Effective July 1, 2022, Bedford Central School District in New York will offer an Empire BlueCross BlueShield Retiree Solutions Medicare Preferred (PPO) plan. Empire BlueCross BlueShield Retiree Solutions will provide medical benefits for Bedford Central School District retirees through the Empire BlueCross BlueShield Retiree Solutions Preferred Provider Organization (PPO) product, which includes the National Access Plus benefit. The PPO plan allows members to receive services from any provider as long as the provider is eligible to receive payments from Medicare.

 

Bedford Central School District members’ copay or coinsurance percentage will be the same whether their provider is in- or out-of-network. Locally or nationwide, doctors or hospitals, member share-of-cost does not change.

 

Non-contracted providers may continue treating Bedford Central School District members and will be reimbursed 100% of the allowed amount for Medicare for covered services.

 

The Medicare Advantage plan offers the same hospital and medical benefits that Medicare covers while covering additional benefits that Medicare does not, such as LiveHealth Online* and SilverSneakers.*

 

The prefix on the Medicare Advantage ID cards is XLU.

 

Detailed prior authorization requirements are also available to contracted providers by accessing the Provider Self-Service Tool on the Availity Portal* at https://www.availity.com.

 

Providers will follow their normal claim filing procedures for Bedford Central School District member claims.

 

Providers may call Provider Services at 833-848-8730 for eligibility, prior authorization requirements, and any questions about the Bedford Central School District member benefits or coverage.

 

* LiveHealth Online is the trade name of Health Management Corporation, an independent company, providing telehealth services on behalf of Empire BlueCross BlueShield. Tivity Health, Inc. is an independent company providing the SilverSneakers fitness program on behalf of Empire BlueCross BlueShield. Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield.

 

EBSCRNU-0250-22 April 2022



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July 2022 Newsletter