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PW_B136081
Prospective Members
Current Members
Providers
 
Prospective members should call:
7 days a week, 8 a.m. to 8 p.m. 

  Medicare Advantage and Medicare Supplement Part D TTY/TDD
Colorado  
1-877-831-3000  
1-866-892-5332  
1-800-241-6894   
Connecticut   
1-800-238-1143   
1-888-892-5534  
1-800-241-6894   
Indiana   
1-888-811-2095   
1-800-243-3363  
1-800-241-6894   
Kentucky  
1-866-803-5169   
1-800-243-3363  
1-800-241-6894   
Maine  
1-800-413-3103   
1-800-578-6418 
1-800-241-6894   
Missouri   
1-800-652-6387   
1-800-243-3363  
1-800-241-6894   
Nevada   
1-877-831-3000   
1-866-892-5343  
1-800-241-6894   
New Hampshire   
1-800-232-1261   
1-800-578-6418  
1-800-241-6894   
Ohio   
1-866-803-5169   
1-800-243-3363  
1-800-241-6894   
Virginia   
1-800-916-2583   
1-877-481-8633  
1-800-241-6894   
Wisconsin   
1-888-211-9815   
1-800-216-5572  
1-800-241-6894   
 
Current members should contact Customer Service for process or status questions or to file a verbal grievance:
Customer Service Hours for Medicare Advantage plans:  
7 days a week, 8 a.m. to 8 p.m.  

Medicare Advantage Plans: States: Toll Free: TTY/TDD: Address:
Anthem Medicare Preferred Standard (PPO), Anthem Medicare Preferred Select (PPO) 
Indiana, Missouri, Ohio, Kentucky, Wisconsin 
1-800-467-1199   
1-888-853-7754   
P.O. Box 37180  
Louisville, KY  
40233-7180  
Anthem Medicare Preferred Premier (PPO), Anthem Medicare Preferred Select (PPO) 
Nevada 
1-866-754-3077   
1-877-247-1657  
P.O. Box 60007  
Los Angeles, CA  
90060-0007  
Anthem Medicare Preferred Standard (PPO), 
Anthem Medicare Preferred Classic (PPO) 
Virginia 
1-866-827-9866   
1-800-828-1120   
P.O. Box 37180  
Louisville, KY  
40233-7180  
Anthem Senior Advantage Basic (HMO), Anthem Senior Advantage Value (HMO),  
Kentucky and Ohio 
1-800-467-1199   
1-888-853-7754   
P.O. Box 37180  
Louisville, KY  
40233-7180  
Anthem Senior Advantage Plus (HMO) 
Ohio 
1-800-467-1199   
1-888-853-7754   
P.O. Box 37180  
Louisville, KY  
40233-7180  
Blue Medicare Access (Regional PPO)  
Indiana, Kentucky, Ohio 
1-800-467-1199   
1-888-853-7754   
P.O. Box 37180  
Louisville, KY  
40233-7180  
MediBlue Plus (HMO), MediBlue Select (HMO), MediBlue Essential (HMO), MediBlue Value (HMO)    
Connecticut 
1-866-673-4157   
1-800-241-6894   
P.O. Box 1407 Church Street Station  
New York, NY 10008-1407  
SureValue Basic (HMO) and SureValue Enhanced (HMO)  
Colorado 
1-866-408-7086   
1-877-247-1657   
P.O. Box 60007  
Los Angeles, CA 90060-0007  
SmartValue  Classic (PFFS) and SmartValue Plus (PFFS) 
Colorado, Connecticut, Indiana, Kentucky, Maine, Nevada, New Hampshire, Virginia, Wisconsin 
1-888-445-8916   
1-800-425-5705   
P.O. Box 795180  
San Antonio, TX 78279  
SmartValue  Classic (PFFS) and SmartValue Plus (PFFS) 
Missouri 
1-866-865-9330 
1-800-425-5705   
P.O. Box 795180  
San Antonio, TX 78279  
 
Customer Service Hours for Medicare Part D plans: 
7 days a week, 8 a.m. to 8 p.m.  

Medicare Part D Plans: States: Toll Free: TTY/TDD: Address:
BlueMedicareRx (PDP) plans 
Colorado, Connecticut, Nevada, Wisconsin   
1-800-928-6201   
1-877-247-1657   
P.O. Box 9282  
Oxnard, CA 93031-9282  
BlueMedicareRx (PDP) plans 
Indiana, Kentucky, Maine, Missouri, New Hampshire, Ohio, Virginia   
1-866-755-2776   
1-866-798-7026   
P.O. Box 34160  
Louisville, KY 40232-4160  
 
Current members who wish to file written grievances for any of the PPO, HMO, or PFFS plans above*:

The mailing address and fax number designated for receiving written grievances is: 
Grievances & Appeals
P.O. Box 1975
Fond du Lac, WI 54936-1975
FAX: (888) 458-1406 
 
*Note: For the MediBlue (HMO) plans offered in Connecticut, use the following contact information:  

The mailing address and fax number designated for receiving written grievances is:
Grievances & Appeals
P.O. Box 1407 Church Street Station
New York, NY 10008-1407
FAX: 888-458-1406 
 
Providers should call
Please call the numbers listed below for process or status questions as well as Grievance & Appeals.  
Provider Service Hours are listed below.  

Medicare Advantage Plans:

State(s): Provider Toll Free: Fax:
Anthem Medicare Preferred Standard (PPO), Anthem Medicare Preferred Select (PPO) 
Indiana, Missouri, Ohio, Kentucky, Wisconsin 
1-888-290-9160   
(Monday through Friday 8 a.m. to 8 p.m. ET)   
1-330-783-3567 
Anthem Medicare Preferred Premier (PPO), Anthem Medicare Preferred Select (PPO) 
Nevada 
1-866-754-3077   
(Monday through Friday 8 a.m. to 8 p.m. ET)   
1-805-713-5244 
Anthem Medicare Preferred Standard (PPO), 
Anthem Medicare Preferred Classic (PPO) 
Virginia 
1-888-290-9160   
(Monday through Friday 8 a.m. to 8 p.m. ET)   
1-330-783-3567 
Anthem Senior Advantage Basic (HMO), Anthem Senior Advantage Value (HMO),  
Kentucky and Ohio 
1-888-290-9160   
(Monday through Friday 8 a.m. to 8 p.m. ET)   
1-330-783-3567 
Anthem Senior Advantage Plus (HMO) 
Ohio 
1-888-290-9160   
(Monday through Friday 8 a.m. to 8 p.m. ET)   
1-330-783-3567 
Blue Medicare Access (Regional PPO)  
Indiana, Kentucky, Ohio 
1-888-290-9160   
(Monday through Friday 8 a.m. to 8 p.m. ET)   
1-330-783-3567 
MediBlue Plus (HMO), MediBlue Select (HMO), MediBlue Essential (HMO), MediBlue Value (HMO)    
Connecticut 
1-866-673-4157   
(Monday through Friday 8 a.m. to 5 p.m. ET)  
N/A 
SureValue Basic (HMO) and SureValue Enhanced (HMO)  
Colorado 
1-866-408-7086   
(Monday through Friday 8 a.m. to 8 p.m. ET)   
1-805-713-5244 
SmartValue  Classic (PFFS) and SmartValue Plus (PFFS) 
Colorado, Connecticut, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Virginia, Wisconsin 
1-866-364-2374   
(Monday through Friday 8 a.m. to 8 p.m. ET)   
N/A 
 
For full information on benefits, please call the Customer Service Department.  
We renew our contract with Medicare annually. 
The Medicare Contract is renewed annually, and the availability of coverage beyond the end of the current year is not guaranteed.  
You are eligible to enroll if you are entitled to Medicare Part A and enrolled in Medicare Part B and you live in the service area. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. With some exceptions you can only enroll during certain times of the year.  
To obtain an aggregate number of grievances, appeals and exceptions filed or for full information on benefits, please call the Customer Service Department
Please reference the Evidence of Coverage for information on premiums, cost-sharing, out-of-network coverage, rights and responsibilities upon disenrollment and any applicable conditions associated with using the plan benefits. 
If you have special needs, our Plan documents may be available in other formats. Please call Customer Service for details. 
M0013_10_072, 03/16/2010
Last Updated 03/16/2010  
 
©2005-2009 copyright of Anthem Insurance Companies, Inc.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri: RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Missouri (excluding 30 counties in the Kansas City area), Ohio, Wisconsin, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123). Use of the Anthem Web sites constitutes your agreement with our Terms of Use