Additional Links:www.webmdhealth.com(How healthy are you? Take WebMD's Health Assessment)
Helpful Member Information:
Anthem Blue Cross & Blue Shield / Member Services 800-327-9232 To request ID Cards To ask questions relative to Benefits and Claims To change Primary Care Physician (PCP)
Anthem Prescription Management 800-455-5949 To request ID Cards To ask general prescription questions To utilize the mail order RX Program ($10/25/40 co-pay for three month supply)
Anthem Behavioral Health (Mental Health/Substance Abuse) 800-441-6613 To obtain pre-certification (necessary for all treatment) To find a qualified provider in your area
KGA (Employee Assistance Program) 800-648-9557 www.kgreer.com "Your EAP and work life program - free, confidential assistance for you and your household members"
Fallon Community Health Plan / Member Services 800-868-5200 To request ID Cards To ask questions relative to Benefits and Claims To change Primary Care Physician (PCP)
General Information A referral id required for all non primary care physician (specialist) visits
You must contact your PCP within 48 hours of an emergency room visit
When visiting an In-Network Provider, patient is only responsible for office co-pay (There should be no balance billing from the Provider), assuming a referral is obtained if services are rendered by a provider other than the patient's PCP.
The patient is not responsible for any bills received for anesthesia, radiology, or pathology if incurred in conjunction with an in-network hospitalization. Most times the company billing for those charges has not been notified of your coverage. If bills are received, contact your provider with your ID number and ask them to submit to Blue Cross.
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