Effective January 1, 2023, the City of Meriden and Board of Education (BOE) in Connecticut will offer a Medicare Preferred (PPO) plan from Anthem Blue Cross and Blue Shield (Anthem). 

 

Anthem will provide medical benefits for the City of Meriden and BOE retirees through the Preferred Provider Organization (PPO) product with Anthem, which includes the National Access Plus benefit. The PPO plan allows members to receive services from any provider, as long as the provider is eligible to receive payments from Medicare.

 

City of Meriden and BOE members’ copay percentage will be the same whether their provider is in- or out-of-network. Locally or nationwide, doctors or hospitals, member share-of-cost does not change.

 

Non-contracted providers may continue treating the City of Meriden and BOE members and will be reimbursed 100% of the Medicare allowed amount for covered services.

 

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 ZDX.

 

Detailed prior authorization requirements are also available to contracted providers by accessing the Provider Self-Service Tool on the Availity Essentials* at https://www.availity.com.

 

Providers will follow their normal claim filing procedures for the City of Meriden and BOE member claims.

 

Providers may call Provider Services at 833-848-8730 for eligibility, prior authorization requirements, and any questions about the City of Meriden and BOE member benefits or coverage.

* LiveHealth Online is the trade name of Health Management Corporation, an independent company, providing telehealth services on behalf of Anthem Blue Cross and Blue Shield. Tivity Health, Inc. is an independent company providing the SilverSneakers fitness program on behalf of Anthem Blue Cross and Blue Shield. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield.
MULTI-BCBS-CR-011573-22



Featured In:
January 2023 Provider Newsletter - Connecticut