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Medicare Advantage Providers

Anthem offers a variety of Medicare plans to support member needs. We also support our providers with access to information about our plans and member benefits, news and updates, training materials and guides and other helpful resources.

Plans & Benefits

Below you will find evidence of coverage (EOC) and summary of benefits (SOB) documents for our Individual Medicare Advantage products.  If the product you are searching for is not in the lists below, please call the number on the back of the member’s ID card.

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Medicare Advantage Updates

Stay current on the latest news and changes with these important Medicare Advantage updates. For information directly regarding coronavirus, visit our COVID-19 news page.


Provider Guides & Forms

Make use of these helpful resources to assist you when working with our Medicare Advantage products and patient claims.

HMO & PPO Provider Guidebook

Important information about credentialing, reimbursement, appeals, and more

Member ID Card Samples

Examples of member identification cards to familiarize yourself with the format

Provider Forms

A library of forms related to Medicare Advantage and doing business with Anthem

Training

Individual Plans & Employer Group Plans

Anthem reimbursement policies outline the basis for reimbursement for services covered by a member’s benefit plan and serve as a guide to assist you in accurate claims submission.

View Medicare Advantage policies

Medicare Advantage PPO members of non-Anthem Blue Plans should utilize our Medicare Advantage reimbursement policies. There are five reimbursement policies that only apply to MA PPO members of non-Anthem Blue Plans. These policies have been listed as MA PPO.

View Medicare Advantage policies

Contact Us

For the most direct point of contact, use the number provided on the back of the member’s ID card. If those numbers are not available to you, use the phone numbers listed below for assistance with your questions.

HMO Products

1-888-230-7338

PPO Products

1-877-811-3107