Anthem will no longer offer ACA compliant Individual plans as of January 1 2018
Individual Grandfathered policies, Employer Sponsored, and Medicare Supplement plans will not be affected. Members who are currently enrolled in an individual ACA complaint policy will need to enroll into a new plan with an alternative carrier during open enrollment beginning November 1 2017 for a January 1 2018 effective date. Action is required!
***For Online Enrollment, Click ENROLL NOW. Once on the Anthem page, Click BLUE "Get a Quote" button to proceed with app
Hospitals NOT in the 2017 PPO/EPO network: CLICK HERE
Anthem has teamed up with LiveHealth Online. Learn more by clicking on the logo.
Members of Anthem Blue Cross will pay the co-pays according to their benefit plan and not the standard membership costs associated with LiveHealth Online's "Non Anthem Blue Cross" fee. You do not need to be an Anthem member to sign up for LiveHealth Online.
Good To Know...
Off Exchange Product Guide: CLICK HERE
CLICK HERE for "The Anthem Customer Experience". Learn more about how the Membership Portal can help you gain control of your benefits!
Effective January 1 2017, Anthem Blue Cross will only offer PPO plans in the following regions (Below). All other regions will be an EPO (and/or HMO where applicable)
- Region 10 - Mariposa, Merced, San Joaquin, Stanislaus, Tulare
- Region 11 - Fresno, Kings, Madera
- Region 12 - San Luis Obispo, Santa Barbara, Ventura
- Region 13 - Imperial, Inyo, Mono
- Region 14 - Kern
For existing Anthem Blue Cross members, here are ways to change your plan within Anthem Blue Cross.
- If you are an existing client with us, you may also email your request for processing to: Jolene@LeonRousso.com please be specific about the plan you would like to move to. We may reach out to clarify - so please make sure your preferred phone number is listed.
Effective Date Options during Open Enrollment for OFF Exchange:
Phase 1: If an application and full initial premium payment are received during the period of November 1, 2016, through December 15, 2016, coverage will be effective on January 1, 2017.
Phase 2: If an application and full initial premium payment are received during the period of December 16, 2016, through January 31, 2017:
• Between the first and 15th of the month, coverage will be effective on the first day of the following month.
• Between the 16th and the last day of the month, coverage will be effective on the first day of the second following month.
For more information about the hospitals and providers contracted with your policy please click on the "Provider Search" above.
As of 2014, Anthem's new individual networks are identified as the Pathway networks. The PPO plan network is called "Pathway PPO". The HMO plan network is called "Pathway HMO" and the EPO network is called "Pathway Tiered or EPO". When using the online provider finder this is the key to confirming if your provider is contracted.
If you have a Grandfathered plan you will identify the network as either PPO, HMO or EPO just as they have been prior to 2014. In general, Grandfathered networks will remain unchanged due to the contractual obligations set forth between the provider and the carrier unless these terms expire and are not renewed. As part of our model we recommend that you check prior to receiving care from your provider that they are a contracted provider with the plan.
Anthem offers plans both on and off the state health insurance exchange.