State of New Hampshire offers Medicare Advantage option

Effective January 1, 2019, State of New Hampshire retirees who are eligible for Medicare Parts A and B will be enrolled in an Anthem Medicare Preferred (PPO) plan. The Anthem Medicare Preferred (PPO) plan will replace the current Anthem Medicomp plan. The plan includes the National Access Plus benefit.

 

With the National Access Plus benefit, retirees may receive services from any provider as long as the provider is eligible to receive payments from Medicare. In addition, State of New Hampshire retirees will pay the same cost share for both in-network and out-of-network services. The MA 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 State of New Hampshire ID cards will be XNS. The cards will also show the State of New Hampshire logo and National Access Plus icon.

 

Providers may submit claims electronically using the electronic payer ID for the Blue Cross Blue Shield plan in their state or submit a UB-04 or CMS-1500 form to the Blue Cross Blue Shield plan in their state. Claims should not be filed with Original Medicare. Contracted and non-contracted providers may call the number on the back of the member’s ID card or Provider Services at 1-833-292-2603 for benefit eligibility, prior authorization requirements and any questions about State of New Hampshire member benefits or coverage.

 

Detailed prior authorization requirements also are available to contracted providers by accessing the Provider Self-Service Tool at Availity.com.