AdministrativeMedicare AdvantageJanuary 1, 2025

Announcing Health Perks — earn rewards for your healthcare activities

Starting in 2025, DSNP members can earn rewards by participating in select healthcare activities.

Anthem is launching Health Perks, a new incentives program, for select completed healthcare activities starting January 1, 2025.

Dual Special Needs Plan (DSNP) members are eligible for rewards for the following healthcare activities received between January 1, 2025, and December 31, 2025.

Healthcare activity

Reward amount

Eligible claim codes

Annual wellness visit/annual physical

$30

99381, 99382, 99383, 99384, 99385, 99386, 99387, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99401, 99402, 99403, 99404, 99411, 99412, G0438, G0439, G0463, G0468, Z00.00, Z00.01, Z00.8,

Breast cancer screening

$20

77061, 77062, 77063, 77065, 77066, 77067

Colorectal screening

$30

4522, 4523, 4525, 4542, 4543, 44388, 44389, 44390, 44391, 44392, 44394, 44401, 44402, 44403, 44404, 44405, 44406, 44407, 44408, 45378, 45379, 45380, 45381, 45382, 45384, 45385, 45386 45388, 45389, 45390, 45391, 45392, 45393, 45398, G0105, G0121, 74261, 74262, 74263, , 4524, 45330, 45331, 45332, 45333, 45334, 45335, 45337, 45338, 45340, 45341, 45342, 45346, 45347, 45349, 45350, G0104

Fecal occult blood test

$10

82270, 82274, G0328, 81528

Bone density screening

$10

8898, 76977, 77078, 77080, 77081, 77085, 77086, BP48ZZ1, BP49ZZ1, BP4GZZ1, BP4HZZ1, BP4LZZ1, BP4MZZ1, BP4NZZ1, BP4PZZ1, BQ00ZZ1, BQ01ZZ1, BQ03ZZ1, BQ04ZZ1, BR00ZZ1, BR07ZZ1, BR09ZZ1, BR0GZZ1, J0897, J1740, J3489, J3110, J3111

Flu vaccine

$10

90630, 90653, 90654, 90656, 90658, 90661, 90662, 90673, 90674, 90682, 90686, 90688, 90689, 90694, 90756, 90660, 90672

Coverage:

  • For colonoscopy, annual wellness visit, and breast cancer screenings — No out‑of-pocket costs or copayment for the member when completed by an in‑network provider:
    • Note: A cost share may apply for additional services or testing performed during the visit as described for each service in this medical chart.
  • For bone density screenings — Medicare Part B (medical insurance) covers this test once every 24 months (or more often if medically necessary) if one or more of these conditions is met:
    • They are a woman whose doctor determines they are estrogen‑deficient and at risk for osteoporosis based on their medical history and other findings.
    • Their X‑rays show possible osteoporosis, osteopenia, or vertebral fractures.
    • They are taking prednisone or steroid‑type drugs or are planning to begin this treatment.
    • They have been diagnosed with primary hyperparathyroidism.
    • They are being monitored to see if their osteoporosis drug therapy is working.

For further information or to verify member eligibility, benefits, or account information, call the phone number on the back of the member’s identification card.

Anthem BC Health Insurance Company is the trade name of Anthem Insurance Companies, Inc. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross, Anthem Blue Cross Life and Health Insurance Company, and Anthem BC Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

CABC-CR-075370-24-CPN75369

PUBLICATIONS: January 2025 Provider Newsletter