Effective January 1, 2021, Southern Company retirees who are eligible for Medicare Parts A and B will be enrolled in an Anthem Medicare Preferred (PPO) plan. The Anthem Medicare Preferred (PPO) plan will replace the current Southern Company post-65 retiree plans. 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, Southern Company retirees 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 also covers additional benefits that Medicare does not, such as an annual routine physical exam, hearing, vision, LiveHealth Online* and SilverSneakers®.*

 

The prefix on Southern Company member ID cards will be YGZ. The cards will also show the Southern Company 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 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 Southern Company member benefits or coverage.

 

Detailed prior authorization requirements are also 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 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.

 

 ABSCRNU-0191-20



Featured In:
December 2020 Anthem Provider News - Georgia