SAG-AFTRA Health Benefits

Hospital and Medical Benefits

BlueCard PPO – Nationwide

*For Mental Health & Substance Use Disorder, please see Carelon Behavioral Health.

(833) 414-5790

Participants

California Providers:

Paper claims can be submitted through the Anthem portal or Sydney Health app. Anthem's form claim for can be downloaded here and mailed to

Blue Cross of California
P.O. Box 60007
Los Angeles, CA 90060-0007

Be sure to include the prefix NSA on claim. The Payor ID for electronically-submitted claims is 47198.

 

Non-California Providers:

 

Your local Blue Cross Blue Shield Plan. Call (800) 676-2593 for mailing address. Be sure to include the prefix NSA on claim.

Prescription Drug Benefits

CVS Caremark

(833) 741-1361

Learn about the mobile app.

CVS Caremark Claims Department
PO Box 52136
Phoenix, AZ 85072-2136

CVS Caremark Mail Service Pharmacy

(833) 741-1361

Learn about the mobile app.

CVS Caremark Claims Department
PO Box 52136
Phoenix, AZ 85072-2136

Mental Health and Substance Use Disorder Benefits

Carelon Behavioral Health

(866) 277-5383

Carelon Behavioral Health
P.O. Box 1852
Hicksville, NY 11802

Dental Benefits

Delta Dental USA

Claims:
(800) 846-7418

Finding a Network Provider:
(800) 427-3237

Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-7330

Vision Benefits

Vision Service Plan

Exam Plus Plan

(800) 877-7195

If an Exam Plus eye exam is received through a VSP Provider, the Provider will file the Claim for you. If you use a non-VSP Provider, you should request a copy of the bill showing the amount of the eye examination.

 

Send the bill to:

VSP Vision Attention: Non-Member Doctor Claims P.O. Box 385018 Birmingham, AL 35238-5018