Behavioral Health providers serve Individual plans on and off exchange for 2020
EPO plans and network
For the 2020 benefit year, Anthem Blue Cross (Anthem) will continue to offer EPO individual on exchange and off exchange plans in Covered California.
We are also very pleased to announce the expansion of our individual EPO on and off exchange plans to areas of Northern California. Below is a list of counties located in regions where Anthem will be offering 2020 EPO on and off exchange individual plans.
Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mariposa, Mendocino, Merced, Modoc, Monterey, Nevada, Plumas, San Benito, San Joaquin, San Luis Obispo, Santa Barbara, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Stanislaus, Sutter, Tehama, Trinity, Tulare, Tuolumne, Ventura, Yuba
As an Anthem Behavioral Health Network provider, your agreement includes plans on and off the exchange. You will continue to provide services to Anthem members who have purchased coverage of a plan on or off the exchange as you currently do under your Anthem provider agreement.
The 2020 EPO plans do not have out-of-network benefits except for emergent/urgent or authorized services only.
HMO plans and network
Starting with 2020 benefit year, Anthem is excited to re-enter the counties listed below rating with our HMO individual on exchange and off exchange plans. Below is a list of counties located in the regions where Anthem will be offering 2020 individual on and off exchange HMO plans.
Fresno, Kings, Madera, Los Angeles, Riverside, San Bernardino
These changes do not impact Anthem California individual “grandfathered” business.
Anthem appreciates your continued network participation in our individual on and off exchange plans. If you have any questions regarding this information, email our commercial Behavioral Health Network Relations team at firstname.lastname@example.org.
December 2019 Anthem Blue Cross Provider News - California