Blue Cross California Small Group Health Insurance
Blue Cross / Anthem has long been one of the major health insurance carriers for California small group employers. This page is meant to help employers, employees, and families understand where Blue Cross may fit, how to review provider networks, and where to find plan documents when more detail is needed.
The most important question is usually not just “What is the cheapest plan?” For many employers and employees, the better questions are:
- Are my doctors in the network?
- Are my hospitals accepted?
- What happens if an employee lives outside the main service area?
- How does Blue Cross compare with Kaiser, Blue Shield, Health Net, or other California small group options?
- Get Comparisons & QuotesÂ
- Do you already have Blue Cross and need help on administering your plan?
Provider and hospital access matters.
Many visitors are really trying to answer a provider question. They may want to know whether a particular doctor, medical group, or hospital accepts a Blue Cross plan. Always verify directly with the carrier and the provider before enrolling, because networks can change and provider offices sometimes give incomplete answers.
You may also want to review related provider and hospital pages on this website, including:
Provider Finder and Network Help
Plan documents and brochures:
- Carrier brochures, applications, benefit summaries, and enrollment guides are important, but they should not be the only thing an employer reviews. The official documents explain the details; a broker helps interpret how those details apply to your company, employees, doctors, and budget.
- Some documents may be hosted here for convenience. Others may link directly to Anthem / Blue Cross or other official sources. If a document is time-sensitive, always confirm that you are using the current version before making an enrollment decision.
For employers:
- A small group health plan decision usually involves more than the monthly premium. Employers should also think about employee contributions, waiting periods, dependent coverage, participation rules, Section 125 premium-only plan options,
and whether employees are better served by a group plan or by individual coverage through Covered California. - Related employer pages:
For employees and families:
- If your employer offers Blue Cross, compare the plan carefully before enrolling. Check your doctors, prescriptions, hospitals, deductible, copays, coinsurance, and out-of-pocket maximum. If you are also considering Covered California, Medicare, COBRA, or Medi-Cal, the rules can overlap and the right answer may depend on your household situation.
- Related individual coverage pages:
Bottom line:
Blue Cross may be a good fit for some California small groups, but it should be compared against the employer’s actual needs: doctors, hospitals, employee locations, prescriptions, budget, and administrative requirements. The brochures are useful, but the real value is knowing what to look for before you enroll.
Networks & Provider Finder
#Find a Anthem Blue Cross
Doctor, Physician, Dentist Hospital and other ProvidersÂ
- What plans do major providers accept?
- Jump to section on
Resources
- (presenteeism) to help you in your business.
- Blue Card Out of State – Country Coverage
- Broker of Record Letter
- Tax Credits Small Business §45 R
Preferred Provider Organization (PPO)
Find a Participating Doctor or HospitalÂ
- 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
- 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 Primary Care Physician 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.   Flyer Â
Health Maintenance Organization (HMO)
- 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
- 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
How does it work if you want to #offer more than ONE Health plan?
Let's take a look at the Employer Application
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Choose what plans you want to offer from our Quote Engine and/or the Anthem/Blue Cross Guides
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 Contribution must be the same for all similarly situated Employee's and Owners
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Waiting periods to enroll must be the same for everyone.
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 rulesÂ
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.
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Materials on Blue Cross website
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.