anthem blue cross ca
Anthem Blue Cross is the trade name of Blue Cross of California, independent licensee of the Blue Cross Association. The Power of Community to Get us to the Other Side of COVID-19: The Fight Within Me: Donating Blood Plasma to Help COVID-19 Patients Anthem is a registered trademark of Anthem Insurance Companies, Inc. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. We want you to understand your benefits and receive the best possible care. Whether it’s 3 a.m. or a Sunday afternoon, health issues come up. This is called a referral. This will help them make sure you get the right care. Anthem Blue Cross and Blue Shield used to be the only PPO providers (we date ourselves) but they still dominate it. Complete benefit information can be found in your member handbook. I am a federal retiree. If a provider does not agree with the outcome of a claim determination, the provider may appeal the decision by using the claim payment appeals process. Type at least three letters and we’ll start finding suggestions for you. Call 1-800-224-0336 (TTY 711) anytime, day or night. You also can call the Customer Care Center Monday through Friday from 7 a.m. to 7 p.m. toll free at 800-407-4627 (TTY 711), or 888-285-7801 (TTY 711) for members in Los Angeles. Earn $50 in rewards for attending a postpartum visit 7 to 84 days after delivery. A representative can help you sign up, check your rewards, or redeem earned rewards. Los Angeles, CA 90060-0007 *PROVIDER NAME: *PROVIDER NPI #: PROVIDER ADDRESS: PROVIDER TYPE MD Mental Health Hospital ASC SNF DME Rehab . Your PCP will work with you to choose a specialist to give you the care you need. Forgot your password? See referrals and preapprovals section below for more information. Dental benefits are provided through Denti-Cal for members who qualify. Have questions? The program encourages you to seek the care you need to create a healthy lifestyle. Are you a broker acting on behalf of an employer? There are no copays when you fill your prescription at a plan pharmacy. Call our Customer Care Center at 1-800-407-4627 (TTY 1-888-757-6034) outside L.A. County or 1-888-285-7801 (TTY 711) in L.A. County. 60007 . Need an account? The appeal must be received by Anthem Blue Cross (Anthem) within 365 days from the date on the notice of the letter advising of the action. We can help you get rides to covered health care appointments at no cost. Medi-Cal: 1-800-407-4627 (TTY 711) MRMIP: 1-877-687-0549 (TTY 711). ThinkAnthem is dedicated to sharing Anthem Inc.'s insights with the health care community. We’re here to help. We have no-cost programs to connect you with someone who can help you manage the care and services you already get, plus find even more supports in your community. You may be eligible for Medi-Cal if you’re in one of these groups: There are no copays for covered services, including: Some services may require a referral or prior authorization before you can get them. Earn $25 in rewards for attending a prenatal visit in the first trimester or within 42 days of enrollment in your Anthem health plan. Select. Medical Policies and Clinical UM Guidelines, HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), If the claim is denied or final, there will be an option to dispute the claim. Call us at 1-800-227-3238 (TTY 711) or visit our How to enroll page. ©2020 copyright of Anthem Insurance Companies, Inc. Diabetes Prevention Program Referral Form, California Advance Health Care Directives (English), California Advance Health Care Directives (Spanish), Staying Healthy Assessment Forms (Medi-Cal Only), North - Request for Community Based Adult Services Fax Coversheet, South - Request for Community Based Adult Services Fax Coversheet, Request for Authorization - Psychological Testing, Facility Site and Medical Record Review (FSR/MRR) Preparation Checklist 2020, Understanding Confidentiality and Minor Consent in California, Adolescent Health Care 101: The Basics – CA Edition, Rules for Childhood and Adolescent Immunizations, Suggested Websites for Further Information on Adolescent Health Care. ©2020 copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Have questions about your benefits? Please call your provider relation representative or the provider help line applicable to the member’s health plan. • Mail the completed form to: Anthem Blue Cross P. O. Some types of services are known as self-referral services. Your PCP will work with us to get the preapproval. Find out how long you’ll typically wait to see your doctor when you call for an appointment. Here are some resources to help. Box . Here you can find insider tips on getting more value from your health insurance plan and ask questions of your own! Anthem Blue Cross Blue Cross California BCBS CA CA BCBS Anthem Blue Cross CA BCCA SISC ANTHEM BLUE CROSS ACCOUNT BLUE CROSS OF CALIFORNIA (CA) Other ID's: 00700, 23706 On the individual/family market, if you're looking for the broadest list of doctors, you're probably looking at either Anthem Blue Cross or Blue Shield. Anthem Blue Cross (Anthem) dropped all federal employees and retirees in a letter dated 9/20/11 without warning. Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. Members can enroll in the Healthy Rewards program and earn dollars for making healthy choices. See your member handbook for a list of these services. For questions about dental benefits or to find a dentist, call Denti-Cal at 1-800-322-6384 (TTY 711). You have a choice in your health care. For some services, your provider will need to get a preapproval, or an OK, from us before you get them. A big part of staying healthy is making it to all of your appointments. Register now. Anthem Blue Cross is the trade name of Blue Cross of California. That’s why you can always call our 24/7 NurseLine and speak directly to a nurse. If urgent, it will take no more than 72 hours. Do you need extra help with daily living? Medi-Cal: 1-800-407-4627 (TTY 711) MRMIP: 1-877-687-0549 (TTY 711) Anthem Blue Cross is the trade name of Blue Cross of California. Read our latest articles. Healthy Rewards is a no-cost, optional program for eligible members enrolled in our health plan. Home Health Ambulance Other (please specify type of “other”) Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered. Anthem serves Medi-Cal recipients in these counties: Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, El Dorado, Fresno, Glenn, Inyo, Kings, Los Angeles, Madera, Mariposa, Mono, Nevada, Placer, Plumas, Sacramento, San Benito, San Francisco, Santa Clara, Sierra, Sutter, Tehama, Tulare, Tuolumne and Yuba. Choose Anthem for the health care you need plus extra benefits to help you live a healthier life. See your member handbook for services that require preapproval. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Having problems accessing this content? Children and young adults under age 21 get: To find an eye doctor or ask questions about vision benefits, call VSP at 1-800-877-7195 (TTY 711). Your primary care provider (PCP) gives you routine care, like checkups and care when you’re sick. If there is a full or partial claim rejection or the payment is not the amount expected, submit a claims appeal. The appeal must be received by Anthem Blue Cross (Anthem) within 365 days from the date on the notice of the letter advising of the action. Limitations and restrictions apply. Independent licensees of the Blue Cross Association. Managing your health care can be overwhelming. Earn up to $60 in rewards for bringing your child to at least six well-child checkups by 15 months of age. Use Availity to submit claims, check the status of claims, appeal a claim decision and much more. Your PCP may need to send you to a specialist for some types of care or treatment. You may qualify for programs that can help you live in the comforts of your own home or community as independently as possible, for as long as possible. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. We offer vision benefits to all members through Vision Service Plan (VSP). ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. We’ll help you every step of the way. We want to make sure you get the care you need when you need it. Medi-Cal is California's Medicaid program. The Individual/Family market has changed quite a bit since 2014. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Go to the Transportation page to learn more, People with specific diseases like breast or cervical cancer, tuberculosis or HIV/AIDS, Mental health and substance use disorder services, Children’s services, including dental and vision care, Disease management for asthma, diabetes and more, Sexually transmitted disease (STD) services, One eye exam and one pair of glasses every two years, Medically necessary contact lenses and eyesight aids, Up to $40 for refilling high blood pressure medication, $25 for attending an annual childhood or adolescent wellness visit, $50 for completing a breast cancer screening every two years, $25 for completing an annual chlamydia screening, $50 for completing a cervical cancer screening every three years, $25 for refilling antidepressant medication, $25 for children receiving immunizations (shots) on time.
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