State & FederalMedicare AdvantageMarch 1, 2023

Western Teamsters Welfare Trust offers Medicare Advantage option

Effective January 1, 2023, many Western Teamsters Welfare Trust retirees who are eligible for Medicare Parts A and B will be enrolled in an Medicare Preferred (PPO) plan for 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, Western Teamsters Welfare Trust 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 Western Teamsters Welfare Trust member ID cards will be MBL. The ID cards will also show the Western Teamsters Welfare Trust 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 the Provider Services number on the back of the member ID card for benefit eligibility, prior authorization requirements and any questions about Western Teamsters Welfare Trust 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-012060-22

PUBLICATIONS: March 2023 Anthem Blue Cross Provider News - California