AdministrativeMedicare AdvantageOctober 31, 2023

State of New Hampshire offers Medicare Advantage option

Effective January 1, 2024, State of New Hampshire retirees who are eligible for Medicare Parts A and B will be enrolled in a Medicare Advantage Preferred (PPO) plan with Anthem Blue Cross and Blue Shield (Anthem). Retirees have the freedom of receiving 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 Medicare Advantage with Part D (MAPD) plan offers the same hospital and medical benefits that Medicare covers and covers additional benefits that Medicare does not, such as an annual routine physical exam, LiveHealth Online, and SilverSneakers.  

The prefix on the State of New Hampshire ID cards will be WZV. The cards will also show the State of New Hampshire logo.

Providers can submit claims electronically using the electronic payer ID for the plan in their state or by submitting a UB-04 or CMS-1500 form to the appropriate plan. 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 State of New Hampshire member benefits or coverage. Detailed prior authorization requirements are also available to contracted providers by accessing the provider self-service tools on the Availity Essentials* website at Availity.com.

* Availity, LLC is an independent company providing administrative support services on behalf of the health plan.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NHBCBS-CR-039316-23

PUBLICATIONS: November 2023 Provider Newsletter, January 2024 Provider Newsletter