[Ucrea] Anthem – Outreach to Members on Diabetic Supplies Claims Adjudication

[Cristina L Otegui]

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July 26, 2022
To:
UCR Emeriti & Retirees

From:
UCR Benefits Office on Behalf of UC Office of the President (UCOP)

Re:
Anthem – Outreach to Members on Diabetic Supplies Claims Adjudication

On Wednesday, July 27, 2022, Anthem will send email communications to all members enrolled in the Medicare PPO and the High Option plans. Both Anthem and Navitus are making a concerted effort to educate Medicare participants about the claims adjudication for diabetic supplies under these plans.

The following information is provided in the email communications:

·        Medicare Part B is the primary insurance for diabetic supplies.

·        How diabetic supplies are covered under the plan for members.

·        Steps members should follow to obtain their supplies.

·        Diabetic supply limits and Medicare approval process for larger quantities, if needed.

The email communications can be viewed below:

·        MDCR PPO: Obtaining Diabetic Supplies, Process Change for Medicare Members: https://emeriti-retirees.ucr.edu/document/mdcr-ppo-obtaining-diabetic-supplies-process-change-medicare-members.

·        MDCR High Option: Obtaining Diabetic Supplies, Process Change for Medicate Members: https://emeriti-retirees.ucr.edu/document/mdcr-high-option-obtaining-diabetic-supplies-process-change-medicare-members.

·        Health Care Facilitator Program (HCF) Brochure: https://emeriti-retirees.ucr.edu/document/health-care-facilitator-program-brochure.

For any questions or assistance

·        Medicare: 1 (800) MEDICARE (1-800-633-4227).

·        Navitus MedicareRx Customer Care: 1-866-270-3877.

·        UC Health Care Facilitator Program: Contact information is listed in the HCF brochure linked above.












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