For 2022, Anthem continues to offer EPO and HMO individual on and off exchange products, and we are excited to announce our expansion of the EPO offerings to new regions

EPO Plans and Network

 

For the 2022 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, 9, 10, 12, 13 and 14. 

 

We are also very pleased to announce the expansion of our Individual EPO on and off exchange plans into rating regions 2, 3, 4, 5, 6 and 8.  Below is a list of counties located in those regions where Anthem will be offering 2022 EPO on and off exchange Individual plans.

Rating Region	County
1	Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Nevada, Plumas, Shasta, Sierra, Siskiyou, Sutter, Tehama, Trinity, Tuolumne, Yuba
2	Marin, Napa, Solano, Sonoma
3	El Dorado, Placer, Sacramento, Yolo
4	San Francisco
5	Contra Costa
6	Alameda
7	Santa Clara
8	San Mateo
9	Monterey, San Benito, Santa Cruz
10	Mariposa, Merced, San Joaquin, Stanislaus, Tulare
12	San Luis Obispo, Santa Barbara, Ventura
13	Imperial, Inyo, Mono
14	Kern

Providers in Regions 1, 7, 9, 10, 12, 13 and 14

 

If you are already participating in the Pathway (on and off exchange) network located in one of these regions, you will continue to provide services to Anthem patients who have purchased coverage on and off exchange as you currently do under your Anthem provider agreement. 

 

Providers in Regions 2, 3, 4, 5, 6 and 8

 

If you participated in the Pathway (on and off exchange) network in 2017, we have reinstated your participation in the Individual Pathway EPO network under your Anthem provider agreement.  We have further extended participation to providers who previously did not participate in the Anthem Individual Pathway EPO network.  A communication has been sent to both previously participating providers and new providers in the Pathway EPO network.

 

 

HMO Plans and Network

 

Anthem Blue Cross (Anthem) will continue to offer Individual on and off exchange HMO plans in the below regions in 2022.

Rating Region	County
11	Fresno, Kings, Madera
15	Los Angeles (Northern: High Desert/Antelope Valley and Eastern metropolitan half of county, including San Gabriel Valley)
16	Los Angeles (Western and Downtown Los Angeles County, covering the central and southern metropolitan portions of the county)
17	Riverside, San Bernardino
18	Orange

 

These changes do not impact Anthem CA Individual “grandfathered” business. 

 

Anthem appreciates your partnership and continued participation in our Individual Pathway EPO and HMO networks. 

If you have questions or need additional information, contact your assigned Provider Experience associate, or visit the Contact Us page on our provider website for up-to-date contact information.  Log onto Anthem.com/ca > For Providers > Communications / Contact Us: https://www.anthem.com/ca/provider/contact-us/.

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