Category: Medicare

 

Effective January 1, 2020, the International Association of Machinists (IAM) Local 2848 Voluntary Employees Beneficiary Association (VEBA) will offer an Anthem Medicare Preferred (PPO) plan. Anthem Blue Cross and Blue Shield (Anthem) will provide medical benefits for the IAM Local 2848 Retiree VEBA retirees through the Local Preferred Provider Organization (LPPO) product under Anthem. The plan includes the National Access Plus benefit, which allows members to receive services from any provider, as long as the provider is eligible to receive payments from Medicare.

 

Non-contracted providers may continue treating IAM Local 2848 Retiree VEBA members and will be reimbursed at 100% of Medicare’s allowed amount for covered services, less any member cost share. 

 

IAM Local 2848 Retiree VEBA members’ copay or coinsurance percentage will be the same whether their provider is in- or out-of-network. Locally or nationwide, doctors or hospitals, in- or out-of-network — the member’s cost share doesn’t change.

 

The Medicare Advantage plan offers the same hospital and medical benefits that Medicare covers and also covers additional benefits that Medicare does not, such as hearing, LiveHealth® Online and SilverSneakers®.

 

The prefix on Medicare Advantage ID cards is ZVR.

 

Providers may call Provider Services at 1-833-848-8730 for eligibility, prior authorization (PA) requirements and any questions about the IAM Local 2848 Retiree VEBA member benefits or coverage.

 

Detailed PA requirements are also available to contracted providers by accessing the provider self-service tool via availity.com.

 

Providers will follow their normal claim filing procedures for IAM Local 2848 Retiree VEBA member claims.

 

505913OHPENABS

 



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January 2020 Anthem Provider News - Ohio