Enrollment in a Blue Advantage plan may be limited to specific times of the year. If a member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage … No claim forms 3. 877-299-2377* (Blue Essentials and Blue Advantage HMO) 877-774-8592 (Blue Cross Medicare Advantage PPO & HMO) *interactive voice response (IVR) system - to access, you must have full … Flexible plan design options with deductible/coinsurance and copay features Click below to search for Hospitals or Medical Providers in the Vantage Network. Contact us. This doctor coordinates the member's care an… With $16 billion in revenue and more than 12 million plan members across the country, Anthem Blue Cross and Blue … Call 1-866-508-7145, TTY 711 for more information. This information is not a complete description of benefits. HMO Illinois/Blue Advantage HMO; HMO: Call the toll free number on the back of your ID card: HMO Blue USA (away from home urgent care) 800-810-BLUE (2583) PPO; PPO: Call the toll free number on the back of your ID card: Out-of-Area BlueCard PPO Providers: 800-810-BLUE … Health Education Programs. Box 660027Dallas, TX 75266-0027, Prior authorization of Medical Services for the Health Insurance Marketplace for Blue Advantage HMO Members, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 800-451-0287*, Behavioral health services mental health and chemical dependency, For prior authorization and referrals managed by BCBSTX: (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services). Anthem MediBlue HMO is a Medicare Advantage HMO plan, so you’ll have all the benefits of a Medicare Advantage … Hear what Blue Advantage members love about their plans. BCBSTX invites you to participate as a provider in Blue Advantage HMO as your participation helps ensure the program's success. Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. To return to our website, simply close the new window. From there, you can set up your new online member account. Blue Cross Medicare Advantage (HMO) SM and Blue Cross Medicare Advantage Dual Care (HMO SNP) SM Blue Cross Medicare Advantage plans offer all the same coverage as Original … Skip to Main Content. Use our tools and resources to locate a provider near you. ... Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. Y0132_21-048_MKLA - Last Updated 9/27/2020. *interactive voice response (IVR) system - to access, you must have full member's information (for example, member's ID, patient's date of birth, etc. Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. Behavioral Health Facilities Psychiatric FacilitiesResidential Treatment Centers for Mental Health andSubstance Abuse FacilitiesNote: For behavioral health professional providers, refer to the Network Management Office Locations listed above. )For urgent requests only:Fax to: 888-579-7935Predetermination form andInstructions for submitting requests for predeterminationNote: Predetermination requests for members with Blue Cross and Blue Shield benefits in another state should be sent to the Plan indicated on the member’s ID card. All Rights Reserved. Customer Service. This link will take you to a new site not affiliated with BCBSTX. Please note that as a Blue Advantage member, you must continue to pay your Medicare Part B premium. You may also see our Summary of Benefits for more information. BlueAdvantage HMO’s network providers in your area, you can visit www.regence.com/medicare or call our Customer Service Department at 1 (855) 522-8896, from 8:00 a.m. to 8:00 p.m., Monday through … Addresses for claims submission are listed in the Evidence of Coverage. Claim status inquiries contact Availity or other electronic connectivity. Provider Finder ® Search for doctors, dentists, hospitals and other health care providers. The BCBSTX HMO product is health care coverage that provides benefits only when services are received from providers in the HMO Blue® Texas network when prescribed, directed, or authorized by the member's Primary Care Physician (PCP) or the HMO. Blue Cross and Blue Shield of Louisiana, an independent licensee of the Blue Cross and Blue Shield Association, offers Blue Advantage (PPO). For eligibility-related questions, call the number on the back of the member’s ID card or dial 800-676-BLUE (2583). Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Notice of Non-Discriminatory Practices & Multi-Language Interpreter Services. An online resource for group members to manage your benefit enrollment. Members electing the HMO are required to choose a PCP from a network of contracting doctors in the HMO Blue Texas network. Blue Cross and Blue Shield of Texas (BCBSTX), Electronic Commerce ServicesFor information about Electronic Data Interchange (EDI) transactions, such as electronic claim submission, Need Assistance/Have Questions?Email ecommerceservices@bcbstx.com. an Independent Licensee of the Blue Cross and Blue Shield Association. © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. We keep you covered with more than 12,000 doctors in our network. Office locations Whether you need help face-to … Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to offer our Blue Advantage HMO and Blue Advantage … Over 12,000 doctors and 100 hospitals in the statewide network. Refer to important information for our linking policy. Blue Cross and Blue Shield of Louisiana HMO offers Blue Advantage (HMO). 322Monroe, LA 71201, Toll Free: 1-800-232-4967 (TTY 711)Fax: 1-877-553-6152, Telephone lines are open 8 a.m. to 8 p.m., 7 days a week. Give … Find YOUR drugs and the convenience to pick them up at YOUR pharmacy. Contact Us Looking for help? The BlueAdvantage HMO plan is brought to you by HMO Colorado, Inc., a subsidiary of Anthem Blue Cross and Blue Shield. ... Finding the right health insurance … Blue Advantage HMO SM and Blue Advantage Plus SM HMO. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, Enrollment in a Blue Advantage plan may be limited to specific times of the year. Non-Discrimination Notice. O. Call us. Blue Advantage Families and Children from Blue Plus is a Minnesota Medical Assistance program (Minnesota’s state Medicaid program). Box 660044Dallas, TX 75266-0044For status call:800-451-0287* (Blue Choice PPO), 877-299-2377* (Blue Essentials and Blue Advantage HMO) 877-774-8592 (Blue Cross Medicare Advantage PPO & HMO). Blue Advantage from Blue Cross and Blue Shield of Louisiana HMO is an HMO plan with a Medicare contract. BlueAdvantage is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties in Arkansas. Want to learn more about how to use this tool. Choice of a contracting medical group/independent practice association from one of the largest HMO networks in the state 2. Enjoy overall package of benefits and wellness rewards that meet YOUR needs. This information is not a complete description of benefits. Blue Advantage HMO SM Product Overview (51–150 employees) (151+ employees) ... frames and permanent contact lenses, vision correction surgery and disposable contact lenses; ... BlueAdvantage HMO offers one of the largest provider … Eligibility and benefits(out-of-state subscribers)800-676-BLUE (2583). A Medicare Advantage HMO plan is a Medicare Part C plan that works like a Health Maintenance Organization (HMO) plan. Blue Cross and Blue Shield of Louisiana/HMO Louisiana, Inc.130 DeSiard Street, Ste. You also get extra benefits at no additional cost. If a Blue Advantage (HMO) member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage will be responsible for the costs. Even if you’re not a member, you can search for doctors, hospitals and other providers. The resources below will direct you to the right place. Utilization management/Medical Management/Case Management, Blue Cross and Blue Shield of TexasArboretum Plaza II9442 Capital of Texas Hwy N, Suite 500Austin, TX 78759800-336-5696512-349-4847Fax: 512-349-4853Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas7901 Wallace BlvdAmarillo, TX 79124806-371-3058Fax: 806-783-4666Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas4444 Corona, Suite 148Corpus Christi, TX 78411361-878-1623Fax: 361-852-0624 Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas114 Mesa Park Dr. Suite #300El Paso, TX 79912 -6156915-496-6600, press 2Fax: 915-496-6614 Email to submit provider inquires, questions and signed contracts, Golden Triangle (Beaumont, Orange, Port Arthur), Blue Cross and Blue Shield of Texas2615 Calder, Suite 700Beaumont, TX 77702800-637-0171, press 3 or 713-663-1149Fax: 713-663-1227 Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas1800 West Loop South, Suite 600Houston, TX 77027-3279800-637-0171, press 3713-663-1149Fax: 713-663-1227 Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of TexasPO Box 64844Lubbock TX 79424806-783-4610Fax: 806-783-4666 Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas3300 North A St., Bldg 8, Suite 120Midland, TX 79705877-400-5507432-620-1406Fax: 432-620-1428Email to submit provider inquires, questions and signed contracts, North Texas (Dallas, Fort Worth, East Texas), Blue Cross and Blue Shield of Texas1001 E. Lookout DriveRichardson, TX 75082800-749-0966972-766-8900Fax: 972-766-2231Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas17806 IH 10 West, Bldg II, Suite 200San Antonio, TX 78257361-878-1623Fax: 361-852-0624 Email to submit provider inquires, questions and signed contracts, Phone: 713-354-8140Fax: 713-663-1227Email to submit provider inquires, AmbulanceIP Only Rehab Facilities ImagingLTAC (Long-Term Acute Care Hospital)Radiation Therapy Center, Phone: 972-766-4628Fax: 972-766-2231Email to submit provider inquires, Home HealthSkilled Nursing FacilitiesPost-Acute Brain Injury Facilities, Phone: 210-558-5101Fax: 210-558-5176Email to submit provider inquires, Diabetic ManagementDisease ManagementDurable Medical Equipment (DME)Hearing Aid SupplierProsthetics/Orthotics Sleep Studies Centers, Phone: 972-766-1613Fax: 210-340-1401Email to submit provider inquires, Home Infusion TherapyHome Health DialysisHospiceRenal Dialysis, Phone: 972-766-5125Fax: 210-340-1401Email to submit provider inquires. 1-888-872-2531. Y0090_Web2021RN_2021 Last Updated 01/01/2021 . Enrollment in either Blue Advantage plan depends on contract renewal. Blue Advantage (HMO) members must use network providers except in emergency or urgent care situations. If a member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage … Horizon Insurance Company ("HIC") has a Medicare contract to offer HMO, HMO-POS, PPO and Part D Medicare plans, including group-Medicare Advantage … View the most popular pages for providers, including forms, AHIN, coverage policy, the Provider Manual, and the BlueCard program. BlueCard®BlueCard is our out-of-area program that allows members from other Blue Cross and Blue Shield Plans to receive health care benefits when travelling or residing in another Blue Plan's service area. If there are questions, please call customer service at 877-233-7022 … You can count on our affordable plans and extensive networks no matter what part of Louisiana you call home. Every year, Medicare evaluates plans based on a 5-star rating system. *interactive voice response (IVR) system — to access, you must have document control number (claim number), Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 800-451-0287*. Phone: 972-766-1380Fax: 713-663-1227Email to submit provider inquires, Ambulatory Surgery Centers (ASC) – Independent, Non-Hospital ownedCatherization CenterIndependent (Non-Hospital owned) Surgery Centers, Phone: 713-354-7033Fax: 713-663-1227Email to submit provider inquires, Birthing CentersFreestanding Emergency Rooms, Phone: 972-766-1110Fax: 713-663-1227Email to submit provider inquires, 1001 E. Lookout DriveRichardson, TX 75082Phone: 972-766-7100TexasMedicareAdvantageNetwork@bcbstx.com, Home It will open in a new window. Magellan Behavioral Health Providers of Texas, Inc. Request for claim review form and instructions, Wellness and clinical practice guidelines, Email to submit provider inquires, questions and signed contracts. You may also contact Customer Service for assistance. This Minnesota Medical Assistance health care … Our Medicare Advantage plans combine medical, hospital and prescription drug coverage in one convenient and affordable plan. 877-774-8592 (Blue Cross Medicare Advantage) 800-676-2583 (Eligiblity - … *interactive voice response (IVR) system – to access, you must have document control number (claim number), Eligibility and benefits contact Availity or other electronic connectivity vendor or call 800-442-4607*, Behavioral health services mental health and chemical dependency prior authorization and referrals (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services) call 800-528-7264, Behavioral health services – claims status inquiries contact Availity or other electronic connectivity vendor or call 800-442-4607*, Behavioral health services – claim adjustments call 800-442-4607, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 877-299-2377*, Claim status inquiries contact Availity or other electronic connectivity vendor, Medical Management Correspondence for the Health Insurance Marketplace for Blue Advantage HMO Members, Blue Cross Blue Shield of TexasMedical Care ManagementP. 1 Medicare Advantage and Prescription Drug plan product members can mail their monthly payment or set up an automatic monthly bank draft. Nurses can help you manage chronic conditions, have a healthy pregnancy and more. The phone … If you need help, we’ve created these helpful guides: Step-by-Step PDF With Blue Advantage (HMO) | Blue Advantage (PPO), you get Medicare coverage, plus so much more. Contact us Whether you are looking for insurance, are a current member or are a provider, we offer friendly and convenient customer service with a variety of ways to get the information you need. ), For services managed by Magellan:Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 800-729-2422, Claim filing address for Commercial products, Availity®--- Authorizations & Referrals submissions (replacing iExchange system)— electronic claims filing system, Benefit disclosure information (form available online), Predetermination requests (form available online), Mail: Blue Cross and Blue Shield of TexasAttn: Predetermination Dept.P.O. Legal and Privacy Call 1-866-508-7145, TTY 711 for more … Submit completed forms to:BCBSTX Behavioral Health UnitPO Box 660241Dallas, TX 75266-0241Fax 877-361-7646, Claims submission address:Blue Cross and Blue Shield of TexasP O Box 660044Dallas, TX 75266-0044, Behavioral health services - claims status inquiries, For services managed by BCBSTX:Contact Availity or other electronic connectivity vendor or call 800-451-0287*, *interactive voice response (IVR) system — to access, you must have full member's information (for example, member's ID, patient’s date of birth, etc. Claim status inquiries (out-of-state subscribers) contact Availity® or other electronic connectivity vendor. … Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Please contact us at 1-866-508-7145 … of-network provider, submit the bill to the plan for processing. Our plans combine medical, hospital and prescription drug coverage in one convenient and affordable plan. Call 800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. Our Medicare Advantage plans (HMO and PPO) offer all of the coverage of Original Medicare, plus other benefits. From your online account, click the Payments link to enter your December 2020 premium payment. HMO Illinois members enjoy: 1. ) contact Availity® or other electronic connectivity of the member ’ s ID card urgent care situations, close! Choice of a contracting medical group/independent practice association from one of the member's/subscriber 's card! Is brought to you by HMO Colorado, Inc., a subsidiary of Anthem Cross. Enrollment in a Blue Advantage ( PPO ), you can set your! Plan may be limited to specific times of the year benefits ( subscribers! Members electing the HMO are required to choose a PCP from a network contracting! 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