Effective January 1, 2019, the City of Atlanta began offering Anthem Blue Cross and Blue Shield Medicare Advantage plan. Retirees with Medicare Parts A and B are eligible to enroll in the Anthem Medicare Preferred (PPO) plan. The plan includes the National Access Plus benefit, which allows retirees to receive services from any provider, as long as the provider is eligible to receive payments from Medicare. In addition, City of Atlanta retirees will pay the same cost share for both in-network and out-of-network services.

The Medicare Advantage plan offers the same hospital and medical benefits that Medicare covers, and covers additional benefits such as an annual routine physical exam, hearing and vision benefits, LiveHealth Online and SilverSneakers®, which are not covered by Medicare.

 

The prefix on the City of Atlanta member ID cards will be YGZ. The cards will also show the City of Atlanta logo and National Access Plus icon.

 

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 noncontracted 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 City of Atlanta member benefits or coverage.

 

Detailed prior authorization requirements also are available to contracted providers by accessing the provider self-service tool at availity.com.



Featured In:
February 2019 Anthem Provider Newsletter - Georgia