New plan announcement

Anthem Blue Cross (Anthem) is implementing two new Medicare Advantage plans in 2023. With each plan, our goal is to deliver on our missing of improving the lives of our members. With the new plans, we are excited to continue to offer strong plans that meet our members’ needs. The plans will help connect Medicare Advantage members to the care, support, and resources they need to lead healthy lives. The two new plans are named Anthem MediBlue Prime (HMO) and Anthem MediBlue Full Dual Advantage (HMO D-SNP). 

Anthem MediBlue Prime (HMO) will be offered in Fresno, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Mateo, and Ventura counties. With the introduction of the new plan, current members in Riverside and San Bernardino counties with the 2022 plans below will transition to the Anthem MediBlue Prime (HMO) plan automatically on January 1, 2023:

Members enrolled in the new plan in San Bernardino and Riverside counties will have $0 monthly premium as well as $0 copay for PCP visits, specialist visits, and inpatient hospital stays. Beneficiaries in Fresno, Sacramento, San Diego, San Francisco, San Mateo, and Ventura counties will have the option to enroll in the new plan and their plan benefit design may differ. All plan benefits for the Anthem MediBlue Prime can be found online. 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. Additionally, 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 Blue Cross Cal MediConnect Plan (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 who 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.