Maine Education Association Benefits Trust offers Medicare Advantage option
Effective July 1, 2020, Maine Education Association Benefits Trust (MEABT) retirees who are eligible for Medicare Parts A and B will be enrolled in a Medicare Advantage Preferred Provider Organization (PPO) plan with Anthem. The Anthem Medicare Preferred (PPO) plan will replace the current MEA Group Companion plan for retirees who are eligible for Medicare Parts A and B. 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, MEABT retirees pay no 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 Original Medicare does not, such as an annual routine physical exam, hearing, vision, acupuncture, LiveHealth Online and SilverSneakers®.
The prefix on MEABT member ID cards will be MEW. The cards will also show the MEABT logo and National Access Plus icon.
Providers may submit claims electronically using the electronic payer ID for Anthem or submit a UB-04 or CMS-1500 form to Anthem. 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 MEABT member benefits or coverage.
Detailed prior authorization requirements also are available to contracted providers by accessing the Provider Self-Service Tool at https://www.Availity.com.
July 2020 Anthem Maine Provider News