Anthem blue cross medicare advantage provider phone number

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Anthem MediBlue HMO Plans

MediBlue HMO plans are Medicare Advantage plans that offer the benefits of a health maintenance organization (HMO) plan, including lower monthly premiums and lower out-of-pocket costs. 

When considering Anthem MediBlue plans, you have the option to choose a Medicare preferred provider organization (PPO) or Medicare HMO plan. Learn more about Medicare Advantage plans with Anthem, including the difference between HMO and PPO plans. 

Is A Medicare HMO Right For You?

When you choose a Medicare Advantage HMO plan, you can select a primary care provider (PCP) in the plan’s network. Your PCP provides your regular care and routine screenings. They also direct you to the right specialists when you need them. 

Working with a regular doctor who understands your health history, medications, and unique healthcare needs has its advantages. Your PCP can recommend the healthcare expert or facility that will best meet your needs.

Preventive services

Coverage for annual check-ups, immunizations, and flu shots, as well as certain tests and screenings.

Prescription drug coverage

Coverage for a wide range of prescription drugs and Medication Therapy Management (MTM) programs for complex health needs.

Over-the-counter (OTC) health items

Receive an allowance for OTC items like vitamins, aspirin, dental and vision care products, and more.

Dental, vision, & hearing

Benefits are built right into your plan, and you may be able to buy additional coverage.

24/7 telehealth visits

Connect with providers by computer, tablet, or smartphone in the convenience of your home.

No-cost fitness benefit

Access thousands of SilverSneakers® fitness locations at no extra charge.

Benefits listed may vary based on the plan you choose or where you live.

What Do Medicare Advantage HMO Plans Cost? 

Medicare Advantage plans can help you save money. With low or no monthly premiums, copays, or deductibles, our Anthem MediBlue HMO plans can help you keep to your budget without sacrificing coverage.

 Monthly premiums as low as $0
You will still have to pay your Medicare Part B premium.

 Copays as low as $0
Low, fixed copays for doctor visits and outpatient lab tests.

 Deductibles as low as $0
Plans generally have $0 deductibles for medical costs.

Benefits listed may vary based on the plan you choose or where you live.

Benefits listed may vary based on the plan you choose or where you live.

A Medicare Advantage HMO (health maintenance organization) plan is a type of Medicare Advantage plan that provides healthcare coverage from doctors, other health care providers, or hospitals in the plan’s network for certain services.


A Medicare Advantage HMO plan also covers emergency care, out-of-network urgent care, or out-of-network dialysis.

No, if you are eligible for Medicare and wish to sign up for a Medicare Advantage plan, you have other options, including a Medicare Advantage PPO (preferred provider organization) plan or a SNP (special needs plan).

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Anthem Blue Cross and Blue Shield is a PDP plan with a Medicare contract. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.

Anthem Provider Services

Anthem provides one convenient number for all provider questions and inquiries, including:

  • Behavioral health
  • Case management
  • Claims
  • Credentialing and recredentialing
  • Eligibility and benefits
  • Grievances and appeals
  • Medical management
  • Precertification

Phone:

855-558-1443

TTY: 711

Fax:

800-964-3627

24/7 NurseLine (interpreter services)


Phone:

855-690-7800

TTY: 711

Receive email from Anthem Blue Cross and Blue Shield (Anthem)

Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Use the Provider Maintenance Form to update your email.

Email a Provider Experience associate

Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with an Anthem associate from within the Availity Portal.

For other issues, you can message the Provider Experience team. Your Provider Experience representative will respond – usually within two business days.

ForwardHealth contacts

Contact ForwardHealth for questions about:

  • Pharmacy and prescription drug coverage
  • Dental and vision benefits
  • State-covered services (see Anthem Provider Manual for details)

ForwardHealth Phone:

800-947-3544

ForwardHealth Website:

Provider tools & resources

    • Log in to Availity
    • Learn About Availity
    • Precertification Lookup Tool
    • Precertification Requirements
    • Claims Overview
    • Member Eligibility & Benefits Overview
    • Policies, Guidelines & Manuals
    • Referrals
    • Forms
    • Provider Training Academy
    • Electronic Data Interchange (EDI)

    Interested in becoming a provider in the Anthem network?

    We look forward to working with you to provide quality services to our members.

    Is Anthem MediBlue an Advantage plan?

    MediBlue HMO plans are Medicare Advantage plans that offer the benefits of a health maintenance organization (HMO) plan, including lower monthly premiums and lower out-of-pocket costs.

    How do I contact Anthem Blue Cross California provider number?

    By Phone: Call the number on the back of the member's ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative.

    What is Anthem MediBlue dual advantage?

    Anthem MediBlue Dual Advantage (HMO SNP) is a Medicare Advantage and prescription drug plan. It includes hospital, medical and prescription drug benefits in one plan.

    Is Anthem BCBS the same as Medicare?

    Anthem Blue Cross is an HMO plan with a Medicare contract. Enrollment in Anthem Blue Cross depends on contract renewal.