Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ
The Group Retiree Medicare Advantage membership is experiencing a high volume of enrollment, and as we continue to grow, we wanted to send these reminders for our PPO plans for Anthem Blue Cross and Blue Shield (Anthem). Group Retiree Medicare Advantage memberships may include 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 and accepts the member’s PPO plan. These PPO plans also offer benefits that original Medicare doesn’t cover, including an annual routine physical exam, hearing, vision, chiropractic care, acupuncture, LiveHealth Online* and SilverSneakers®.*
If you are already part of our Medicare Advantage PPO network, thank you. The FAQ below will be helpful as you grow your practice and serve members who may be new to our Group Retiree PPO plans.
Out-of-network providers are paid Medicare allowable rates for covered services, less the member’s copay, coinsurance, and/or deductible. No contract is required.
With the National Access Plus benefit, the member’s cost share doesn’t change — whether local or nationwide, doctor or hospital, in- or out-of-network.
For more information, please refer to this FAQ for Medicare Advantage Group Retiree PPO plans and National Access Plus.
June 2021 Anthem Provider News - Ohio