Effective January 1, 2021, Roman Catholic Diocese of Gary will offer a Medicare Preferred (PPO) Medicare Advantage Plan with Part D (MAPD) through Anthem Blue Cross and Blue Shield (Anthem). Retirees with Medicare Parts A and B are eligible to enroll in the MAPD 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. The MAPD 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, LiveHealth Online* and SilverSneakers®.*

 

The prefix on Roman Catholic Diocese of Gary member ID cards will be YVK. The cards will also show the Roman Catholic Diocese of Gary name and National Access Plus icon.

 

Providers may submit claims electronically using the electronic payer ID for the Anthem plan in their state or submit a UB-04 or CMS-1500 form to the Anthem 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 Roman Catholic Diocese of Gary member benefits or coverage.

 

Detailed prior authorization requirements also are available to contracted providers by accessing the Availity Portal* 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.
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January 2021 Anthem Provider News - Indiana