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MRMIP: 1-877-687-0549 (TTY 711). 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. 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. For questions about dental benefits or to find a dentist, call Denti-Cal at 1-800-322-6384 (TTY 711). Anthem Blue Cross is the trade name of Blue Cross of California, independent licensee of the Blue Cross Association. Benefits may change. Anthem Blue Cross and Blue Shield used to be the only PPO providers (we date ourselves) but they still dominate it. Anthem Blue Cross is the trade name of Blue Cross of California. 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. 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. ©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. Dental benefits are provided through Denti-Cal for members who qualify. If there is a full or partial claim rejection or the payment is not the amount expected, submit a claims appeal. If urgent, it will take no more than 72 hours. That’s why you can always call our 24/7 NurseLine and speak directly to a nurse. Have questions about your benefits? Earn $50 in rewards for attending a postpartum visit 7 to 84 days after delivery. Your primary care provider (PCP) gives you routine care, like checkups and care when you’re sick. 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. Medi-Cal is California's Medicaid program. Call 1-800-224-0336 (TTY 711) anytime, day or night. Call us at 1-800-227-3238 (TTY 711) or visit our How to enroll page. You can redeem Healthy Rewards or see what you have earned through the Benefit Reward Hub online. We can help you get rides to covered health care appointments at no cost. Complete benefit information can be found in your member handbook. Call or write us! Getting a preapproval may take five days or up to 14 days if we need more information from you. Box . Members can enroll in the Healthy Rewards program and earn dollars for making healthy choices. Register now. We’re here to help. You also can visit the Denti-Cal website. Here are some resources to help. ©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. You might need some extra support coordinating your care and services. Your PCP will work with you to choose a specialist to give you the care you need. Choose Anthem for the health care you need plus extra benefits to help you live a healthier life. I am a federal retiree. 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. We look forward to working with you to provide quality services to our members. This is called a referral. • Mail the completed form to: Anthem Blue Cross P. O. See your member handbook for services that require preapproval. For some services, your provider will need to get a preapproval, or an OK, from us before you get them. We’ll help you every step of the way. Have questions? We want to make sure you get the care you need when you need it. 996 talking about this. Earn up to $60 in rewards for bringing your child to at least six well-child checkups by 15 months of age. The program encourages you to seek the care you need to create a healthy lifestyle. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Whether it’s 3 a.m. or a Sunday afternoon, health issues come up. A representative can help you sign up, check your rewards, or redeem earned rewards. Select. Limitations and restrictions apply. Managing your health care can be overwhelming. Independent licensees of the Blue Cross Association. Make sure you tell your PCP and specialist as much as you can about your health. Healthy Rewards is a no-cost, optional program for eligible members enrolled in our health plan. 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. The Individual/Family market has changed quite a bit since 2014. Some types of services are known as self-referral services. See referrals and preapprovals section below for more information. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Use Availity to submit claims, check the status of claims, appeal a claim decision and much more. Find out how long you’ll typically wait to see your doctor when you call for an appointment. 60007 . 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). Medi-Cal: 1-800-407-4627 (TTY 711) ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Are you a broker acting on behalf of an employer? Earn $25 in rewards for attending a prenatal visit in the first trimester or within 42 days of enrollment in your Anthem health plan. Having problems accessing this content? ThinkAnthem is dedicated to sharing Anthem Inc.'s insights with the health care community. 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. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. 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 Forgot your password? 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 Do you need extra help with daily living? 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. Your PCP may need to send you to a specialist for some types of care or treatment. You can now access member management tools through your Broker Portal.. For login help, please call us at 1-866-755-2680. Your PCP will work with us to get the preapproval. 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. You have a choice in your health care. This will help them make sure you get the right care. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. You may also need preapproval from us to get this care. 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. Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered. We want you to understand your benefits and receive the best possible care. Home Health Ambulance Other (please specify type of “other”) That means you can get these services without a referral from your PCP.
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