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 Indiana: Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, 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. Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc., serving all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State
Route 123, are independent licensees of the Blue Cross Blue Shield Association. 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.
OHBCBS-CR-038952-23-CPN38904 October 2023
Medicare Advantage
October 2023
Ohio 2024 Medicare Advantage plan changes
2024 highlights:
Not all benefits listed below are available to all Medicare Advantage members. Complete details are in the member’s
EOC:
2024 Essential Extras benefit package:
• The Essential Extras benefit package now contains three to five of the following options:
o Assistive devices
o Everyday options allowance — dental, vision, and hearing
o Groceries
o Transportation
o Utilities — changed from a monthly to a quarterly allowance on a benefits prepaid card to
help members with monthly utility payments at their home
In-home support:
• This benefit option was removed from Essential Extras for 2024.
Dental services (supplemental):
• Select plans now cover an allowance for covered preventive and comprehensive services every year.
Members now have the flexibility to choose how to spend their allowance for covered dental
services. Read plan details for more information.
Annual benefit changes for Medicare Advantage plan members under Anthem
Blue Cross and Blue Shield will be effective January 1, 2024.
The following is a summary of these changes. Complete details are in the member’s Evidence of Coverage
(EOC). Visit https://shop.anthem.com/medicare EOC, formularies, and benefit summaries, or contact
Provider Services at the number on the back of the member’s ID card. Changes may include medical and
Part D benefits, copays, coinsurance, deductibles, formulary coverage, pharmacy network, premiums, and
out-of-pocket maximums.
Some group-sponsored Medicare Advantage plan benefits vary from the Medicare Advantage plans offered
to individuals. Please refer to the member’s EOC or call Provider Services at the number on the back of the
member’s ID card for more benefit details.
<Introduction paragraph>
Anthem Blue Cross and Blue Shield
Medicare Advantage
Ohio 2023 Medicare Advantage plan changes
Page 2 of 3
Hearing services (supplemental):
• Plans that offer supplemental hearing services include an allowance toward the purchase of one pair
of prescribed hearing aid(s) and one routine hearing aid fitting evaluation or up to $300 towards the
purchase of one pair of over-the-counter hearing aid(s). Read plan details for more information.
New: everyday options allowance:
• Select plans offer a combined monthly spending allowance on a benefits prepaid card. Members
have the flexibility to choose how to spend their allowance on the following benefits: groceries and
over-the-counter items.
Service dog support:
• Effective January 1, 2024, this will no longer be active benefits available to Medicare individual
members.
Continuous glucose monitors:
• Prior authorization is required in 2024.
Part D prescription drug coverage:
• In 2024, the Inflation Reduction Act requires that once a member reaches the catastrophic coverage
stage ($8,000), they pay nothing for covered Part D drugs.
Medicare Advantage HMO
Seven existing HMOs will change names in 2024:
Plan name in 2023
Plan name in 2024
Anthem MediBlue Dual Advantage (HMO D-SNP)
Anthem Full Dual Advantage (HMO D-SNP)
Anthem MediBlue Extra (HMO)
Anthem Extra Help (HMO)
Anthem MediBlue + Kroger Dual Advantage (HMO
D-SNP)
Anthem Full Dual Advantage (HMO D-SNP)
Anthem MediBlue Plus (HMO)
Anthem Medicare Advantage 3 (HMO)
Anthem MediBlue Preferred (HMO)
Anthem Medicare Advantage (HMO)
Anthem MediBlue Preferred Plus (HMO)
Anthem Medicare Advantage 2 (HMO)
Anthem MediBlue Prime Select (HMO)
Anthem Medicare Advantage (HMO)
There are two new HMOs in 2024:
New plans in 2024
Counties
Anthem Chronic Care (HMO C-SNP)
Cuyahoga, Franklin, Hamilton
Anthem Dual Advantage (HMO D-
SNP)
Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown,
Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana,
Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie,
Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey,
Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking,
Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking,
Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs,
Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum,
Anthem Blue Cross and Blue Shield
Medicare Advantage
Ohio 2023 Medicare Advantage plan changes
Page 3 of 3
Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam,
Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit,
Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington,
Wayne, Williams, Wood, Wyandot
Medicare Advantage PPO
Seven existing PPOs will change names in 2024:
Plan name in 2023
Plan name in 2024
Anthem MediBlue + Kroger Access (PPO)
Anthem Medicare Advantage (PPO)
Anthem MediBlue Access (PPO)
Anthem Medicare Advantage 3 (PPO)
Anthem MediBlue Access Basic (Regional PPO)
Anthem Medicare Advantage (Regional PPO)
Anthem MediBlue Access Core (Regional PPO)
Anthem Veteran (Regional PPO)
Anthem MediBlue Access Plus (PPO)
Anthem Medicare Advantage 4 (PPO)
Anthem MediBlue Access Preferred (PPO)
Anthem Medicare Advantage (PPO)
Anthem MediBlue Service (PPO)
Anthem Veteran (PPO)
One existing PPO will expand in 2024:
Plans expanding in 2024
Counties
Anthem Medicare Advantage (PPO)
Butler, Clermont, Greene, Hamilton, Montgomery, Warren
Formulary and pharmacy
Encourage your patients to review the 2024 formulary information within
their Annual Notice of Change mailing, their new member kit, or online.
Ask your patients if the coverage for any of their prescriptions has been
changed. If your patient has been impacted by changes to prescription
coverage, consider alternative medications in a lower cost-sharing tier.
Prior authorization for Medicare Advantage plans
Prior authorization requirements are available at Availity.com.
Contracted and noncontracted providers who are unable to access
Availity Essentials may call Provider Services at the phone number on
the back of the member’s ID card for prior authorization requirements.
Please check the member’s ID card for any identification and/or group
number changes that may affect claim submissions.
