Feb 1, 2023 • State & Federal / Medicare

Effective January 1, 2023, many Peralta Community College District retirees who are eligible for Medicare Parts A & B will be enrolled in a Medicare Preferred (PPO) plan through Anthem Blue Cross. The plan allows retirees to receive services from any provider, as long as the provider is eligible to receive payments from Medicare. In addition, Peralta Community College District retirees pay the same cost share for both in-network and out-of-network services. The MA plan offers the same hospital and medical benefits that Medicare covers and also covers additional benefits that Medicare does not, such as an annual routine physical exam, hearing, vision, LiveHealth Online,* and SilverSneakers®.*

 

The prefix on Peralta Community College District member ID cards will be MBL. The ID cards will also show the Peralta Community College District logo.

 

Providers may submit claims electronically using the electronic payer ID for the Blue Cross Blue Shield plan in their state or submit a UB-04 or CMS-1500 form to the Blue Cross Blue Shield plan in their state. Claims should not be filed with Original Medicare. Contracted and non-contracted providers may call Provider Services at the number on the back of the member ID card for benefit eligibility, prior authorization requirements, and any questions about Peralta Community College District member benefits or coverage.

 

Detailed prior authorization requirements also are available to contracted providers by accessing the Provider Self-Service Tool at Availity.com.*

* LiveHealth Online is the trade name of Health Management Corporation, an independent company, providing telehealth services on behalf of Anthem Blue Cross. Tivity Health, Inc. is an independent company providing the SilverSneakers fitness program on behalf of Anthem Blue Cross. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross.
CABC-CR-012008-22


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February 2023 Anthem Blue Cross Provider News - California