Medicare Advantage Providers

Plans & Benefits

To search for evidence of coverage (EOC), summary of benefits (SOB) and Formulary documents for our Individual Medicare Advantage products please visit our Medicare Advantage Plans page. If the product you are searching for is not listed, please call the number on the back of the member’s ID card.

Provider Guides & Forms

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

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.

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 Reimbursement policies