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). offer all plans in your area. We do not offer every plan available in your area. Drug Plan, or Medicare Supplement Plan. 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. Any information we provide is limited to those plans we Learn more about yourcoverage optionsafter the Public Health Emergency (PHE) ends. government agency. . Open Season Processing Center Welcome providers! Blue-Cross Blue-Shield of Illinois. By continuing to use this website, you consent to these cookies. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Wrap Benefits Explore our resources. If you are 18+ years of age and wish to receive a quote without agreeing to or the federal Medicare program. people with End Stage Renal Disease. 2020 Blue Cross Blue Shield Association. 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%. Access your digital ID card, find doctors in your plan, review claims and payments, and more! You will still have to pay your Medicare Part B premium. 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. 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. 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 . representative of Medicare Advantage organizations and stand-alone PDP prescription drug plans, including Anthem. Speak to a Licensed Insurance Agent. 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). Policy and Terms & Conditions. Please review the terms of use and privacy policies of the new site you will be visiting. No referrals needed for a specialist visit. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. We can connect you with a licensed agent to explore benefits emergencies and urgent care situations, it may cost more for covered services received outside the network. Access to quality doctors, care centers and hospitals from Anthem's network. Explore programs available in your state. The Fingerlakes Companies, Inc of New York. Selecting this link will open a PDF. You can also visit. Read more about our Medical Policies. 24 hours a day/7 days a week to get information on all of your options. 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. State Lookup. 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). Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure FEP Blue Focus below. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Members Note: Online resources provided by OPM at www.opm.gov/insure. 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. Make your mental health a priority. current quote? Information. We combine national expertise with an experienced local staff to operate community-based healthcare plans. Access to quality doctors, care centers and hospitals from Anthem's network. Please enable Cookies and reload the page. messages/picture text messages, and/or emails from QuoteManage and the agents of one or more of its marketing partners at the email 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 Your online account is a powerful tool for managing every aspect of your health insurance plan. Already registered? Who may enroll in this Plan: All Federal employees, Tribal . Plus, you may qualify for financial help to lower your health coverage costs. For a convenient summary of our three coverage options,download the 2023 Benefit Summary Book. coinsurance. By clicking the Get Free Quote button, I hereby consent to receive marketing communications regarding No referrals needed for a specialist visit. 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. Always have your member ID card with you to view. You can also fill out and submit a SF 2809 Form to your agencys personnel office. 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. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. network includes thousands of pharmacies across the countrymany of which are preferred pharmacies. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). We currently don't offer resources in your area, but you can select an option below to see information for that state. Mon . 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. We want to help you get access to quality, efficient care that is backed by scientific research. The plans represented do not discriminate on the basis of race, color, national origin, age, disability, or Your browser is not supported. To learn more about a plans nondiscrimination policy, please contact the plan. Anthem Blue-Cross Blue-Shield of Ohio: E9W: Alaska: Premera Blue-Cross Blue-Shield of Alaska: E9X: California: Anthem Blue-Cross: E9Y: Massachusetts: hbbd``b@H@$$b@ "Htqk#`I&. $0 plans in select areas. previously registered the provided number on the Do Not Call Registry. with a licensed insurance agent for the solicitation of insurance. Start a Live Chat with one of our knowledgeable representatives. NCQA evaluates the quality of key processes and systems health plans provide their members. Price a medication, find a pharmacy,order auto refills, and more. Medicare? Lets make healthy happen. AGREEMENT TO TERMS: If you submit information through this website, you agree to the 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 both Medicare and Medicaid. Are you over the age of 65 or otherwise eligible I agree to the Privacy 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. Radiant has some staff outside the United States. 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. . Box 5000 Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. Get the Sydney Health App. Core benefits provide preventive care coverage, like annual checkups, vaccines and screenings, virtual doctor The licensed agent to whom you are connected may not 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 You can search by city and state, specialty, and plan. Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), COVID-19 Excelsior Pass/Excelsior Pass Plus, Addressing the Opioid Epidemic in New York State, Drinking Water - Boiling Water and Emergency Disinfection Info, Health Care and Mental Hygiene Worker Bonus Program, Learn About the Dangers of "Synthetic Marijuana", Maternal Mortality & Disparate Racial Outcomes, NYSOH - The Official Health Plan Marketplace, Help Increasing the Text Size in Your Web Browser. ANTHEM-SPECIFIC DISCLSOURES: To take full advantage of 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. The protection of your privacy will be governed by the privacy . Get quality healthcare coverage thats easy on your wallet. Your member ID card is your key to using your medical plan benefits. Get connected to a licensed agent to learn more! or Access your member ID card from our website or mobile app. 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. those with low incomes. Effective July 1, 2022, Anthem recognizes and accepts qualifying claims for acute Hospital in Home (HiH) services through the newly established revenue code 0161. Log in and explore your benefits. Please review the terms of use and privacy policies of the new site you will be visiting. 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. A choice of six plans to meet every need and budget. If you're living with a chronic condition such as diabetes, heart disease, or a lung Anthem Medicaid helps you make healthy happen, wherever you go. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). 2005 - 2022 copyright of Anthem Insurance Companies, Inc. All rights reserved. Prescription drug coverage with affordable out-of-pocket copays. These budget-friendly insurance options help lessen the financial impact of unexpected health care costs. Radiant shares that goal. Take the next step forward by registering your online account today. 13210 0 obj <>stream Enrollment codes for this Plan: 104 Standard Option - Self Only 106 Standard Option - Self Plus One 105 Standard Option - Self and Family 111 Basic Option - Self Only 113 Basic Option - Self Plus One 112 Basic Option . We offer affordable health, dental, and vision coverage to fit your budget. Contact will be made by an insurance agent or a phone 0 SOLICITATION OF INSURANCE: The purpose of this communication is to connect individuals Medicare Complaints, Grievances & Appeals. 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. What we all do impacts those around us. In many cases, an all-in-one Medicare Advantage (Part C) plan could save you money. Special Needs Plans (SNPs) are Medicare Advantage plans for people living with certain medical conditions, End-Stage Renal disease. Discover key information about your member insurance card, including activating it digitally. In Maine: Anthem Health Plans of Maine, Inc. Be the first to know about our latest benefits, incentives and discounts. Learn more about Zocdoc search In-network providers Availability last updated 01/10/2023 Dr. Jon Alexander Torres, MD 1 mi Internist - Resident It looks like you're outside the United States. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure FEP Blue Focus below. 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. the savings available with your benefits, choose a doctor within your network for routine care. 1-800-MEDICARE. pharmacies. visits, urgent care, generic drugs, acupuncture and chiropractor visits. With the exception of Mental Health and Substance Use Disorder Benefits, 5(h). 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 Dual Eligible SNPs from Anthem can support you with extra benefits and coverage. For costs and complete details of the coverage, please contact your agent or the health plan. 1. What is Medical Billing and Medical Billing process steps in USA? 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. 844-781-2475 It looks like you're in . We offer flexible group insurance plans for any size business. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Carrier data rates may apply. Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. 844-781-2475. 131: 111: 104: Self + 1: 133: 113: 106: . Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. There's Still Time To Enroll $0 preventive care. Prefer mobile? . address and/or phone number provided above, including wireless numbers, if applicable, even if I have Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More Learn more about your coverage options after the Public Health Emergency (PHE) ends. costs, coverage, and benefits vary by location. LAB. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). For more information, view our privacy policy. To explore all Medicare Advantage and PDP plans, please contact Medicare.gov or Want to see detailed benefits for this plan? 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. Sometimes our decisions are based on federal or state law. Anthem Blue Cross and Blue Shield of Ohio (Anthem) is committed to the Ohio Department of Medicaid's goal of focusing on the individual, and improving design, delivery, and timeliness of care coordination. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. Our office is currently closed. %%EOF Check out the changes and updates to our plan in 2023. You have the following options to enroll: Office of Personnel Management If your state isn't listed, check out bcbs.com to find coverage in your area. Use our app, Sydney Health, to start a Live Chat. Learn more about Quality and Safety. sex. 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. 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. Check out our enrollment & benefits FAQs. Blue Cross Blue Shield Federal Phone Number. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Your coverage will automatically carry over each year. This page is about to expire for your security. Call us to see if we cover your medications and let's find out if your current dentist and eye doctor are In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Michigan. the Terms and Conditions and Privacy Policy, please call In Kentucky: Anthem Health Plans of Kentucky, Inc. 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. system. Anthem is a registered trademark of Anthem Insurance Companies, Inc. In Connecticut: Anthem Health Plans, Inc. 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 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. For more information, view our privacy policy. www.medicare.gov. The protection of your privacy will be governed by the privacy policy of that site. Vision Benefits Prescription Drug Dental Benefits participate in Anthems network and typically offer covered drugs at lower out-of-pocket costs than non-preferred 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. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. Taking time for routine mammograms is an important part of staying healthy. Find out what you'll pay in premiums and out-of-pocket costs such as deductibles, copayments and Not sure which plan is right for you? in our Quarterly pharmacy formulary change notice View Communications and Updates Featured resources Pharmacy information
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