Effective January 1, 2023, Manchester School District in New Hampshire will offer a Medicare Preferred (PPO) plan with Anthem Blue Cross and Blue Shield (Anthem). 

 

Anthem will provide medical benefits for Manchester School District retirees through the Preferred Provider Organization (PPO) product with Anthem, which includes the National Access Plus benefit. The PPO plan allows members to receive services from any provider, as long as the provider is eligible to receive payments from Medicare.

 

Manchester School District members’ copay or coinsurance percentage will be the same whether their provider is in- or out-of-network. Locally or nationwide, doctors or hospitals, member share-of-cost (SOC) does not change.

 

Non-contracted providers may continue treating Manchester School District members and will be reimbursed 100% of Medicare’s allowed amount for covered services.

 

The Medicare Advantage plan offers the same hospital and medical benefits that Medicare covers, while covering additional benefits that Medicare does not, such as LiveHealth Online* and SilverSneakers.*

 

The prefix on the Medicare Advantage ID cards is XNS.

 

Detailed prior authorization requirements are also available to contracted providers by accessing the Provider Self-Service Tool on Availity Essentials* at https://www.availity.com.

 

Providers will follow their normal claim filing procedures for Manchester School District member claims.

 

Providers may call Provider Services at 833-848-8730 for eligibility, prior authorization requirements, and any questions about the Manchester School District member benefits or coverage.

* 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. Trinity 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 services on behalf of Anthem Blue Cross and Blue Shield.
NHBCBS-CR-009095-22



Featured In:
December 2022 Provider Newsletter - New Hampshire