Individual on and off exchange plans: 2019 benefit year update

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 list of counties located in the regions where Anthem will be offering 2019 “non-grandfathered” EPO Individual plans.

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:
Santa Clara

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.