Medical Plan Claims Administrator Change
Effective January 1, 2025, BSSP will be returning to Anthem Blue Cross for medical claims administration – services provided through AmeriBen will cease December 31, 2024.
There will be no change to your BSSP+SISC medical providers and benefits.
Anthem will be responsible for the administration of your medical plan benefits, including claims payments, benefit inquiries, ID cards, and more beginning January 1, 2025.
This change does not impact members enrolled in the CompanionCare Medicare Supplement Plan.
Here are some frequently asked questions to help guide you through the transition:
No! Your AmeriBen ID number beginning with "B4K" terminates December 31, 2024, but your coverage under Anthem with your new ID number beginning with "SIF" is effective January 1, 2025. There is no break in coverage!
Yes! Your new BSSP+SISC ID cards will arrive via mail in late November to early December.
Present your ID card to your doctors for medical and prescription services on or after January 1, 2025. You will receive a new Anthem ID card for yourself and your enrolled spouse, if applicable. After December 15th, you may contact Anthem at 800-825-5541 to request additional ID cards, if needed.
No! There will be no change to your medical plan benefits (deductibles, copays, coinsurance, plan provisions, etc.) nor the Anthem network of providers because of this change. You can continue using the same doctors and facilities.
No! BSSP+SISC will continue to use Navitus Health Solutions as our pharmacy benefit administrator. This means you have access to the same pharmacies and prescription drugs.
IMPORTANT: You will need to update your Costco mail order account with your new ID and group number for prescriptions effective January 1, 2025. For retail pharmacies, including Costco, please verbally tell the technician you have new billing information and provide your new ID card.
Providers can call Anthem Provider Services at 800-274-7767 to request prior authorization starting the second week of December. Anthem Member Services will be available to support you as of November 18, 2024.
Yes…if you have other coverage outside of BSSP. Coordination of benefits information will not transfer from AmeriBen to Anthem. You can update your coordination by calling Member Services at 800-825-5541 or by using the Sydney app.
If you are double covered with BSSP, your coordination of benefits will be updated automatically with Anthem.
For physical medicine services, providers will work with American Specialty Health (ASH). Starting with your sixth visit, providers are responsible for obtaining medical necessity reviews through ASH.
For advanced imaging services, providers will obtain prior authorization from Carelon Medical Benefits Management.
Access your medical plan and claim information online. Once you receive your new ID card, you can register at www.anthem.com/ca/sisc.
Get help with medical claims and questions. Contact Anthem's Woodland Hills Member Services Center 8am-6pm PT Monday through Friday. The dedicated toll-free phone number is 800-825-5541. You can also visit www.anthem.com/ca/sisc.
As always, please reach out to BSSP at bssp@bsspjpa.org if you have any questions or need assistance.