El Paso County moves to our Medicare Advantage plan

Effective January 1, 2025, El Paso County will offer our Medicare Preferred Provider Organization (PPO) plan. We will provide medical benefits for El Paso County retirees through our PPO product, which includes the National Access Plus benefit. The PPO plan allows members to receive services from any provider if the provider is eligible to receive payments from Medicare.

El Paso County members’ copay or coinsurance percentage will be the same whether their provider is in or out-of-network. Locally or nationwide, doctors or hospitals and member share-of-cost (SOC) don’t change.

Non-contracted providers may continue treating El Paso County 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 CBH.

Contracted providers can access detailed prior authorization requirements by accessing the Provider Self-Service Tool on Availity Essentials at https://Availity.com.

Providers will follow their normal claim filing procedures for El Paso County member claims.

Availity Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to https://Availity.com and select the appropriate payer space tile from the drop-down. Then, select Chat with Payer and complete the pre-chat form to start your chat.

For additional support, visit the Contact Us section on our provider website for the appropriate contact.