California Health News

Anthem Blue Cross Simple Off Exchange Plan Change Forms

Anthem Blue Cross of California

Anthem Blue Cross has made it easier for members with off-exchange plans to change plans without filling out a new application. Current off-exchange members who want to change from their 2016 ACA compliant Anthem plan (purchased off the exchange) to a different off-exchange plan for 2017 can use the appropriate new form instead of having to complete the full enrollment application.

It is important to select the Change Form that corresponds to the member’s county of residence.

Pathway EPO Network Rate Area – 2017

Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, Glenn, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Monterey, Napa, Nevada, Plumas, San Benito, San Francisco, San Mateo, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Sutter, Tehama, Trinity, Tuolumne, Yuba

EPO Plan Tier Change Form 2017 OFF Ex
EPO_Plan_Tier_Change_Form_2017_OFF_Ex.pdf
0.7 MiB
203 Downloads
Details
Category:Change Form
Date:November 3, 2016

Pathway HMO and Pathway EPO Networks Rate Area – 2017

El Dorado, Los Angeles, Orange, Placer, Riverside, Sacramento, San Bernardino, San Diego, Santa Clara, Yolo

EPO-HMO Plan Tier Change Form 2017 Off Ex
EPO-HMO_Plan_Tier_Change_Form_2017_Off_Ex.pdf
0.7 MiB
118 Downloads
Details
Category:Change Form
Date:November 3, 2016

Pathway PPO Networks Rate Area – 2017

Imperial, Inyo, Kern, Mariposa, Merced, Mono, San Joaquin, San Luis Obispo, Santa Barbara, Stanislaus, Tulare, Ventura

PPO Plan Tier Change Form 2017 Off Ex
PPO_Plan_Tier_Change_Form_2017_Off_Ex.pdf
0.7 MiB
144 Downloads
Details
Category:Change Form
Date:November 3, 2016

Pathway PPO and Pathway HMO Networks Rate Area – 2017

Fresno, Kings, Madera

PPO-HMO Plan Tier Change Form 2017 Off Ex
PPO-HMO_Plan_Tier_Change_Form_2017_Off_Ex.pdf
0.7 MiB
149 Downloads
Details
Category:Change Form
Date:November 3, 2016

2017 Individual and Family Plan Rates by Region/County

Rates 2017 Anthem Blue Cross IFP 01012017
Rates_2017_Anthem_Blue_Cross_IFP_01012017.pdf
1.8 MiB
569 Downloads
Details
Category:2017
Date:October 4, 2016