Effective January 1, 2022, Teamsters Retiree Trust will offer a Medicare Preferred PPO plan with Anthem Blue Cross. Retirees with Medicare Parts A and B are eligible to enroll in the Local Preferred Provider Organization (LPPO) product.

 

Benefits

The plan includes the National Access Plus benefit, which allows retirees to receive services from any provider, as long as the provider is eligible to receive payments from Medicare. The Medicare Advantage plan offers the same hospital and medical benefits that original Medicare covers, while covering additional benefits that original Medicare does not, such as LiveHealth Online* (telehealth) and SilverSneakers®.*

 

Teamsters Retiree Trust 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.

 

The prefix on Teamsters Retiree Trust member ID cards will be MBL. The cards will also show the Teamsters Retiree Trust name and MA and PPO icons.

 

Claims

Providers will follow their normal claim filing procedures for Teamsters Retiree Trust member claims. Claims should not be filed with original Medicare. Contracted and noncontracted providers may call Provider Services at 833-848-8730, the number on the back of the member’s ID card, for eligibility, prior authorization requirements, and any questions about the Teamsters Retiree Trust member benefits or coverage.

 

Detailed prior authorization requirements also are available to contracted providers by accessing the Provider Self-Service Tool at https://www.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.

ABCCRNU-0220-21

 



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March 2022 Anthem Blue Cross Provider News - California