Blue Value Individual Network HMO: New offering available for the Health Insurance Marketplace (Exchanges) January 1, 2024

New Affordable Care Act (ACA) network

AMGP Georgia Managed Care Company, Inc. is introducing a new network and set of Affordable Care Act (ACA)-compliant plans in mid-southern Georgia, beginning January 1, 2024. The new plans will utilize the Amerigroup provider network in specified counties and will be marketed as the Blue Value Individual Network HMO. Members who no longer qualify for Medicaid coverage or are not enrolled in any health benefit plan may find these products a more affordable coverage option. In 30 counties, Anthem will offer a $0 premium Silver plan with cost share reductions for individuals with the highest subsidy level.

Types of individual health plans in Georgia

Since the implementation of the ACA in 2014, Anthem has been offering ACA-compliant individual healthcare plans that can be purchased from healthcare.gov. Individual plans can also be purchased off the exchange from traditional sources such as a sales agent and anthem.com. In 2024, Anthem is offering ACA-compliant health plans statewide as outlined below.

Referrals

The new Blue Value Individual Network HMO plans will require that members have a PCP assigned who will coordinate their care. This PCP (or covering physician who shares the same TIN) will submit referrals to cover care from most specialists. More details about our referral process for these plans will be shared in an upcoming newsletter.

Looking ahead

Watch for more information about the new plans and network, including a quick reference guide, in upcoming newsletters. Additionally, we will be hosting several Blue Value Individual Network HMO provider sessions in November and December. Webinar dates and registration details will be announced later. Thank you for the quality care you continue to provide your patients, our members. We look forward to working together to achieve improved outcomes.