Legal Disclosure

 

Not connected with or endorsed by the U.S. Government or the federal Medicare program.

 

The purpose of this communication is the solicitation of insurance.

 

Please check with your doctor before you start a physical activity program. The SilverSneakers® Fitness Program is provided by an independent company. SilverSneakers is a value-added program. It is not insurance and not part of the Medicare Supplement insurance plans. It can be changed or withdrawn at any time. The SilverSneakers fitness program is provided by Tivity Health, an independent company. Tivity Health and SilverSneakers are registered trademarks or trademarks of Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries.
©2023 Tivity Health, Inc. All rights reserved.

 

This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, please contact your agent or the health plan.

 

Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.

 

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. and Anthem Insurance Companies, Inc. In Indiana: Anthem Insurance Companies, Inc. (AICI) and Community Insurance Company (CIC). Medicare Supplement Plans A, G & N are offered by AICI, and Plan F is offered by CIC. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), HMO Missouri, Inc. and AICI. 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. Medicare Supplement Plans A, G & N are offered by HALIC, and Plan F is offered by AICI. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Medicare Advantage LPPO plan and Medicare Supplement Plans are offered by Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company (CIC). In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: For Medicare Supplement plans: Anthem Insurance Companies, Inc. (AICI). For Medicare Advantage plans: Blue Cross Blue Shield of Wisconsin (BCBSWI), underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare Health Services Insurance Corporation (Compcare) or Wisconsin Collaborative Insurance Corporation (WCIC). Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

 

This information is not a complete description of benefits. Call Customer Service, (TTY: 711) for more information.

 

 

For Colorado:
IMPORTANT INFORMATION FOR COLORADO RESIDENTS

 

It is a requirement that all plans offered by Anthem Blue Cross and Blue Shield are available to under age 65 Medicare qualified individuals.

 

Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation.

 

Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Connecticut:
Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation.

 

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Georgia:
Medicare Supplement Plans are also available to persons eligible for Medicare because of disability.

 

This is a limited policy designed to cover only those expenses which Medicare does not cover.

 

Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only three exceptions/restrictions: nonpayment of premiums, material misrepresentation, or our withdrawal from the marketplace.

 

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Indiana:
Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation.

 

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. (AICI) and Community Insurance Company (CIC). Plans A, G & N are offered by AICI. Plan F is offered by CIC. Independent licensees of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Kentucky:

IMPORTANT INFORMATION FOR KENTUCKY RESIDENTS

 

Effective January 1, 2024, it is a requirement that all plans offered by Anthem Blue Cross and Blue Shield are available to under age 65 Medicare qualified individuals.

 

Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums or material misrepresentation.

 

You must choose a hospital in the Select network in order to receive full benefits if you choose a Medicare Select insurance plan.

 

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Kentucky, Inc. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Maine:
Medicare Supplement Plans are also available to persons eligible for Medicare because of disability.

 

Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums not paid by the end of the grace period and material misrepresentation.

 

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Missouri:
Medicare Supplement plans are also available to qualified persons under 65 who are eligible for Medicare because of disability.

 

The Medicare Supplement insurance policy form number(s): for HALIC, the policy numbers are WPPLANAM(16)-MO; WPPLANGM(16)-MO; WPPLANNM(16)-MO. For AICI, the policy number is APLANFM(17)-MO-T.

 

Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation.

 

In Missouri (excluding the 30 counties in the Kansas City area), Anthem Blue Cross and Blue Shield is the trade name of Healthy Alliance® Life Insurance Company (HALIC) and Anthem Insurance Companies, Inc. (AICI). Plans A, G & N are offered by HALIC. Plan F is offered by AICI. Independent licensees of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For New Hampshire:
The Medicare Supplement insurance policy form number(s): WPPLANAM(09)-NH; WPPLANFM(09)-NH, WPPLANNM(09)-NH and WPPLANGM(09)-NH.

 

Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation.

 

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of New Hampshire, Inc. Medicare Supplement plans are offered by Anthem Health Plans of New Hampshire, Inc. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Nevada:
Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation.

 

Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. Independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Ohio:
Not connected with, sponsored by, nor endorsed by the federal or state government, the Social Security Administration, the Centers for Medicare and Medicaid Services, or the Department of Health and Human Services.

 

The Medicare Supplement and Medicare Select insurance policy form number(s): WPPLANAM(09)-OH; WPPLANFM(09)-OH; APLANGM(17)-OH; WPPLANNM(09)-OH; WPPLANFSelectM(11)-OH; APLANGSelectM(17)-OH; and WPPLANNSelectM(11)-OH.

 

You must choose a hospital in the Select network in order to receive full benefits if you choose a Medicare Select insurance plan.

 

Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation.

 

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Virginia:
Medicare Supplement Policy Form Numbers: WPPLANAM(Rev. 10/12) – VA, WPPLANBM (Rev. 10/12) – VA and WPENDU65001M(09)-VA; WPPLANFM (Rev. 10/12) – VA; WPPLANGM(Rev. 10/12) – VA; WPPLANNM(Rev. 10/12) – VA are offered by Anthem Health Plans of Virginia, Inc. Application: [AEF_22_100563_VA] [MSAEF_23_3003925_VA].

 

Medicare Supplement Plan B is available to qualified persons under 65 who are eligible for Medicare because of disability.

 

Once enrolled into your Medicare Supplement insurance plan, your coverage can only be canceled under two exceptions/restrictions: nonpayment of premiums or material misrepresentation on your application.

 

Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and our service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Independent licensees of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

 

 

For Wisconsin:
Once enrolled into your Medicare Supplement insurance plan, your coverage is guaranteed for the life of the plan with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation.

 

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.