New Plan Announcement
Anthem MediBlue Prime (HMO) will be offered in Fresno, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Mateo, and Ventura counties. Members who are currently enrolled in Anthem MediBlue Coordination Plus (HMO) and Anthem MediBlue Connect Plus (HMO) in these counties will be transitioned to the new Anthem MediBlue Prime (HMO). Members enrolled in the new plan will have $0 monthly premium as well as $0 copay for PCP visits, specialist visits, and inpatient hospital stays. Our goal is to improve the healthcare of our members and pursue a simpler, more effective healthcare experience.
Anthem MediBlue Full Dual Advantage (HMO D-SNP) will be offered in Los Angeles and Santa Clara counties. This plan is an exclusively aligned enrollment dual special needs plan (EAE D-SNP). The plan was created to support the state of California’s Advancing and Innovating (CalAIM) initiative. The plan offers an integrated approach to care and care coordination. The matching Medicare D-SNP and Medi-Cal plans will work together to deliver all covered benefits to their members. And as all members in the plan are also enrolled in the matching managed care plan, they can receive integrated member materials, such as one integrated member ID card. Current members enrolled in Anthem MediBlue Dual Advantage (HMO D-SNP) and Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan) will be transitioned to the new Anthem MediBlue Full Dual Advantage (HMO D-SNP) in 2023. The goal is to improve care coordination and person-centered care for beneficiaries that are eligible for both Medicare and Medi-Cal.
Anthem has pursued best efforts to keep all members with their current PCP with both plans. Anthem anticipates the provider networks will be the same or better in these plans for our members. Anthem strives to offer members a full comprehensive network to meet all their healthcare needs. Participating providers in the plans will receive a notification with additional information. If you have any questions about the plans, please contact us. Additional details regarding the plans can be found on our provider website at https://www.anthem.com/ca/medicareprovider.
November 2022 Anthem Blue Cross Provider News - California