City of Cincinnati Retirement System to offer Medicare Advantage option
Effective January 1, 2020, City of Cincinnati Retirement System to offer Medicare Advantage Preferred (PPO) (MAPPO), a Medicare Advantage plan from Anthem Blue Cross and Blue Shield. Retirees with Medicare Parts A and B and retirees with only Part B are eligible to enroll in the MAPPO plan. The plan includes the National Access Plus benefit, which allows members to receive services from any provider as long as the provider is eligible to receive payments from Medicare. The MAPPO plan offers the same hospital and medical benefits that Medicare covers, as well as additional benefits such as an annual routine physical exam, hearing exam, LiveHealth Online and SilverSneakers®.
The prefix on City of Cincinnati Retirement System member ID cards will be ZVR. The cards will also show the City of Cincinnati Retirement System logo and National Access Plus icon.
Providers may submit claims electronically using the electronic payer ID for the Blue Cross Blue Shield plan in their state or submit a UB-04 or CMS-1500 from the Blue Cross Blue Shield plan in their state. Claims should not be filed with Original Medicare. Contracted and non-contracted providers may call the provider services number on the back of the member ID card for benefit eligibility, prior authorization requirements and any questions about City of Cincinnati Retirement Systems member benefits or coverage.
Detailed prior authorization requirements also are available to contracted providers by accessing the Provider Self-Service Tool at https://www.availity.com.
December 2019 Empire Provider News