New to Anthem Medicare? Here’s What You Need to Know
Last Updated : 05/28/20195 min read
Whether you are looking for Anthem Medicare Advantage plans, Anthem Medicare Part D Prescription Drug Plans, or Anthem Medicare Supplement (Medigap) plans, or if you’ve recently enrolled in an Anthem Medicare plan, here are some tips to help you understand the process and where to go to get help.
Am I eligible to enroll in an Anthem Medicare plan?
Your eligibility for Anthem Medicare plans depends on the type of Medicare coverage you’re interested in.
You may be eligible to enroll in an Anthem Medicare Advantage plan if you reside in the service area of an Anthem Medicare Advantage plan and:
- You have Original Medicare (Part A and Part B), or will have it, by the effective date of your Anthem Medicare Advantage plan. You must be enrolled in Part B and entitled to Part A.
- You don’t have end-stage renal disease, with some exceptions.
Generally, you must generally enroll in a Medicare Advantage plan during either your Initial Coverage Election Period (when you’re first eligible for Medicare Advantage), the Annual Election Period (October 15 to December 7), or a Special Election Period, which can occur any time you have a qualifying situation (such as moving out of your plan’s service area). Your Initial Coverage Election Period (ICEP) typically takes place at the same time that you’re first eligible for Medicare, starting three months before the month you turn 65, including your birthday month, and ending three months later (for a total of seven months). If you delay Part B enrollment, your Initial Coverage Election Period (ICEP) starts three months before you’re enrolled in Part B and lasts three months.
If you’re currently enrolled in a Medicare Advantage plan and want to switch to a different Medicare Advantage plan or go back to Original Medicare, you must do so during a qualifying election period, such as the Annual Election Period. You can also disenroll from your Medicare Advantage plan during the Medicare Advantage Disenrollment Period (January 1 to February 14) and return to Original Medicare; during this period, you may also be eligible to enroll in a stand-alone Medicare Prescription Drug Plan.
You may be eligible to enroll in an Anthem Medicare Part D Prescription Drug Plan if:
- You have Part A and/or Part B.
- You live in the service area of an Anthem Medicare Prescription Drug Plan.
Generally, you cannot be enrolled in both a Medicare stand-alone Prescription Drug Plan with a Medicare Advantage plan (unless your Medicare Advantage plan type doesn’t cover prescription drugs). If you are enrolled in a Medicare Advantage plan that covers prescription drugs and you sign up for an Anthem Medicare stand-alone Part D Prescription Drug Plan, you will be disenrolled from your Medicare Advantage plan and returned to Original Medicare automatically.
You may be eligible to enroll in an Anthem Medicare Supplement plan if you are enrolled in Original Medicare, Part A and Part B. You may need to meet plan underwriting requirements unless you enroll in a Medigap plan during your initial Medigap Open Enrollment Period, when you can purchase any plan offered in your service area, regardless of your health status, with guaranteed issue.
Not all plans are available in all locations and plan benefits and premiums may vary depending on where you live.
What happens after I enroll in an Anthem Medicare Advantage or Prescription Drug Plan?
If you completed your application over the phone with a licensed insurance agent or broker, Anthem will call you to confirm your application and go over your plan benefits. This call is required by Medicare.
Shortly after your application is received, you’ll receive a letter from Anthem with your proposed effective date, which will also serve as your temporary member ID until your permanent Anthem membership card arrives. Once Medicare approves your application, you’ll get your permanent Anthem member ID, a new member welcome kit, and an Evidence of Coverage document in the mail, which includes more information on your benefits and plan costs. Sometime within the first 90 days, you’ll also be asked to complete a health survey over the telephone.
How can I pay my Anthem Medicare plan premiums?
If you enrolled in a Medicare Advantage plan, you must continue to pay your Part B premiums; you may also receive an additional premium bill from Anthem for your Medicare Advantage coverage, depending on the plan you select. You’ll also receive a bill for your Medicare Prescription Drug Plan or Medigap policy, if applicable.
You have several options to pay the premium for your Anthem Medicare plan:
- Register for a and pay your premium online.
- Pay through electronic funds transfer or automatic withdrawal from a checking account.
- By mail or over the phone at 1-866-249-4844.
Who do I call with questions about my Anthem Medicare Advantage or Anthem Medicare Prescription Drug Plan?
If you have questions about your application or how to use your Anthem Medicare Advantage plan or Medicare Part D Prescription Drug Plan, you can use this list of customer service numbers, organized by plan name and location. You can also log into your online member account and search the help database. Your online account also gives you access to other useful tools, such as network provider search, claims management, and expense tracking.
Do you have questions about your Anthem Medicare coverage and how to get the most out of it? You can always compare and browse plan options in your area using our Find Plans button on this page.
Anthem Blue Cross and Blue Shield serves Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin.