Orange Unified School District offers new Anthem Blue Cross plan

Effective January 1, 2024, Orange Unified School District in California will offer a new Anthem Blue Cross plan. Anthem will provide medical benefits for Orange Unified School District retirees through a Medicare Advantage plan called the Medicare Preferred PPO plan. This plan includes the National Access Plus benefit and allows members to receive services from any provider as long as the provider is eligible to receive payments from Medicare. 

The copay or coinsurance percentage for Orange Unified School District members will be the same whether their provider is in-network or out-of-network. Whether the member uses doctors or hospitals locally or nationwide, member share of cost (SOC) does not change.

Non-contracted providers may continue treating Orange Unified School District 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.

Detailed prior authorization requirements are available to contracted providers by accessing the provider self-service tool on the Availity website. Providers will follow their normal claim filing procedures for Orange Unified School District member claims.

Providers may call Provider Services at 833-910-4432 for eligibility, prior authorization requirements, and any questions about the Orange Unified School District member benefits or coverage.