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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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In Ontario, your Ozempic prescription may be covered by the Ontario Drug Benefit (ODB) Program, provided you're between 18-24, over 65 or meet other eligibility criteria. However, this is only if you're unable to tolerate metformin or if metformin doesn't adequately control your blood glucose levels.
Anthem and Blue Cross Blue Shield are related, but they are not the same company. While they are both top health insurance providers in the USA, the big difference is that Blue Cross Blue Shield is the umbrella that is made up of several independent companies, and one of these smaller companies is Anthem.
Insurance Providers Are Halting Coverage of Ozempic and Other GLP-1 Drugs. The popularity of Ozempic, Wegovy, and other GLP-1 drugs has skyrocketed recently due to their ability to help people lose weight. However, some insurance companies and employers are halting coverage of these medications due to increasing costs.
Blue Shield of California may cover Semaglutide (Wegovy) for weight management under certain plans. Coverage typically requires meeting specific clinical criteria. Patients generally need a Body Mass Index (BMI) of 30 or higher, or BMI of 27 or higher with related conditions such as hypertension or diabetes.
Shopping Assistance Individual & Family Plans (under age 65): 1-844-290-7588. Medicare Supplement and Medicare Advantage Plans: 4/1 – 9/30: Mon-Fri, 8 a.m. to 8 p.m. Medicare Part D Plans: 4/1 – 9/30: Mon-Fri, 8 a.m. to 8 p.m. Employer Plan: Contact your broker or consultant to learn more about Anthem plans.
Anthem typically covers Ozempic for individuals with type 2 diabetes as part of their medical policy.
Paper submission 1500 form to:UB-04 form to:ADA 2019 form to: Blue Cross Blue Shield Data Capture PO Box 986020 Boston, MA 02298 Blue Cross Blue Shield Data Capture PO Box 986015 Boston, MA 02298 Blue Cross Blue Shield Process Control PO Box 986005 Boston, MA 02298
Can't submit your replacement claim electronically? 1500 replacement claim to:UB-04 replacement claim to: Blue Cross Blue Shield of MA Data Capture P.O. Box 986020 Boston, MA 02298 Blue Cross Blue Shield of MA Data Capture P.O. Box 986015 Boston, MA 02298
To file a claim: Complete a CMS-1500 claim form. Submit the form to: Blue Cross & Blue Shield of Rhode Island. ATTN: Claims Department. 500 Exchange Street. Providence, RI 02903.
Blue Cross Blue Shield of Mass (Payer ID CBMA1)