Regence MedAdvantage is a Medicare Advantage
Preferred Provider Organization (PPO) option available
to eligible beneficiaries in Benton, Clackamas,
Clatsop, Columbia, Coos, Curry, Douglas, Hood River,
Jackson, Josephine, Lane, Lincoln, Linn, Marion,
Multnomah, Polk, Tillamook, Wasco, Washington and
Yamhill counties in Oregon and Clark 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 BlueCross BlueShield of Oregon
(Regence BCBSO) logo and Medicare Advantage
PPO suitcase logo on the front
- The member number and a unique three letter
prefix of ZVX. The full member
number, including the prefix must
be submitted on claims.
View 2010 sample
member cards (PDF) »
Obtaining benefits, eligibility or claim
information
Use the Provider
Center 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 »
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 Provider
Center.
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 BlueCross BlueShield
of Oregon (Regence BCBSO) does not offer a PFFS
plan, other Blue Cross and/or Blue Shield Plans
(Blue Plans) do, and their members may seek services
in Oregon. As with other BlueCard members, PFFS
claims should be sent to Regence BCBSO.
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.
|
