Individual on and off exchange plans: 2019 benefit year update
Region 1 Counties:
Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Nevada, Plumas, Shasta, Sierra, Siskiyou, Sutter, Tehama, Trinity, Tuolumne, Yuba
Region 7 County:
Region 10 Counties:
Mariposa, Merced, San Joaquin, 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- and off-exchange network located in one of these regions, you will continue to provide services to Anthem members who have purchased coverage on- 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- 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 or authorized services only.
December 2018 Anthem Blue Cross Provider Newsletter - California