Oct 1 – March 31. 8:00am – 8:00pm, 7 days a week. Phone: (818) 598-8000. Providers should notify Medicare Plus Blue of emergency admissions within one business day. Important information about Changes to this Directory. With Security Blue HMO-POS, you get covered care from its large network of providers in 28 counties in western Pennsylvania. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. Its ... of claims, contact . Please note that on weekends and holidays from April 1 through September 30, your call may be sent to voicemail. Plus, these plans often have extras, such as coverage for prescription drugs, vision, dental, and hearing aids. BlueCross Medicare Advantage BlueCare Plus (HMO SNP) 2021. 02/16/21 Telehealth Services for Our Government Programs Members. Aetna members have access to contact information and resources specific to their plans. Arkansas Blue and Cross Blue Shield Health Information Network – 2BCN PO BOX 2181 Little Rock, AR 72203 Email us. Supplemental Plans Offered to Federal Employees Administered by the GRID Dental Corp. It's ideal for Alabamians who want one plan that does it all with low, fixed costs and the freedom to use providers outside the network. Learn About Medicare Find a Doctor. C Plus plans do not cover prescription drugs. Blue Medicare HMO Blue Medicare PPO Contact: 1-888-296-9790 or (336) 774-5400. Come to a meeting to learn about Aetna Medicare plans and benefits. Blue Cross NC and Duke Health, two of the most trusted and innovative names in health care, have come together to create Experience Health, a locally owned and operated, non-profit health plan for seniors. This plan includes additional Medicare prescription drug (Part-D) coverage. Call for Hearing Aids and Exams. Learn More. ; Provider Finder ® — search for doctors, hospitals, and other health care providers in the Blue Cross Medicare Advantage network. Blue Cross Medicare Advantage section of the Blues Provider Reference Manual. For behavioral health, providers should contact Michigan Medicare Plus Blue PPO Behavioral Health at 1-888-803-4960 or via fax at 1-866-315-0442. Get all-around protection by enrolling in both C Plus … Contact the Medicare plan directly. 800-451-7715. Member Services can be reached at 480-937-0409 (in Arizona) or at our toll-free phone number at 1-800-446-8331 (TTY users should call 711). Please use Chrome or Edge or contact our Licensed Medicare Advisors @ 844-593-0265. close Language Assistance . About Blue Cross of Idaho / Contact; Code of Ethical Business Conduct / Nondiscrimination Notice and Language Assistance; Powered by Blue Cross of Idaho Care Plus, Inc. Blue Cross of Idaho Care Plus, Inc. is a Medicare Advantage plan with a Medicare contract. To use our app you need to link your myGov account to Medicare. 02/11/21 Blue Cross Community Health Plans SM (BCCHP SM) and Blue Cross Community MMAI (Medicare-Medicaid Plan) SM Appointment Availability Timeframes. Blue Cross Medicare Advantage section of the Blues Provider Reference Manual. This directory is for the entire Blue Cross Medicare Advantage provider network offered to The Blue Cross Medicare Advantage Electronic Payor ID # for participating professional Enrollment in Blue Shield of California depends on contract renewal. Login for 24/7 Support. MedicareHelp.org is a website that helps you compare various insurance options to see which one suits your needs best. Words in blue are defined on pages 15–16. Talk to a Blue Shield Medicare advisor. (877) 549-1741 (TTY: 711)*. Enrollment in Medicare Plus Blue, BCN Advantage, and Prescription Blue depends on contract renewal. This plan, Blue Advantage, is a Medicare-approved Preferred Provider Organization (PPO) Plan option for beneficiaries. AHIN; EDI; PHR Medicare Advantage plans bundle all the benefits of Medicare Part A and Medicare Part B into one convenient plan. Blue Medicare Rx 1-888-247-4142; TTY 1-888-247-4145. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Your Primary Care Provider (PCP) is the provider you see first for most health problems. Care Improvement Plus is a Medicare Advantage Prescription Drug (MAPD) health plan that offers Medicare beneficiaries a variety of Medicare health plans with complete health care coverage: Medicare Part A (Hospital), Medicare Part B (Medical), Medicare Part D (Prescription Drug Coverage) Additional services beyond what‘s provided by Original Medicare: Open Access Provider Network, … Contact Us ... Find a Provider. If you are a member with a coronavirus benefit question or would like to speak with a nurse 24/7, please call our coronavirus helpline at 1-888-372-1970. Medicare program. Pharmacy Benefits. Blue Shield of California Promise Health Plan. Dental. Availity at 800-282-4548. MedicareHelp.org offers comprehensive information on Medicare, Medigap, Medicare Advantage, Medicare Part-D, and their providers. Built-in prescription drug coverage. Talk to a licensed agent. Premera Blue Cross is an HMO plan with a Medicare contract. - Fri. 7 a.m. to 6 p.m. It’s helpful if you have your provider number or NPI and, if applicable, the member’s ID number, account number and claim number handy when you call. Discover what’s best for your company, employees and retirees. The provider either has a copy of, or has reasonable access to, the Medicare Advantage terms and conditions of payment (this document). Questions about Drug Coverage. If your prior authorization request isn’t approved and you continue getting these services, Medicare will deny the claim and the ambulance company may bill you for all charges. If you haven’t already registered for Braven Health EDI, please do so immediately. Member Services can be reached at 480-937-0409 (in Arizona) or at our toll-free phone number at 1-800-446-8331 (TTY users should call 711). 800-676-BLUE (2583) (benefits for all out-of-state policies) AAA + six to nine numeric digits. The Blue Cross Medicare Advantage plans offer all the coverage of Original Medicare – plus additional benefits not covered by Original Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options. 300 Park Place Blvd. If you’re a Florida Blue Medicare member please call 800-926-6565. If you need to change your primary care physician, just call Blue Shield 65 Plus Member Services at (800) 776-4466. Medicare Advantage Providers Anthem offers a variety of Medicare plans to support member needs. Enrollment in BCBSAZ plans depends on contract renewal. Blue Plus may not encourage or request you to Blue Cross Medicare Advantage (PPO) SM Blue Cross Medicare Advantage plans offer all the same coverage as Original Medicare — plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription … Availity at 800-282-4548. Medicare Advantage plans bundle all the benefits of Medicare Part A and Medicare Part B into one convenient plan. This site is 100% free to use and we are compensated by Ad revenue only. FEP Service. ET (Friday) Email. Username: Password: Login Help. 1-877-325-3979. Health care provider, or hospital in PPO Plans. SM. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Plus, these plans often have extras, such as coverage for prescription drugs, vision, dental, and hearing aids. Tell your doctor and other Health care provider about any changes in your insurance or coverage when you get care. FEP BlueDental. Ask the SSA for your name as it appears in their records, and for the effective dates for your Medicare coverage. Call Toll Free. Medicare Advantage plans bundle all the benefits of Medicare Part A and Medicare Part B into one convenient plan. Contact your hospice team before you get any of these services, or you might have to pay the entire cost. © 1996- 2021 Blue Cross Blue Shield of Michigan and Blue Care Network. Contact Us | Excellus BlueCross BlueShield. We’re here to answer your questions and offer one-on-one help. Centers for Medicare and Medicaid www.medicare.gov . About Highmark. The Blue Cross Medicare Advantage plans offer all the coverage of Original Medicare – plus additional benefits not covered by Original Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options. P.O. All facility and professional providers interested in enrolling in the Medicare Advantage PPO network, or who need to change or update their information, should visit our Provider Enrollment page or call 1-800-822-2761. sales@baycarehealthplans.org. Your name. Plan may include both medical and prescription drug coverage. In addition, 87% of its plans require $0 for copay to visit a primary care doctor. This plan, Blue Advantage, is a Medicare-approved Preferred Provider Organization (PPO) Plan option for beneficiaries. If you need help, give us a call at (800) 255-4550 (option #2) or email consumersupport@bcbsvt.com. Each plan gives you choice to go to doctors, specialists, or hospitals that aren't on the plan's list, but it will usually cost less if you get your care from a network provider. Email us at GroupMedicare@BlueKC.com for more information on all the group Medicare options from Blue KC. Please contact us for assistance. Medicare Plus Blue changes in Michigan eff 1/1/18: Providers read me! New Payer ID (66006) – Beginning Jan. 1, 2017, Payer ID 66006 must be included on electronic claims received for Blue Cross Medicare Advantage PPO and Blue Cross Medicare Advantage HMO members. We're here to help. • Michigan providers can verify eligibility and coverage online through web-DENIS. About Blue Cross of Idaho / Contact; Code of Ethical Business Conduct / Nondiscrimination Notice and Language Assistance; Powered by Blue Cross of Idaho Care Plus, Inc. Blue Cross of Idaho Care Plus, Inc. is a Medicare Advantage plan with a Medicare contract. Find doctors, dentists, & more. Free guide with no obligation to enroll. ET or contact us online. ** • Call AIM at one of these numbers: o For Medicare Plus Blue: 1-800-728-8008 o For BCN: 1-844-377-1278 At Healthy Blue, we value you as a provider in our network. Company Headquarters. Records of the training, including participant names, must be retained and available for inspection upon request for 10 years after the end date of the provider’s contract with Blue Cross Blue Shield of Michigan or Blue Care Network. The Blue Cross Medicare Advantage Electronic Payor ID # for participating professional We look forward to jointly serving the Medicaid and Medicare population with you. To submit a prior authorization request to AIM, use one of the following methods: • Log in to the AIM provider portal. • Verify eligibility and coverage. Each Blue Cross Blue Shield company is responsible for the information that it provides. ; Blue Cross Medicare Advantage section of the Blues Provider Reference Manual effective Feb. 20, 2020; Pharmacy — view Medicare newsletters, drug lists and forms. Call TruHearing® at 1-866-795-6961 (TTY: 711) to learn more about hearing aids, routine hearing exams, and to schedule an appointment. Enrollment in Blue … Federal Employee Program (FEP) 1-800-727-2227. We’re here to help with questions you have about your Medicare plan needs. If a member with an HMO product obtains routine care from an out-of-network provider without prior approval from Blue KC, neither Medicare nor Blue KC will be responsible for the costs. This means that if you get sick or need a high cost procedure, your copays are capped once you pay the $5,200. Blue Advantage (PPO) is an all-in-one Medicare Advantage plan. contact a Medicare Solutions specialist. Los Angeles, CA 90060-0007. Blue Cross Medicare Advantage P.O. A Medicare Advantage HMO plan is a Medicare Part C plan that works like a Health Maintenance Organization (HMO) plan. Telephone lines are open 8am to 8pm, seven days a week. Massachusetts Residents. Statewide provider network with 100% of Alabama hospitals and over 90% of doctors. No referral … Medicare Plus Blue PPO Essential (PPO) ... For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 … 800-482-6655 (federal policies only) R. State and School Employee Service. Clearwater, FL 33759. Contact Phone/Fax/Internet Member/Provider Customer Service (excluding Blue Cross Medicare Advantage Dual Care (HMO D SNP) (To obtain benefits, eligibility or claims status) 1-877-774-8592; Hours of operation: 8 a.m. - … Members: Contact customer service Medicare Advantage plans offer all the coverage of Original Medicare — plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options. BCBS affiliates processed over 83% of all Medicare Part A claims in 2011, and nearly 70% of all Medicare Part B claims. For dental care, use a dentist in the Delta Dental of Minnesota Minnesota Select℠ Dental Network. Enrollment in BCBSAZ plans depends on contract renewal. The Blues Provider Reference Manual plus this Medicare Section explains the policies and procedures of the Blue Cross Medicare Advantage network. Enrollment in Blue Cross of Idaho Care Plus, Inc. depends on contract renewal. Search for Local Doctor/Provider Search for Local Hospital or Facility. Support for families, children, Indigenous Australians, older Australians, and people living in remote areas. Last updated 10/19 . • Ask to see the patient’s Medicare Plus Blue PPO ID card or acknowledgement letter at every encounter. BCBSAZ Advantage, a separate but wholly owned subsidiary of BCBSAZ, offers Blue Medicare Advantage Standard, Classic, and Plus HMO plans. Blue Cross and Blue Shield of Oklahoma (BCBSOK) offers both individual and group Medicare Advantage plans. 501-378-2364 or 800-482-8416 (state and school employee policies only) XCS followed by 960 and a six-digit number. Enrollment in Premera Blue Cross depends on contract renewal. Wisconsin Medicare Advantage Plans include all the coverage of Parts A and B plus extra benefits for Medicare-eligibles like dental and vision insurance, and hearing coverage.You’ll have $0 copays for preventive care, and get $0 copays for dental and vision benefits. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. Learn how to apply for a National Provider Identifier (NPI). This directory provides a list of Blue Cross Medicare Advantage’s current network providers. Prefi x State/Are a Plan Type Plan Name Provider and member service CMS contract VOA Central - VA MA PPO Anthem Medicare Preferred 1-866-827-9866 H4909 XTH Central-KY MA PPO Anthem Medicare Preferred 1-855-690-7795 H5530 XPF Central-IN MA PPO Anthem Medicare Preferred 1-855-558-1438 H1607 Contact us Customer support. Medicare Plus Blue SM PPO: Medicare Plus Blue PPO Member Service Inquiry department Mail Code X521 Blue Cross Blue Shield of Michigan 600 E. Lafayette Blvd. TTY: 1-877-486-2048. Go Medigap provides Medicare Supplement Plans in all 50 states and from all of the major insurers - more than 30. Blue KC is here to help you make the right choices when it comes to Medicare for your retirees. Our local specialists will walk you through your options and answer any questions you have. Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. ; Blue Cross Medicare Advantage section of the Blues Provider Reference Manual effective Feb. 20, 2020; Pharmacy — view Medicare newsletters, drug lists and forms. Call Medicare Plus Blue Behavioral Health at 1-888-803-4960. As a Blue Shield 65 Plus member, you can fill or refill your prescription drugs at a Blue Shield 65 Plus network pharmacy or use the convenient mail service pharmacy. Original Medicare + Medicare Supplement + Prescription Drug Plan. Medicare Advantage insurance is designed to replace Original Medicare … Please be sure to reach out at (800) 963-8008 [TTY 711] to schedule an appointment. View the Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) provider manual. Pharmacy. Text Size. For a full list of contact information, please refer to the provider manual: View the Medi-Cal and MRMIP provider manual. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. You can talk to … Member Login. You can choose a doctor from our list of participating providers. Provider Connection Customer Service. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or gender. You can choose a plan with Part D Prescription Drug coverage, giving you access to all drugs allowed by Medicare. 601 Potrero Grande Dr. Monterey Park, CA 91755. Blue Cross Medicare Advantage (PPO) SM Blue Cross Medicare Advantage plans offer all the same coverage as Original Medicare — plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription … As you approach Medicare eligibility, we’re here to help you through the process of plan selection every step of the way. This directory is current as of October 4, 2019. Providers must obtain prior authorization from AIM before these services are provided. 800-676-2583 (Blue Card) 800-541-6652 (CalPERS/Medicare/Blue Shield … Blue Cross® Blue Shield® of Arizona (BCBSAZ) is contracted with Medicare to offer HMO and PPO Medicare Advantage plans and PDP plans. Find an overview of our Medicare Advantage plans, our Medicare Provider Manual, handy forms, policies, compliance information, pharmacy resources, our Quick Reference Guide, and more. For additional assistance you can send an email to the eBusiness technical support team at eBusiness_service@bcbst.com. We're here for you. Anthem Blue Cross Cal MediConnect Plan. If you have any questions regarding billing and eligibility, call Provider Services at 1‑800‑901‑0020 or Anthem CCC Plus Provider Services at 1‑855‑323‑4687. Provider Directories Customer Service. ... please contact the provider directly. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. True Blue Special Needs Plan (HMO D-SNP) 1-888-495-2583 TTY: 711. Medicare Plan Finder. Explore plans. If you don’t have your Medicare ID card, contact the Social Security Administration (SSA) at 1-800-772-1213 or (TTY: 1-800-325-0778). For issues related to the following functions on the Provider Connection website: Password resets and logging in. Step 1. A licensed insurance agent/producer may contact … Medicare Advantage Prescription Drug Plans. Resources that help health care professionals do what they do best — care for our members. Blue Medicare HMO 1-888-310-4110; TTY 1 … En español | From April 2018 to January 2019, the federal Centers for Medicare & Medicaid Services sent every Medicare beneficiary a new card designed to better protect against identity theft.Where the previous cards showed your Social Security number, the new cards utilize a unique, randomly assigned combination of numbers and letters called a Medicare Beneficiary Identifier (MBI). Click Learn More for your options. Visit Premera Facebook page Visit Premera Twitter page Visit Premera Youtube page Visit Premera LinkedIn page Built-in prescription drug coverage. Florida Blue Medicare is an HMO plan with a Medicare contract. Doctor and hospital coverage with a $0 Part A or B deductibles. The Blues Provider Reference Manual plus this Medicare Section explains the policies and procedures of the Blue Cross Medicare Advantage network. Phone: (800) 468-9935. No referral required for network specialists, doctors or … Contact Us. We're here to help! Medicare supplement plans are not connected with or endorsed by the U.S. government or federal Medicare program. Detroit, MI 48226-2998: Call 1-877-241-2583 TTY users call 711 Representatives are available from 8 a.m. to 9 p.m. Monday through Friday Weekend hours Oct. 1 through March 31. Make an appointment at a local office. Customer Service. TTY 800-955-8770 Blue Cross Medicare Advantage Procedure Code List Change Summary. If you need help finding a network provider and/or pharmacy, please call to 1-800-645-3965 (TTY/TDD: 711) for Keystone 65 HMO or 1-888-718-3333 (TTY/TDD: 711) for Personal Choice 65 PPO, seven days a week, 8 a.m. to 8 p.m. Aetna Medical and Behavioral health. Blue Shield of California is an HMO, HMO D-SNP, PPO, and PDP plan with a Medicare contract and a contract with the California State Medicaid Program. That’s why we’re dedicated to providing world-class care for our members and helping improve the health of our communities. Contact us for answers. Medicare Advantage Plans, a type of Medicare health plan offered by contracting private companies, give all Part A and Part B benefits. The Blue Medicare Advantage Secure Preferred (PPO) has an open network that allows you to see any doctor who accepts Medicare or who accept our plan. When you’ve set up your accounts, read about how to download the app. • Call 1-800-676-BLUE (2583). The terms and conditions may also be obtained by calling Customer Service 1-800-287-4188. 8 a.m. - 6 p.m. 1-800-924-7141 and follow the prompts to eBusiness support. A Medicare Advantage PPO plan is a Part C plan that works like a Preferred Provider Organization (PPO) plan. Braven Health has a separate Payer ID (84367) Providers must use this separate Payer ID for Braven Health for claims and other electronic transactions with Braven Health. C Plus Medicare Select plans work hand-in-hand with Original Medicare (Part A Hospital Insurance and Part B Medical Insurance), picking up as a supplement where Medicare leaves off. Please see Viva Medicare ’s Pharmacy Directory for a complete list of pharmacies. The Blue KC Provider’s Guide has been developed to support you and your staff with basic, important information about Medicare Advantage plans with Blue Cross Blue Shield of Kansas City. Explore Our Plans. Prior plan approval (also referred to as prior review, prior authorization, prospective review or certification) is the process by which Blue Medicare HMO & Blue Medicare PPO reviews the provision of certain behavioral health, medical services and medications against healthcare management guidelines prior to the services being provided. *Disclaimer: Facets/Portico, BCN Medical Informatics provider counts, May 2019. These instructions are for physicians, non-physician practitioners, and suppliers. This plan includes hospital, medical and prescription drug coverage, plus extra benefits, all in one plan. How Medicare works with tax and private health insurance. See if you are eligible for Medicare. 02/09/21 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 – Part 1. Blue Medicare Advantage Plus has a monthly premium of $45, no deductibles and an in-network maximum out-of-pocket limit of $5,200. Your plan information details which network -- National Plus, Walgreens National, Advantage or Medicare --is part of your benefit. 1 (555) 555-1234 (TTY 711) Mon-Fri, 5:30 a.m. to … Aetna Provider Phone Number for below plans - 800-624-0756. ; Provider Finder ® — search for doctors, hospitals, and other health care providers in the Blue Cross Medicare Advantage network. Blue Advantage provides the same or higher level of benefits that a beneficiary is entitled to if covered by Medicare. Contact your local Blue plan. For behavioral health, providers should contact Michigan Medicare Plus Blue PPO Behavioral Health at 1-888-803-4960 or via fax at 1-866-315-0442. That's why we’ve created a new provider experience to make it more useful for you and easier to use. 800-238-6279. Effective 01/01/2021; Effective 01/01/2020 – 12/31/2020; eviCore is an independent specialty medical benefits management company that provides utilization management services for Blue Cross and Blue … Blue Shield of California is an HMO, HMO D-SNP, PPO, and PDP plan with a Medicare contract and a contract with the California State Medicaid Program.
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