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Anthem Blue Cross Employer Small Group Health Plans

Small Group Benefit Guide 2024 ACA Plans 

small group medical product Guide

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Small Group Product Guide 2024 

Email us for 2025  [email protected]

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Doctor, Physician, Dentist Hospital and other Providers 

Anthem Blue Cross provider doctor search

 

Explanation of Blue Cross PPO – HMO, #Network, etc. options

from their official brochures.

 

HMO Network Comparison Guide 7/2023  

blue cross hmo network comparison guide

PPO plans have large provider networks and give employees more choices than an HMO plan, but monthly premiums and deductibles are usually higher. No primary care physician (PCP) is needed. No referrals for other in-network doctors are required. Choosing doctors, hospitals and other covered medical services that are not in-network might cost employees more out-of-pocket.   Prudent Buyer PPO network — Access to nearly 60,000 California doctors and specialists, and more than 330 hospitals
 
 
Select PPO plans give employees access to the same high-quality providers as a PPO, but usually the network is smaller. The monthly premiums and deductible options offer greater value than the standard PPO. No PCP is needed and no referrals for other in-network doctors are required.  Access to more than 40,000 California doctors and specialists, and more than 300 hospitals
Note: Employers may choose only one PPO network.
 
HMO plans offer network provider choices similar to a PPO, but members must select an in-network primary care physician (PCP) to coordinate their care. Referrals are needed to see other doctors. The monthly premiums and out-of-pocket medical costs are generally lower than other plans.  CaliforniaCare HMO network — Access to more than 42,000 California doctors and specialists, and more than 330 hospitals
 
Select HMO plans work like a standard HMO, but usually the network is smaller. The monthly premiums and out-of-pocket costs are generally lower than most other plans, offering greater value than the standard HMO. Members must select a primary care physician (PCP) to coordinate their care. Referrals are needed to see other doctors.   Access to more than 26,000 California doctors and specialists, and nearly 250 hospitals   Note: Employers may choose only one HMO network
 
Employers must select a network for each plan type.   For example, the employer may offer employees plans  available in the Select HMO network  alongside the Prudent Buyer PPO network. Not all network options are available in every area. Anthem.com *
 
 
 
 
Links – References 

Anthem Wellness Made Whole Video
Anthem Wellness Video

Sydney Mobile App

sydney mobile app

Resources

How does it work if you want to #offer more than ONE Health plan?

 

Let’s take a look at the Employer Application

 

Choose what plans you want to offer from our Quote Engine and/or the Anthem/Blue Cross Guides

 

Choose plans to offer

  Contribution must be the same for all similarly situated Employee’s and Owners

Contribution Amount

Waiting periods to enroll must be the same for everyone.

 

Pick waiting period

 

Our webpage on waiting periods

We can also double check links to other pages on our website, cited below, Blue Cross Administrator Manual and their underwriting rules 

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Anthem Blue Cross
COVID Resource Center 

Coverage of COVID 19
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11.13.2020 Update  

Anthem Blue Cross FAQ COVID 19

10% premium discount for August 2020

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Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

 

3 comments on “Blue Cross – Anthem – Employer Health Plans”

  1. Thanks for your efforts, you are top notch at what you do.
    I was so amazed at how much you know about your industry, how efficient you are and how you handled all my needs with a smile and such a caring attitude!
    You didn’t create any extra stress during one of the worst periods of my life.
    Lots of blessings of success to you Steve and the strength to care about the people around you.

    Reply

  2. In terms of surgeries, do all surgeries usually require a prior authorization?
    Could you provide us with hospitals in Los Angeles County that are in network with Anthem?

    Reply

    • The simple answer on pre-authorization is yes. For details see a specimen policy by clicking on the link, page 132.
      Anthem’s Provider Finder
      We are sending you a list of 361 hospitals & facilities within 20 miles of San Pedro, CA

      Reply

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