Feb 1, 2023 • State & Federal / Medicare

Effective January 1, 2023, Mutual of America will offer two new Medicare Preferred (PPO) plans from Empire BlueCross BlueShield (Empire): the PPO Passive plan and the PPO 25 plan. Empire will provide these medical benefits for Mutual of America retirees through the Empire Preferred Provider Organization (PPO) product, which includes the National Access Plus benefit. The PPO plan allows members to receive services from any provider, as long as the provider is eligible to receive payments from Medicare.

The Medicare Advantage plan offers the same hospital and medical benefits that Medicare covers, while providing additional benefits that Medicare doesn’t, such as LiveHealth Online* and SilverSneakers.*

The prefix on the Medicare Advantage ID cards is XLU.

Detailed prior authorization requirements are also available to contracted providers by accessing the Provider Self-Service Tool through Availity Essentials* at availity.com.

Providers will follow their normal claim filing procedures for Mutual of America member claims.

Providers may call Provider Experience at the phone number on the back of their patient’s member ID card for eligibility, prior authorization requirements, and any questions about the Mutual of America member benefits or coverage.

If you have questions about this communication or need assistance with any other item, visit the Contact Us section at the bottom of our provider website (https://www.empireblue.com/medicareprovider) for up-to-date contact information, eligibility, prior authorization requirements, questions about the Mutual of America member benefits, or coverage. You can also call Provider Experience via the number on the back of members’ ID cards.

* LiveHealth Online is an independent company providing virtual telemedicine services on behalf of HealthKeepers, Inc. SilverSneakers is an independent company that provides fitness programs for seniors on behalf of HealthKeepers, Inc. Availity, LLC is an independent company providing administrative support services on behalf of HealthKeepers, Inc.

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