When you understand your patients’ health coverage and local health plan networks, you can help maximize your patients’ benefits and boost your own success. Here are some details you should know about new Blue High Performance Network (Blue HPN®) products and the high performance network in California:

Effective January 1, 2021, new health plans built around Anthem’s Blue High Performance Network are live in six California metropolitan service areas,

  • San Diego
  • Los Angeles
  • Riverside
  • Santa Clara
  • Sacramento
  • San Francisco


Blue HPN is a national network designed from our local market expertise, deep data and strong provider relationships, and aligned with local networks across the country. These local networks are then connected to the national chassis to form a national Blue HPN network.

You may see patients accessing this network through either a small group, large group, or national account plans with an Exclusive Provider Organization (EPO) plan design. Under EPO plans, out of network benefits are limited to emergency or urgent care. Members must select a primary care provider, but PCP referrals are not required for specialty care.

Members or providers can use our Find a Doctor/Find Care at anthem.com/ca searchable directory to verify Blue HPN participation or find a participating doctor.

Member ID Cards

Blue HPN members will be issued a new ID card to identify and access Blue HPN providers. Virtual ID cards will also be available to members through the Sydney Health and Engage Wellbeing apps.

The new “Blue High Performance Network” logo and “HPN” indicator in the suitcase icon are the most reliable indicators that a member is enrolled in an HPN plan.

All Blue HPN plan ID cards will reflect Blue HPN in a suitcase on the front of the card and a disclaimer on the back of the ID card that reads “Services rendered by a non-Blue HPN provider will be limited to Urgent and Emergent care.”

Additionally:

  • Anthem National Account (ANA) Blue HPN ID cards will always reflect the Blue High Performance Network name on the front of the ID card.
  • Local LG and SG Blue HPN ID cards will always reflect both the national Blue High Performance Network and the local Blue HPN Anthem state network on the front of the ID card.



Still have questions? Please contact us at CaContractSupport@anthem.com.

905-0121-PN-CA



Featured In:
January 2021 Anthem Blue Cross Provider News - California