Check Eligibility, page 1

Anthem Blue Cross Contract Providers

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Check Eligibility

Click on the link at the bottom of this page to check medical and/or dental eligibility for a participant, spouse or dependent child. If the participant has selected HMO coverage or coverage under the Safeguard, DeltaCare PMI or United Concordia dental plans, you will be advised.

Please have the participant's Social Security or HCID number ready. This information is secure; you will not be able to access eligibility information if the Social Security or HCID number is not valid.

On the next screen you will see the following information:

Member ID
(Member, spouse, son or daughter)

Year of birth

Plan (Medical or Dental) If member has HMO coverage, name of Plan will display (e.g., Health Net, Safeguard)

Eligibility Date
(The person is eligible throughout the month indicated.)

Deductible to go
(This is the amount of deductible remaining to be satisfied this year.)

Calendar Year Deductible - Medical
(Active and Retiree Plans (without Medicare))

Contract Physicians**- No deductible required.

Non-contract physicians-There is a $250 per person deductible with a maximum of $750 per family

**Contract physicians are:
Residents of CA & NV - Anthem Blue Cross providers.
Residents elsewhere - AHF providers, where available.

IMPORTANT:

The Fund does not require pre-admission certification for hospital admissions.

Prior authorization is required for:

Dental:

Work in excess of $600

Click here to check eligibility