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Claims FAQs

 
  Q1: Do I need a referral to go to a specialist?

A1: No. WELS VEBA members do not need to obtain a referral for an office visit to an M.D.


Q2: Are routine physicals and vaccinations covered under WELS VEBA?

A2: Yes, routine physicals and vaccinations are subject to the yearly deductible and co-payment amounts.


Q3: Is there a separate drug card that I need to use for prescription drugs?

A3: No, the prescription drug and medical ID cards have now been combined into one card effective January 1, 2006 with the switch in pharmacy benefit managers to Medco Health Solutions. The current medical and prescription drug cards are shown below:

2008-2010 WELS VEBA ID Card
for Blue Preferred Plus POS members
(all members living in Wisconsin)

2008-2010 WELS VEBA ID Card
for National BlueCard PPO members
(for some members not living in Wisconsin)
2008-2010 WELS VEBA ID Card
for National BlueCard PPO members
(for some members not living in Wisconsin)


Q4: How do I request a new WELS VEBA ID Card?

A4: To request a new WELS VEBA ID Card, please contact Anthem customer service at 1-877-512-7875.


Q5: Where can I find out if my provider is in-network?

A5: To find out if your provider is in the Blue Cross Blue Shield National BlueCard PPO Network, please visit the Find a Doctor page for detailed instructions.


Q6: How can I submit a claims appeal to Anthem?

A6: You may submit a claims appeal to Anthem in writing to the following address:

Anthem BCBS
National Appeals
PO Box 33200
Louisville, KY  40232-3200
 
     
     
     
     
     
     
     
     
     
     
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