Servicing Medicare Advantage Members

Effective 2009, government rule changes enable health plans to enroll and cover some retiree group members in Medicare Advantage (MA) HMO or PPO products, even in areas where a formal provider network is not available. We do not maintain a provider network for Medicare Advantage at this time; although, our providers may be asked to service a MA member while they are in our service area. MA members who are enrolled in areas without a provider network (in this case, Louisiana), are "non-network members," and may receive care from any Medicare eligible provider, including all Medicare participating providers.

Key Information

  • You are encouraged but not required to render services to non-network MA members
  • Pays the "Medicare allowed amount" based on where the services were rendered and under the member's out-of-network benefits
  • Non-network members may receive care from any Medicare eligible provider, including all Medicare participating providers
  • Claims are submitted directly to us

Servicing Steps

  • Verify eligibility and bill for services for any out-of-state Blue Plan member you agree to treat
  • Verify benefits by referring to the number on the member's ID card
  • Complete a Member Servicing Confirmation Form. (By completing this form, you are agreeing to provide services to a particular member for the period of time indicated on the form at the Medicare allowed amount.)
  • Submit form to us at network.administration@bcbsla.com or fax to us at 225.297.2750 

View Medicare Advantage Frequently Asked Questions

Contact:

Provider Services 1.800.922.8866, Option 3