Frequently Asked Questions
North Bay Builders Exchanges
Frequently Asked Questions (FAQ)
Understanding Your Anthem Medical Plan
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Who do I contact for the following?
How do I find a provider (Primary Care or Specialist doctor, Hospital)?
- Log onto anthem.com and select Employers
- Search as Guest or login into your Anthem account
- If searching as a Guest, select Blue Cross PPO Prudent Buyer (Large Group)
- You may also call (800) 888-8288 for an Anthem representative to assist you
Am I required to select a Primary Care Physician (PCP) on the PPO Plan?
No, you do not need to select a PCP on the PPO plan because you do not need PCP referrals to go see a specialist.
Do I need a referral to see a specialist?
No, you can see any specialist at any time. If you wish to go see a specialist who is an out-of-network doctor, you may incur higher out-of-network costs.
If I need to fill a prescription, what pharmacy do I go to?
- Log onto anthem.com and select Emplo9yers
- Search as Guest or login into your Anthem account
- If searching as a Guest, Select Blue Cross PPO Prudent Buyer (Large Group)
- You may also call (80) 888-8288 for an Anthem representative to assist you.
Can I change my plan or drop coverage?
Once you enroll into a plan, you cannot change or drop unless you experience a Qualifying Life Event. Some examples of a Qualifying Life Event are: birth of a child, marriage, or loss of coverage.
After selecting my plan, how soon can I receive my ID card?
Once enrolled and Anthem processes your enrollment form, you should receive your card within 7 to 10 business days.
I have a question regarding my Anthem claim; who can I contact:
You can contact Anthem’s Member Services at (800) 888-8288. You may also contact the NBBE Benefits Advocated at (949) 681-9052 or nbbebenefits@alliant.com
Can I access my medical benefit information online?
Yes, you can go online to www.anthem.com and create an account as a new member. Once created you can access your medical plan information online.
To create an account, follow these steps:
- Click Individual/Family, scroll to Support then click on Registration
- Enter your Anthem ID number and personal information
- Choose a username and password then create your three secure questions
- Once completed you will have access to all of your benefits and more.
You can also call Anthem Member Services at (800) 888-8288
Are there any medications that may need prior authorization?
Yes, if the medication is either “new” to the market, experimental, or has certain limits you will need prior authorization. Your doctor may need to all or complete a form for prior authorization or contact Anthem’s provider service number.
Do I need prior authorizations for MRIs or other procedures such as surgeries?
Yes, some procedures, including but not limited to surgeries, will require prior authorization. Please refer to your Benefit Summary to see which benefits may require prior authorization or contact the member service number on the back of your card at (800) 274-7767
Understanding Your Kaiser Medical Plan
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Who do I contact for the following?
How do I find a provider (Primary Care or Specialist doctor, Hospital)?
- Log onto kp.org
- Choose your region at the top
- Select Doctors and Locations, click on choose your doctor then “Go to Search.”
- If you need assistance you can call member service at (800) 464-4000 and a Kaiser representative can assist you
Am I required to select a Primary Care Physician (PCP) on the Kaiser HMO Plan?
- Log onto kp.org
- Choose your region at the top
- Select Doctors and Locations
- Click on choose your doctor then “Go to Search”
- If you need assistance you can call member services at (800) 464-4000 and a Kaiser representative can assist you
Do I need a referral to see a specialist?
If I need to fill a prescription, what pharmacy do I go to?
- Log onto kp.org
- Choose your region at the top
- Select Doctors and Locations, click on choose your doctor then “Go to Search.”
- If you need assistance you can call member service at (800) 464-4000 and a Kaiser representative can assist you.
Can I change my plan or drop coverage?
After selecting my plan, how soon can I receive my ID card?
I have a question regarding my Anthem claim; who can I contact:
Can I access my medical benefit information online?
To create an account, click on “Register” in the top right corner and walk through each step. Once you have created your account you may also download the Kaiser Permanente app.