Medicare AdvantageJanuary 1, 2024
Operating Engineers Local 139 offers Medicare Advantage option
Effective January 1, 2024, Operating Engineers Local 139 retirees who are eligible for Medicare Parts A & B will be enrolled in an Anthem Blue Cross and Blue Shield (Anthem) Medicare Preferred (PPO) plan. Retirees have the freedom of receiving services from any provider as long as the provider is eligible to receive payments from Medicare. In addition, Operating Engineers Local 139 retirees will pay the same cost share for both in-network and out-of-network services. The MAPD 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, LiveHealth Online* and SilverSneakers.*
The prefix on Operating Engineers Local 139 ID cards will be WZV. The cards will also show the Operating Engineers Local 139 logo.
Providers can 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 Operating Engineers Local 139 member benefits or coverage. Detailed prior authorization requirements also are available to contracted providers by accessing the Provider Self-Service Tool at Availity.com.*
* LiveHealth Online is the trade name of Health Management Corporation, and independent company, providing telehealth services on behalf of the health pan. Tivity Health, Inc. is an independent company providing the SilverSneakers fitness program on behalf of the health plan. Availity, LLC is and independent company providing administrative support services on behalf of the health plan.
Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield of Wisconsin (BCBSWI), Compcare Health Services Insurance Corporation (Compcare), and Wisconsin Collaborative Insurance Company (WCIC). BCBSWI underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
WIBCBS-CR-039317-23
PUBLICATIONS: January 2024 Provider Newsletter
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