Los Angeles City Employees’ Retirement System adds the medical and prescription drug plan
Effective January 1, 2022, Los Angeles City Employees' Retirement System (LACERS) in California will offer an Anthem Blue Cross (Anthem) Medicare Preferred (PPO) plan. Anthem will provide medical benefits for LACERS retirees through the Preferred Provider Organization (PPO) product, which includes the National Access Plus benefit.
The PPO plan allows members to receive services from any provider, as long as the provider is eligible to receive payments from Medicare.
LACERS members’ copay or coinsurance percentage will be the same whether their provider is in- or out-of-network. Locally or nationwide, doctors or hospitals, member share-of-cost (SOC) doesn’t change.
Noncontracted providers may continue treating LACERS members and will be reimbursed 100% of Medicare’s allowed amount for covered services, less any member SOC.
The Medicare Advantage plan offers the same hospital and medical benefits that Medicare covers, while covering additional benefits that Medicare does not such as LiveHealth Online* and SilverSneakers. *
The prefix on the Medicare Advantage ID cards is MBL.
Prior authorization requirements are also available to contracted providers by accessing the Provider
Self-Service Tool on the Availity* Portal at https://www.availity.com.
Providers will follow their normal claim filing procedures for LACERS member claims.
Providers may call the number on the back of the member’s ID card for eligibility, prior authorization requirements, and any questions about the LACERS member benefits or coverage.
January 2022 Anthem Blue Cross Provider News - California