MILWAUKEE–(BUSINESS WIRE)–As Medicare’s primary sales season gets under way, Anthem Blue Cross and
Blue Shield (Anthem) is emphasizing better health in Wisconsin through
new Medicare Advantage plans with extra benefits.
This includes expanding Dual-Eligible Special Needs Plans (DSNPs) for
people eligible for both Medicare and Medicaid, and traditional HMOs for
the general population. Anthem Medicare Advantage Prescription Drug
plans (MAPD) continue to offer significant benefits not available in
Original Medicare, including dental and vision coverage and online
“Even with the Medicare reimbursement environment changing, we think
it’s critical to structure our plans to provide our members with real
value over Original Medicare, including extra benefits,” said David
McNichols, president of Anthem’s Medicare central region.
Following are some specifics on Anthem MAPD plans that will be available
for the Annual Election Period, or AEP, which begins Oct. 15 and
continues through Dec. 7. Anthem offers MAPD plans in most central and
eastern Wisconsin counties. Plans are effective Jan. 1, 2016.
New / expansion plans / changes. Anthem is expanding its MAPD
Medicare Dual-Eligible Special Needs Plan, also known as a DSNP, called
Anthem MediBlue Dual Advantage (HMO SNP) in the following Wisconsin
counties: Brown, Calumet, Fond Du Lac, Jefferson, Kewaunee, Langlade,
Lincoln, Manitowoc, Marathon, Marinette, Oconto, Outagamie, Portage,
Taylor and Winnebago. Like existing Anthem special needs plans in the
state, this plan is available for $0 premium and includes dental and
vision coverage, some over-the-counter drug costs and a fitness program,
all at no extra cost. Unlike most plans, people who qualify for a DSNP
have a continuous Special Election Period, which means they can elect a
new plan at any time throughout the year.
Additionally, a new $0 premium traditional HMO plan called Anthem
MediBlue Plus (HMO) is being introduced in Brown, Calumet, Fond Du Lac,
Kewaunee, Manitowoc, Oconto, Outagamie and Winnebago counties. Anthem
MediBlue Plus (HMO) with a premium is being expanded into Jefferson,
Langlade, Lincoln, Marathon, Marinette, Portage and Taylor counties. A
Local PPO plan called Anthem MediBlue Access is being expanded into
Kewaunee, Langlade, Lincoln and Taylor counties.
Anthem has lowered the premiums on its local PPO plans in Wisconsin by
more than 30 percent compared to last year.
Online doctor’s visits. LiveHealth Online (LHO) telehealth will
continue to be available in Anthem’s Wisconsin MAPD plans. LHO allows
members to access board-certified doctors through their computer or
mobile device, and will include a behavioral health benefit effective
Jan. 1, 2016. With this additional benefit, members can generally choose
a qualified mental health expert and schedule a counseling session in
advance to be held during available hours. (Those in crisis should call
911). Both seeing a doctor and counseling visits are available at a $0
copay to eligible members.
More $0 generics. Anthem is enhancing its Medicare pharmacy
benefits in 2016. Both Prescription Drug Plans (PDP) and MAPD plans will
feature a “Select Tier” with selected generic drugs for a $0 copay at
preferred pharmacies, including some drugs that treat high blood
pressure, high cholesterol and diabetes. Anthem also has several PDP
plans that offer certain generics in the coverage gap for a $0 copay.
Anthem has nearly 200 preferred pharmacies in Wisconsin, including CVS,
Target and Wal-Mart (Sam’s Club).
In addition to MAPD plans, Anthem offers Medicare Supplement plans and
standalone PDP plans across Wisconsin. Medicare Supplement plans help
cover costs Original Medicare doesn’t, such as copayments, coinsurance
and deductibles. These plans offer access to any doctor or medical
facility that accepts Medicare, generally for a higher premium than an
MAPD. They are generally paired with a PDP.
“We pride ourselves in being one of the nation’s only insurers that can
offer a full continuum of Medicare products, including something for
every budget and lifestyle,” McNichols said.
For details about Anthem Medicare plans in your area, call (855)
878-1113 or visit Anthem’s Medicare online store at www.anthem.com/shop.
Anthem will be holding educational events and home visits throughout AEP.
Anthem is a PPO plan, an HMO plan and a PDP with a Medicare contract.
Enrollment in Anthem depends on contract renewal. This information is
not a complete description of benefits. Contact the plan for more
information. Limitations, copayments, and restrictions may apply.
Benefits, premiums and/or co-payments/co-insurance may change on Jan. 1
of each year. The formulary, pharmacy network, and/or provider network
may change at any time. You will receive notice when necessary.
You must continue to pay your Medicare Part B premium.
This plan is available to anyone who has both Medical Assistance from
the State and Medicare. Premiums, co-pays, co-insurance and deductibles
may vary based on the level of Extra Help you receive. Please contact
the plan for further details.
About Anthem Blue Cross and Blue Shield
Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue
Shield of Wisconsin (BCBSWi), which underwrites or administers the PPO
and indemnity policies; Compcare Health Services Insurance Corporation
(Compcare), which underwrites or administers the HMO policies; and
Compcare and BCBSWi collectively, which underwrite or administer the POS
policies. Independent licensees of the Blue Cross and Blue Shield
Association. ANTHEM is a registered trademark of Anthem Insurance
Companies, Inc. The Blue Cross and Blue Shield names and symbols are
registered marks of the Blue Cross and Blue Shield Association.
Additional information about Anthem Blue Cross and Blue Shield in
Wisconsin is available at www.anthem.com.
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Anthem Blue Cross and Blue Shield in Wisconsin
Doug Bennett Jr.,