Regence MedAdvantage is a Medicare Advantage
Preferred Provider Organization (PPO) option
available to eligible beneficiaries in Ada, Bannock,
Benewah, Bingham, Boise, Bonner, Bonneville,
Boundary, Canyon, Clark, Elmore, Fremont, Gem,
Gooding, Jefferson, Kootenai, Latah, Madison,
Minidoka, Nez Perce, Owyhee, Payette, Power,
Shoshone, Teton and Twin Falls counties in Idaho
and Asotin County in Washington.
Product features
- Regence MedAdvantage provides all
Part A and B benefits with additional
covered services in one plan. Most professional
services are covered at 100% after a
copayment, or paid in full for in-network
providers.
- A Dedicated Provider Customer Service
phone number is available for Regence
MedAdvantage questions at 1 (877) 508-7362.
- No referral requirements: Members
can seek services from any provider on
the Regence MedAdvantage network.
Learn more about
Medicare Advantage (PDF)
Identifying members
Regence MedAdvantage member cards include:
- The Regence BlueShield of Idaho
logo and Medicare Advantage PPO suitcase logo
on the front
- The member number and a unique three
letter prefix of ZVY. The full member
number, including the prefix, must be submitted
on claims.
View 2009
sample
member cards (PDF)
View 2010 sample member cards (PDF)
Obtaining benefits, eligibility or claim
information
Use the Regence
Online Services for Providers for easy
access to benefits, eligibility and claim status
for patients with Regence MedAdvantage.
You can also contact Regence Provider Customer
Service for these products at 1 (877) 508-7362.
Physicians, other health care professionals
and facilities are responsible for pre-authorizing
all services listed on the Medicare Products Pre-authorization
List.
Medicare
Advantage Plans (PDF)
Claim Vouchers
Claim Vouchers for Regence MedAdvantage claims
are issued separately. View a sample
voucher (PDF)
Provider Networks
Regence MedAdvantage members can seek services
from our Regence MedAdvantage providers or non-contracted
providers. Visit our Provider
Directory to validate your information.
You can enhance your provider profile on Regence
Online Services for Providers.
We are actively contracting with physicians,
other health care professionals and facilities
to be included in our Regence MedAdvantage network.
Learn more about joining our Regence
MedAdvantage network.
If you are providing services for a patient
with a Medicare Advantage Private Fee-for-Service
(PFFS) plan, you can access the Medicare Advantage
PFFS terms & conditions
using the Web
Finder Tool. Although Regence BlueShield of Idaho does not offer a PFFS plan,
other Blue Cross and/or Blue Shield Plans (Blue Plans) do, and their members
may seek services in Idaho. As with other BlueCard members, PFFS claims should
be sent to Regence.
Workshops
- Regence MedAdvantage Online
Training: This course will help you identify
members, become familiar with benefit structures,
and understand our payment vouchers.
- Regence Medicare Advantage Compliance
Training: Completing this
course meets the Centers for Medicare & Medicaid
Services (CMS) annual compliance training requirement
for providers and their staff.
|
