Category: Medicare

 

Effective January 1, 2020, Barrick Gold retirees who are eligible for Medicare Parts A and B will be enrolled in a Medicare PPO plan with Senior Rx Plus (a Medicare Advantage Prescription Drug MAPD plan) under Anthem Blue Cross and Blue Shield (Anthem). The plan includes the National Access Plus benefit, which allows retirees the freedom of receiving services from any provider as long as the provider is eligible to receive payments from Medicare. In addition, Barrick Gold retirees will pay no cost share for both in-network and out-of-network covered services. 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, LiveHealth Online and SilverSneakers.

 

The prefix on Barrick Gold ID cards will be AFJ. The cards will also show the National Access Plus icon.

 

Providers can 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.

 

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

 

ABSCRNU-0093-19 November 2019          505959MUPENABS

 

 



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January 2020 Anthem Provider News and Important Updates - Nevada