| Plans without an out-of-network benefit
Anthem Senior Advantage. Unfortunately, Anthem does not offer an
out-of-network benefit for Anthem Senior Advantage subscribers. However, you may want to consider the option of changing from Anthem Senior Advantage
to traditional Medicare.
Anthem Senior Advantage (ASA) patients can still access Health Alliance hospitals and facilities by disenrolling from
Anthem Senior Advantage. This automatically will re-enroll them in traditional Medicare and allow them to access Health Alliance hospitals. To
disenroll from ASA, call 1-800-MEDICARE, select your language (English or Spanish), say "Yes" that you are calling about Medicare, say
"No" that you are not calling about medical services, and say "Managed Care" during the next menu. You will be connected to a
customer service representative who will assist you.
Traditional Medicare benefits are comparable to Anthem Senior Advantage benefits in most areas, and better in some
respects. You should also know that you can change your enrollment every 30 days, so if you decide that Anthem Senior Advantage is better for you than
traditional Medicare, you can re-enroll in Anthem Senior Advantage in 30 days.
Anthem HMO plans and other plans without an out of network benefit. To keep
using Alliance hospitals and Alliance Primary Care physicians, ask your employer if it's possible to change plans, since there has been a change in
the network. Remember also, that emergency care is covered, whether or not the Health Alliance hospitals are in the network.
Need more information?
For more information about the contract, you can call us at 513-585-6464. |