City of New Haven moves to Anthem Medicare Advantage Plan

Effective January 1, 2019, the City of New Haven, CT will offer an Anthem Medicare Preferred (PPO) plan.  We will provide medical benefits for the City of New Haven retirees through our Local Preferred Provider Organization (LPPO) product, which includes the National Access Plus benefit. With the National Access Plus benefit, retirees are free to receive services from any in-network provider, as well as any out-of-network provider who  is eligible to receive payments from Medicare. City of New Haven retirees will 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 hearing, LiveHealth Online and SilverSneakers®.

The prefix on the Medicare Advantage ID cards will be ZDX.

 

Providers may call the number on the back of the member ID card Provider Services at 833-848-8730 for eligibility, prior authorization requirements and any questions about the City of New Haven member benefits or coverage.

 

Detailed prior authorization requirements are also available to contracted providers by accessing the Provider Self-Service Tool at www.availity.com.

 

Providers will follow their normal claim filing procedures for City of New Haven member claims.