Effective January 1, 2021, The University of the Pacific will offer a Medicare Preferred (PPO) with Senior Rx Plus plan from Anthem Blue Cross (Anthem).

Retirees with Medicare Parts A and B are eligible to enroll in the Medicare Preferred (PPO) with Senior Rx Plus plan from Anthem. 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. In addition, The University of the Pacific retirees pay no cost share for both in-network and out-of-network services. The Medicare Advantage 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, chiropractic care, LiveHealth Online* and SilverSneakers®.*

The prefix on The University of the Pacific member ID cards will be MBL. The cards will also show the National Access Plus icon.

Providers may submit claims electronically using the electronic payer ID for the Anthem plan in their state or submit a UB-04 or CMS-1500 form to the Anthem plan in their state. Claims should not be filed with Original Medicare. Contracted and non-contracted providers may call the Provider Services number on the back of the member ID card for benefit eligibility, prior authorization requirements, and any questions about The University of the Pacific 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.*

* Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross. 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.


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Featured In:
January 2021 Anthem Blue Cross Provider News - California