November 15, 2021
The Anthem Blue Cross High Performance/Blue High Performance Network (BlueHPN®) will expand effective January 1, 2022. The counties in bold below are the new/expanded service areas.
- San Francisco-Oakland-Hayward-Solano*-Sonoma*
- San Jose-Sunnyvale-Santa Clara
- Los Angeles-Long Beach-Anaheim-Ventura*
- San Diego-Carlsbad
- Riverside-San Bernardino-Ontario
- Merced*-San Joaquin*-Stanislaus*
BlueHPN is part of a national network created in collaboration with the Blue Cross Blue Shield Association and is a narrow network of physicians carved from the broader Anthem Prudent Buyer PPO network. The BlueHPN is utilized by Anthem for its Exclusive Provider Organization (EPO) product line. While specific criteria for physician participation in the Blue HPN are unspecified, Anthem has advised that the BlueHPN is designed to focus on improved health outcomes and affordability of care for national employer groups.
Anthem issued notices in October automatically opting-in providers who had been selected to participate in Blue HPN. According to the notices, the terms of each physician’s underlying commercial PPO contract will apply to the new BlueHPN network. On or prior to January 1, 2022, provider directories will be updated to reflect providers participating in the new BlueHPN.
BlueHPN patients will be issued ID cards reflecting BlueHPN in a suitcase on the front of the card, signifying access to BlueHPN providers. Similar to other EPO narrow network plans, services rendered by non-BlueHPN providers are limited to only urgent and emergent care.
Physicians who are unsure whether or not they will be part of BlueHPN or those who have general questions about the program can contact Anthem at anthem.com/ca/provider/contact-us.
* new for 2022