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Anthem Medical Plans
IMPORTANT! The C.A.R. Anthem Blue Cross health plans are available state wide and use the large Anthem Blue Cross Prudent Buyer PPO and CaliforniaCare HMO networks. These plans and networks are not available in the Individual or Covered CA markets.
Anthem Blue Cross is making a significant change to their pharmacy benefit for 2021. Beginning January 1, 2021 Anthem has instituted a tiered pharmacy program. The RX Choice Tiered Network divides pharmacies into two tiers. Your copay will depend on your plan benefits, your medication, and the pharmacy you choose. Please click the link to review your pharmacy options: Anthem RX Choice Tiered Pharmacies (Follow the link and choose the RX Choice Tiered Network)
Below is a chart of the 2020 vs. 2021 plans. Click the link for the 2021 plan to see what is changing next year.
Unlike Individual plans and Covered California, the C.A.R. group Anthem plan uses the Anthem Blue Cross Small Group Prudent Buyer PPO and CaliforniaCare HMO networks. These are much larger networks than you would have access to outside of the C.A.R. plan. To look up providers for Anthem Blue Cross, follow these instructions:
At the top, click on “Find A Doctor/Find Care” and click the link.
Scroll down and highlight “Guests”
To search, answer these questions:
• What type of care are you searching for? MEDICAL
• What state do you want to search in? CALIFORNIA
• What type of plan do you want to search with? MEDICAL (Employer-Sponsored)
• Select a plan/network – type in “Small” and choose EITHER:
Blue Cross HMO (CACare) – Small Group – OR –
Blue Cross PPO (Prudent Buyer) – Small Group
Hit “Continue” and enter search criteria (name, specialty, NPI or license number) and enter the zip code area
When looking up providers by name, make sure you have the correct spelling. It also helps if you include the location and the name. Also, some doctors have multiple specialties so be aware that they may come up under different options such as “Surgery” vs. “Orthopedics” for example.