Posted on May 1, 2022 by Steve Shorr — 3 Comments ↓

Anthem Blue Cross Small Group

Administration, Forms, Wellness, Employer Portal, Customer Service & Renewal Information & Tools

Anthem Employer Access #Portal Login
Employer Access User Manual Anthem
ONLINE Interactive Guide
NO MORE PAPER BILLS, unless you opt out.
- Instant Status to your billing & Invoices
- Blue Cross Small Group Customer Service (800) 627-8797.
  - Website Tech Support 888.268.4361
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Anthem Blue Cross
Group #Administrator Manual 9/2022 ONLINE

View in pdf

Authoritative answers to questions like:
- Adding or Terminating Employees
  - Our Video explanation - 2nd Video
    - Late Enrollee's Page 32
  - Cal COBRA Information
New Enrollment Checklist

Anthem Documents #Forms

Easy #Renew

2022 1-100 materials

BROKER ONLY
Your Time Matters

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Small Group Medical Product Guide 2023

Product Overview - Employee Elect Portfolio 2022

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Product Guide - Whole Health Approach to Care 2021

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Small Group Medical Product Details 2022

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

from their official brochures.

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Preferred Provider Organization (PPO)

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 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.

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

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

Heal.com – In Network House Calls *
Live Health ONLINE
Network Comparison Guide for HMO’s 1.1.2022

Ask us a Question? FAQ's?

Optional PCP Selection for PPO can help improve

employees’ health and lower costs

A strong relationship between your employees and a primary care physician (PCP) is important to promoting wellness, improving health and reducing costs. Optional PCP Selection lets your employees choose a PCP.

Why designate a PCP?

When members choose an EPHC doctor from their health plan as a PCP, they’re helping Blue Cross help them. Blue Cross can keep their doctors in the loop when they have an ER or hospital visit. Blue Cross can reach out to that doctor about tests and services a member may need. Blue Cross also can share other resources that will help doctors emphasize wellness with members. The goal is to have everyone work together so your employee’s overall care makes the best sense. And when employees choose an EPHC doctor as their PCP, that doctor can more quickly take over the responsibility of coordinating the member’s care.

Encourage your employees to designate a PCP

Developing a relationship with a PCP is all about improving health care quality, outcomes and affordability. That’s why we’re encouraging members in open access plans to designate a PCP as part of the Optional PCP Selection. They also can call customer service or have you, their employer, complete the selection through Employer Access.

More information, resources & links

FAQ’s from a different insurance company on selecting PCP for PPO Plans

#Find a Anthem Blue Cross
Doctor, Physician, Dentist Hospital and other Providers

Network Map Individual & Family Plans
What plans do major providers accept?
- Cedar’s Sinai,
- UCLA
- Health Care Partners – Optum,
- THIPA Torrance Memorial IPA
- Blue Cross Removes UC Hospitals From EPO Health Plans
  
  UC Davis Medical Center, UC San Francisco Medical Center and Children’s Hospital, along with Benioff Children’s Hospital in Oakland are no longer part of their Pathway EPO network as January 1, 2022 Learn More - Insure Me Kevin.com
Anthem Blue Cross Provider List Definitions Individual Plans
- Group Plans
- Medi-Cal
Enroll with Blue Cross Anthem
VIDEOS
- What to do when you receive a doctor bill VIDEO
- VIDEO When you're looking for health insurance in California, consider the quality of care provided by Anthem Blue Cross. The Anthem team knows the needs of growing families and offers an array of plans that offer affordable coverage for members of all ages.
- VIDEO What do do when you get a doctor's bill
- Live Health ONLINE - Tele Med with therapist VIDEO
- SYDNEY Overview VIDEO
- In & Out of Network - What's a network? HN Video
- Steve helps you find PCP VIDEO

CA Dept of Aging – Home & Long Term Care ---

Revision 2018 pdf

Please note, there are updates all the time, double check everything.

#Taking Care of Tomorrow

Get Quote - Proposal for Long Term Care
Borden Hamman Long Term Planning Guide
Nolo Long Term Care
Medi Cal IHSS In Home Support Services
Long Term Care.gov
Calculate Cost of Long Term Care in your Area Genworth
- VIDEO's
- Suze Orman
- David's Story What is Long Term Care? Genworth
- Long Term Care Insurance 101
- Care Costs are Rising - How Baby Boomers Can Protect Their Savings with Morgan Fairchild

NAIC Shoppers Guide to Long Term Care

Get a Quote

Flyer - Americans Unprepared for Future Health Care Expenses

Our Main Webpage on

Long Term Care Nursing & Home Health Care

EAP Employee Assistance Program

Anthem’s Employee Assistance Program (EAP) provides quick and easy access to confidential counseling and referral services to help you deal with daily work and life challenges. It’s employer-sponsored, so it’s available at no cost to you, your dependents or household members.
EAP addresses a variety of issues, including:

Child care and parenting
Helping aging parents
Financial issues
Legal concerns
Work and career
Emotional well-being
Addiction and recovery
Wellness and prevention

Life events
Coping with stress and change
Relationship issues
Resources to support work/life
balance
Dealing with traumatic events

As news of COVID-19 continues to evolve, you may find yourself growing increasingly concerned about dependent care, personal finances or even your family’s preparedness to whether the storm. If so, rest assured you’re not alone. Remember, your Employee Assistance Program (EAP) is here to provide you and your household members support during challenging times.
Need support? Reach out to the EAP today!

anthemeap.com (log in: My EAP CA)
Call 800-999-7222

With your EAP you’ll have no-cost, confidential access to¹:
Telephonic support. Available 24/7 at 800-999-7222. Talk to a counselor for in-the-moment support or a work/life specialist who can assist you in identifying resources to meet your individual needs.

Counseling visits. Get a referral for in-office or LiveHealth Online video visits to manage stress, anxiety, and other issues. Call 800-999-7222 for a referral.
Child and Eldercare resources. Conduct your own search for local resources for full, part-time and back-up care at anthemeap.com (log in: My EAP CA.)
Financial consultations. Meet telephonically with a certified financial professional who can discuss your short and longer term financial concerns.
Legal consultations. Speak to an attorney for a no cost consultation to discuss your legal questions.²
Website. At anthemeap.com (log in: My EAP CA) you’ll find tips, tools and resources for COVID-19, a critical event center, and more.

¹In accordance with federal, state law, and professional ethical standards.
²Excludes benefit and employment matters. A per issue per 12 month period benefit.

Blue Cross

#Wellness & Health Resources

When you use your health care services, there are some important things to know that could save you time and money, and keep you feeling your best. Here, on Blue Cross’s website you’ll learn about the best place to get care when you have a basic, urgent or emergency medical need. You’ll learn the best ways to prepare for your doctor’s appointment, and you can even get a personalized set of preventive care milestones with our Preventive Health Calendar.

get started
Anthem Whole Health Connection
Anthem – Time Well Spent Website
Time Well Spent® is a toolkit focused on building a healthier, more productive workforce.

Live Health ONLINE Video

Just Enter your census or securely send us an excel spreadsheet or a list of employees and get instant proposals for California

Schedule a Skype, Zoom, Phone or Face to Face meeting

Blue Cross #Underwriting Rules 2020

Anthem Blue Cross
COVID Resource Center

Coverage of COVID 19
Rev 8.2020

11.13.2020 Update

10% premium discount for August 2020

More COVID FAQ's

Email us, if any links require a password

Term Life Quote ^#naaipquote

Email us for Term Life Quote

Life Insurance Buyers Guide

How much life insurance you really need?

Life Screening Form Detailed NAAIP
- Please complete & return and we’ll search and consult for you.
- Short ONE page form – CPS
Set up a phone, Zoom, skype or face to face consultation

Child, Related Pages & Site Map

[child-pages]
[sibling-pages]

Blue Cross Rx #Prescription Coverage & Information

Rx Formulary List
- Pharmacy Networks
  - Rx Choice Tiered Network – Participating Pharmacies
Anthem Launches IngenioRx, New Pharmacy Benefits Manager PBM Anthem is establishing a new pharmacy benefits manager to be named IngenioRx. IngenioRx will begin offering a full suite of PBM solutions starting in 2020, which coincides with the conclusion of the company’s current PBM contract.
- FAQ’s
FAQ – Does a Platinum plan have a better formulary than the lower level plans?
See our main page on Rx – Prescriptions