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Administrative Manual - Medicare Advantage Plans

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Regence MedAdvantage
Regence MedAdvantage is a Medicare Advantage (MA) Preferred Provider Organization (PPO) product available to eligible Medicare beneficiaries.

Required training
Providers and their staff are responsible for training on Medicare fraud, waste and abuse. Training must be completed at time of hire and annually thereafter.

Complete the training now.

Provider networks
Regence MedAdvantage members can seek services from our Regence MedAdvantage participating providers or from non-participating providers. Please be sure to validate your information in our Provider Directory. You can also create or enhance your provider profile from within the Provider Center.

Regence participates in MA PPO network sharing with other Blue Cross and/or Blue Shield Plans (Blue Plans). Regence MedAdvantage providers whose patients are MA PPO members from other Blue Plans will:

  • Be reimbursed using Regence MedAdvantage contracted rates
  • Receive payment for in-network benefits according to the member’s contract
  • Extend the same contractual access to care to these members as Regence MedAdvantage members

If you are providing services for a patient with a Medicare Advantage Private Fee-for-Service (PFFS) plan, you can access the Medicare Advantage PFFS terms & conditions using the Web Finder Tool.

We are actively contracting with physicians, other health care professionals and facilities to be included in our Regence MedAdvantage Network. Learn more about joining this network.

Product features

Service area:  Box Elder, Cache, Davis, Iron, Morgan, Rich, Salt Lake, Summit, Tooele, Utah, Wasatch, Washington and Weber counties

Regence MedAdvantage includes the following features:

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