Xerox Corporation offers Medicare Advantage option

Effective July 1, 2023, many Xerox Corporation retirees who are eligible for Medicare Parts A and B will be enrolled in an Empire MediBlue Freedom (PPO) plan. This plan allows retirees to receive services from providers who are eligible to receive Medicare payments. In addition, retirees pay the same cost share for both in-network and out-of-network services. 

PPO offers the same hospital and medical benefits that Medicare covers, and covers additional benefits Medicare does not, such as:

• Annual routine physical exam
• Hearing
• Vision
• LiveHealth Online
• SilverSneakers^®

The prefix on Xerox Corporation member ID cards will be XLU.

Providers may submit claims electronically using the electronic payer ID for the Retiree Solutions plan for Empire BlueCross BlueShield in their state or submit a UB-04 or CMS-1500 form to the Retiree Solutions plan for Empire BlueCross BlueShield in their state. Claims should not be filed with original Medicare. Contracted and non-contracted providers may call the provider services number on the back of their member ID card for benefit eligibility, prior authorization (PA) requirements, and questions about Xerox Corporation member benefits or coverage. 

Detailed PA requirements also are available to contracted providers by selecting the Provider Self-Service Tool at Availity.com.*