Pilkington North America, Inc. offers Medicare Advantage option
Effective January 1, 2021, Pilkington North America, Inc. will offer an Anthem Blue Cross and Blue Shield (Anthem) PPO plan. Retirees with Medicare Parts A and B are eligible to enroll in the Local Preferred Provider Organization (LPPO) product. The plan includes the National Access Plus benefit, which allows retirees to receive services from any provider, as long as the provider is eligible to receive payments from Medicare. 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 an annual routine physical exam, hearing, vision, chiropractic care, acupuncture, LiveHealth Online* and SilverSneakers®.*
The prefix on Pilkington North America, Inc. member ID cards will be ZVR. The cards will also show the Pilkington North America, Inc. name and National Access Plus icon.
Providers may submit claims electronically using the electronic payer ID for the Anthem plan in their state or submit a UB-04 or CMS-1500 form to the Anthem plan 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 the member ID card for benefit eligibility, prior authorization requirements and any questions about Pilkington North America, Inc. member benefits or coverage.
Detailed prior authorization requirements also are available to contracted providers by accessing the Availity* Provider Self-Service Tool at availity.com.
* 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. Tivity 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 support services on behalf of Anthem Blue Cross and Blue Shield.
December 2020 Anthem Provider News - Ohio