Information for Anthem Extras Packages Members

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When you enrolled in an Anthem Extras Package or Premium Plus Dental, you made an important decision to complement your Medicare health plan with benefits that can help you maintain good overall health and well-being.  
 
Below are some tips and contact information needed to access your benefits. Please note that depending on the package (or dental plan) you enrolled it, benefits vary.  
 
How to use your dental and vision benefits: 
 
  • Make an appointment with your chosen provider. Please note that you will usually have less out-of-pocket costs from participating providers.
  • Present your ID card at the time of service.
  • Pay any applicable copays or additional charges.
  •  
     
    Finding a participating provider: 
     
    Use the ProviderFinder and choose the dental or vision network noted on your ID card.  
     
     
    Travel Assistance** 
     
    Please refer to the back of your ID card for the toll-free phone number. 
     
     
    SilverSneakers®** 
     
    To find a participating location and learn more about the program, visit www.silversneakers.com.  
     
     
    Member Assistance Program**, Including Older Adult Care** 
     
    Please refer to the back of your ID card for the toll-free phone number and web site information.  
     
     
    International Emergency Dental Program 
     
    For information on the International Dental Emergency Program, and a wallet card you can take on your trip, please download our International Dental Emergency Program slick. 
     
    To submit a claim for international emergency dental services, please download the claim form and instructions
     
     
    Extra Cleaning for Diabetic Members*** 
     
    Diabetic members may be eligible for an additional dental cleaning at no extra cost. Learn more and enroll.  
     
     
    Vision Claims (if you visit a non-participating provider and need to file a claim) 
     
    PO Box 8504
    Mason, OH 45040-7111
    Vision Claim Form
    (PDF) 
     
     
    Dental Claims (if you visit a non-participating provider and need to file a claim) 
     
    P.O. Box 659444
    San Antonio, TX 78265 
    Dental Claim Form
    (PDF)  
     
    Questions about your benefits, please contact us
     
     
     
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    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: Anthem Blue Cross and Blue Shield. In Indiana: Anthem Insurance Companies, Inc. 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), and HMO Missouri, Inc. 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. 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. In Ohio: Community Insurance Company. 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: 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 and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use