2021 Anthem 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.

These plans renew January 1, 2022.  At that time, benefits and rates will change. 

2021 Anthem Blue Cross Plan Comparison

Bronze Plans

• Anthem Bronze PPO 6950-0 w HSA (5SU5) (Visit C.A.R.’s new HSA partner – Bend HSA)
• Anthem Bronze PPO 5600-45% w HSA (5STX)
• Anthem Bronze PPO 70-6600-35% (5SXL)
• Anthem Bronze PPO 40-5600-40% (5SWH)
• Anthem Bronze PPO 4600-50% (5SR9)
• Anthem Bronze PPO 60-6350-40% (5SSR)
• Anthem Bronze PPO 75-7300-40% (5T09) (New for 2021!)

Silver Plans

• Anthem Silver PPO 2000-30% HSA RxC (5SW5/5SWD)
• Anthem Silver PPO 2500-35% HSA PrevRx (5T0V/5T0Z) (New for 2021!)
• Anthem Silver PPO 55-2500-45% (5SR1)
• Anthem Silver PPO 50-2200-40% (5SYL)
• Anthem Silver PPO 55-1850-35% (2LHZ)
• Anthem Silver PPO 45-1750-40% (5SZA)

Gold Plans

• Anthem Gold PPO 35-1000-20% (5SZ2)
• Anthem Gold PPO 30-750-20% (5SYU)
• Anthem Gold PPO 30-500-20% (5SY2)
• Anthem Gold PPO 20-30% (5SXU)

Platinum Plans

• Anthem Platinum PPO 15-250-10% (5SYC)
• Anthem Platinum PPO 20-10% (5SVU)

HMO Plans

• Anthem Silver HMO 55-2250-45% (5SX8)
• Anthem Silver HMO 55 (5ST7)
• Anthem Gold HMO 35 (5SWW)
• Anthem Gold HMO 30 (5SVG)

For important information about HMO plan availability, see the Anthem Rating Areas

Doctors & Hospitals

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:

1. Visit www.anthem.com/ca
2. At the top, click on “Find A Doctor/Find Care” and click the link.
3. Scroll down and highlight “Guests”
4. To search, answer these questions:
   1. What type of care are you searching for? MEDICAL
   2. What state do you want to search in? CALIFORNIA
   3. What type of plan do you want to search with? MEDICAL (Employer-Sponsored)
   4. Select a plan/network – type in “Small” and choose EITHER:
      • Blue Cross HMO (CACare) – Small Group – OR –
      • Blue Cross PPO (Prudent Buyer) – Small Group
   5. 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.

Important Forms

• Anthem Application-Change Form
• Anthem Plan Change Form
• APPA Authorization
• Credit Card Authorization Form
• Address Change Request
• Anthem Termination Request
• Medical Claim Form
• Prescription Drug Claim Form
• Member Release of Information Authorization Form

Important Plan Documents

• Anthem Summary of Benefits & Coverage (SBCs)
• Plan Administration and Fees
• Anthem Rating, Billing, Cancellation & Reinstatement
• 2021 Anthem Renewal Notice
• Anthem CAR Required Notices (Combined)

Important Benefit Documents

• Anthem Sydney App
• 2021 BlueCard Flyer
• Anthem Select 4 Tier Drug List (January 2021) (Subject to change)
• Anthem Future Moms
• LiveHealth Online
• Anthem Offers and Discounts
• Anthem Preventive Care Flyer
• Anthem EAP My Strength
• Anthem HSA – Understanding the Math
• Anthem 24-7 Nurseline
• Anthem Stronger Together (Cancer Resources)
• Anthem Solera4Me (Diabetes Care)
• 2020-21 RC HSA Overview C.A.R.
• What is an HSA (Bend) (New C.A.R. partner!)
  • Visit C.A.R.’s Bend HSA Page

Important Web Links

• Anthem Blue Cross Member Registration
• C.A.R. Member Benefits Portal
• RealCareOnline – Plan and billing information
• Anthem Main Website
• Federal Preventative Care Guidelines
• Anthem Blue Cross Searchable Select Drug List
• Anthem Blue Cross PreventiveRx Drug List
• Anthem RX Choice Tiered Pharmacies
  • Anthem Rx Choice Tiered Pharmacy list (pdf) (October 2020)

2021 Anthem Blue Cross Summary of Benefits and Coverage

• Anthem Platinum PPO 20 10% CA PPO Small Group 5SVU SBC
• Anthem Platinum PPO 15 250 10% CA PPO Small Group 5SYC SBC
• Anthem Gold PPO 20 30% CA PPO Small Group 5SXU SBC
• Anthem Gold HMO 35 CA HMO Small Group 5SWW SBC
• Anthem Gold HMO 30 CA HMO Small Group 5SVG SBC
• Anthem Gold PPO 35 1000 20% CA PPO Small Group 5SZ2 SBC
• Anthem Gold PPO 30 750 20% CA PPO Small Group 5SYU SBC
• Anthem Gold PPO 30 500 20% CA PPO Small Group 5SY2 SBC
• Anthem Silver PPO 50 2200 40% CA PPO Small Group 5SYL SBC
• Anthem Silver PPO 55 1850 35% CA PPO Small Group 2LHZ SBC
• Anthem Silver PPO 55 2500 45% CA PPO Small Group 5SR1 SBC
• Anthem Silver PPO 2000 30% w HSA – RxC CA PPO Small Group 5SW5
• Anthem Silver PPO 2000 30% w HSA – RxC CA PPO Small Group 5SWD
• Anthem Silver PPO 2500 35% w HSA PrevRx CA PPO Small Group 5T0V
• Anthem Silver PPO 2500 35% w HSA PrevRx CA PPO Small Group 5T0Z
• Anthem Silver HMO 55 2250 45% CA HMO Small Group 5SX8 SBC
• Anthem Silver HMO 55 CA HMO Small Group 5ST7 SBC
• Anthem Silver PPO 45 1750 40% CA PPO Small Group 5SZA SBC
• Anthem Bronze PPO 60 6350 40% CA PPO Small Group 5SSR SBC
• Anthem Bronze PPO 40 5600 40% CA PPO Small Group 5SWH SBC
• Anthem Bronze PPO 6950 0% w HSA CA PPO Small Group 5SU5 SBC
• Anthem Bronze PPO 5600 45% w HSA CA PPO Small Group 5STX SBC
• Anthem Bronze PPO 4600 50% CA PPO Small Group 5SR9 SBC
• Anthem Bronze PPO 75 7300 40% CA PPO Small Group 5T09 SBC
• Anthem Bronze PPO 70 6600 35% CA PPO Small Group 5SXL SBC