Anthem Changes Zosatavax Coverage

After receiving FDA approved information, Anthem has updated its policy regarding coverage for Zostavax immunization. Previously, Anthem had only covered this immunization for members age 60 and over. However, they have now decided to offer coverage for this immunization for members ages 50 and over.

Should a member decide to get this immunization, they should be aware that few physician offices have this to offer, and most members will need to go to pharmacies. However, few pharmacies are authorized to submit medical claims and this immunization cannot be run as a prescription. Therefore, most members will need to submit an Anthem Medical Claim Form in order to receive their benefits and reimburnsement for this immunization.

Change Forms

Have employees needing to make changes to their benefit elections throughout the year due to qualifying events? It is important to supply them with the correct form so that the carrier can process the change request.

To simplify this process for you, you can now access change forms for many of our carriers here on our blog!

Fax Cover Sheet

When you have problems with your benefits, it seems as though there are a million little details to keep track of: which doctor did I see? what day did I visit their office? what were the charges? what is my account number? So when it comes time to contact the McGohan Brabender Customer Care Team, it is hard to know what information to have ready to share.

In order to simplify and expedite the process for you, we have created a fax cover sheet that you can fill out and send in along with any statements from your provider or carrier so that we can get to work on your issue. You may even use this form to collect all of the information we will need to get from you before you call in! Having all of this information together can greatly expedite the turnaround time for you and help our team to better serve you.

Want to utilize this helpful tool? Download it here:

HIPAA Form

One of our roles as the McGohan Brabender Customer Care Team is to act as your advocate to carriers and providers, ensuring that benefit plans operate properly. Our knowledge of healthcare as well as our relationship with carriers allows our team to troubleshoot when issues arise, and our commitment to providing the best customer service experience to help members resolve their claims. We always are happy to work directly with the member to resolve claim issues; however, if the person would prefer that we work through someone other than the employee, we require a HIPAA release form.