Effective January 1, 2022, Kentucky Community and Technical College System (KCTCS) will offer an Anthem Medicare Preferred (PPO) Medicare Advantage plan with Senior Rx Plus Part D. 

 

Eligibility and benefits

Retirees with Medicare Parts A and B are eligible to enroll in this Medicare Advantage Prescription Drug (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 original Medicare covers, and also covers additional benefits such as an annual routine physical exam, hearing, LiveHealth Online,* and SilverSneakers®.*

 

Member ID cards

The prefix on the KCTCS member ID cards will be ZVZ. The cards will also show the KCTCS name and the Medicare Advantage MA PPO icon on the front.

 

Claims and prior authorization

Providers may submit claims electronically using the electronic payer ID for the Anthem Blue Cross and Blue Shield (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 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 KCTCS member benefits or coverage.

 

Detailed prior authorization requirements also are available to contracted providers by accessing the Availity* 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-0297-21



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February 2022 Anthem Provider News - Kentucky