For the 2019 benefit year, Anthem Blue Cross (Anthem) will continue to offer EPO Individual on-exchange and off-exchange plans in Covered California’s rating regions 1, 7, and 10. As in 2018, for all other regions, Anthem will not be offering Individual health plans in 2019*. Below is a table showing the counties located in the regions where Anthem will be offering 2019 “non-grandfathered” EPO Individual plans.




Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Nevada, Plumas, Shasta, Sierra, Siskiyou, Sutter, Tehama, Trinity, Tuolumne, Yuba


Santa Clara


Mariposa, Merced, San Juaquin, Stanislaus, Tulare

*There is no change for members covered under an Anthem Individual “grandfathered” plan.


Providers in Regions 1, 7 and 10


If you are participating in the on-exchange and off-exchange network located on one of these regions, you will continue to provide services to Anthem members who have purchased coverage on-exchange and off-exchange as you currently do under your provider agreement. Please ensure that if your Anthem patient from regions 1, 7 or 10 requires an authorization or referral, that it is to an Anthem on-exchange and off-exchange participating provider within regions 1, 7 or 10. The 2019 EPO plans do not have out-of-network benefits except for emergent/urgent authorized services only.

Featured In:
October 2018 Anthem Blue Cross Provider Newsletter - California