December 15, 2021
Anthem Blue Cross has announced that it will be increasing its participation in Covered California, California’s health benefit exchange, for 2022. Beginning January 1, 2022, Anthem Blue Cross, which formerly offered an EPO product in the Northern counties (Region 1), Santa Clara County (Region 7), Santa Cruz, San Benito, Monterey Counties (Region 9), the Central Valley (Region 10), the Central Coast (Region 12), Imperial, Inyo, Mono Counties (Region 13) and Kern County (Region 14) in 2021, will expand their EPO product into the following regions for 2022:
- Region 2: Marin, Napa, Solano, Sonoma
- Region 3: El Dorado, Placer, Sacramento, Yolo
- Region 4: San Francisco
- Region 5: Contra Costa
- Region 6: Alameda
- Region 8: San Mateo
Providers who previously participated in the Anthem Individual Pathway EPO network in 2017 for regions 2, 3, 4, 5, 6 and 8 will have their participation reinstated under the terms of their Anthem provider agreement. Anthem has extended participation to providers who previously did not participate in the Anthem Individual Pathway EPO network. Anthem sent a notice to both previously participating providers and new providers who are being automatically opted into the Pathway EPO network.
Physicians are reminded that the patients with the Anthem Blue Cross EPO product do not have any out-of-network benefits except in urgent/emergent situations.
Anthem Blue Cross will continue to offer its HMO product for 2022 in the following regions:
- Region 11: Fresno, Kings, Madera counties
- Region 15: Los Angeles County East
- Region 16: Los Angeles County West
- Region 17: Inland Empire
- Region 18: Orange
Providers with questions or concerns can contact their Provider Experience associate or visit the Contact Us page on the Anthem provider website for additional contact information.