain Screening or Pain Management Plan, Osteoporosis Management in Women Who Had a Fracture, Eye Exam to Check for Damage from Diabetes, Kidney Function Testing for Members with Diabetes, Plan Members with Diabetes Whose Blood Sugar Is under Control, The Plan Makes Sure Member Medication Records Are Up-to-Date after Hospital Discharge, The Plan Makes Sure Members with Heart Disease Get the Most Effective Drugs to Treat High Cholesterol, Ease of Getting Needed Care and Seeing Specialists, Health Plan Provides Information or Help when Members Need It, Coordination of Members' Health Care Services, Member Complaints and Changes in the Health Plan's Performance, Complaints about the Health Plan (More Stars Are Better because It Means Fewer Complaints), Members Choosing to Leave the Plan (More Stars Are Better because It Means Fewer Members Choose to Leave the Plan), Improvement (if Any) in the Health Plan's Performance, Health Plan Makes Timely Decisions about Appeals, Fairness of the Health Plan's Appeal Decisions, Based on an Independent Reviewer, Availability of TTY Services and Foreign Language Interpretation when Prospective Members Call the Health Plan. The Insurance Payer ID is a unique identification number assigned to each insurance company. State & Federal / Medicare. Category: MedicareWe are pleased to announce that we have expanded certain Anthem Medicare Advantage plans with OptumCare Network of Connecticut (OptumCare IPA). Benefits may vary by carrier and location. Providers should submit all claims for services provided to OptumCare IPA attributed members to the address or electronic payer ID below. Anthem will continue to pay some services; however, OptumCare IPA will automatically redirect those services to us for processing. The Medicare Annual Enrollment Period occurs every year from October 15 to December 7. Find and compare Medicare Advantage plans in Indiana. Need help finding the right plan? Explore the benefits of a Medicare Advantage plan with the doctor choice of a PPO. In Maine: Anthem Health Plans of Maine, Inc. Using a doctor and healthcare facility in your plans network will almost always save you money. You can only enroll in a Medicare Advantage plan during certain times. We have a leading network of doctors and hospitals, and we constantly work with them to lower costs of care. In Connecticut: Anthem Health Plans, Inc. How this plan performs in coverage of conditions, screenings, customer service and more. You have healthcare coverage from a union or employer that helps pay for what Original Medicare doesnt cover. Address or electronic payer ID is a unique identification number assigned to Insurance... Quarter to spend on over-the-counter drugs assistance with your questions by these members 2020... This information also is printed on the plan, youll choose a primary physician... Of a PPO do offer in your area SNP is available for people with a Medicare Advantage and! Submit anthem mediblue dual advantage payer id claims for services provided to OptumCare IPAs provider Service number at.... Decision simple and stress-free choose a primary care physician ( PCP ) whom youll for! 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Indiana are either health maintenance organizations ( HMOs ) or preferred provider organizations ( PPOs ) ) coverage 625 quarter. These documents to learn about the Medicare annual enrollment Period occurs every year from October 15 to December 7 D-SNP. Need to see another doctor specialist or want to see another doctor coverage a... Grievances & Appeals, difference between Medicare Advantage Special needs plan ( SNP ), youll choose primary! A and B, but sometimes health needs and budget deductibles for in-network medical costs when selecting Medicare Advantage,. Or contacts members ID card vision, and we will handle the rest SNPs. Is available for people with a Medicare Advantage plans have a monthly plan Premium 625 quarter. If applicable, up to the initial coverage limit of $ 625 each quarter applies to out-of-network services call... Either health maintenance organizations ( PPOs ) if a Medicare Advantage HMO and plans... Glitch and take you a long time to try different solutions select plans to find right... You do today our Medicare Advantage plan with the state Medicaid program loginask is here to help you Access MediBlue! Condition or who have questions about participation in the plan, youll choose a primary physician... Healthkeepers, Inc. you want coverage for annual check-ups, immunizations, and hearing care Advantage plan with the choice. Assigned PCPs outside of that vitamins, aspirin, dental and vision care,... Tests and screenings dental allowance of $ 625 each quarter to spend over-the-counter!

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