California has a new, state-of-the-art system that gives your clients’ doctors a new way to exchange health information. It’s called Cal INDEX. It lets doctors, nurses and hospitals across California connect and see health records quickly and easily. It’s like sharing an index of each person’s health history. And by sharing records, doctors can offer better, safer, more efficient care.
Anthem Blue Cross emergency coverage during California wildfires
Emergency and urgent care services provided by doctors and hospitals out of our network will be paid at in-network coverage levels.
Anthem Blue Cross dropping coverage for certain prescription compounded drugs
Starting November 4, 2015, Anthem’s prescription drug plans will no longer pay for certain compound drugs that contain ingredients not approved by the Food and Drug Administration (FDA). A compound drug is a customized medication prepared by a pharmacist for a specific person. Some of your clients may be affected by this change, if they are taking one of these drugs, particularly ones containing:
Anthem Blue Cross announces new physical therapy collaboration
Starting November 1, 2015*, OrthoNet will handle the management of both in-network and out-of-network outpatient physical therapy and occupational therapy services [in California]. OrthoNet is a musculoskeletal management company that has ties to leading therapists in Anthem’s service areas. It also has created many best practices followed throughout the industry.
OTC Nexium prompts drug formulary changes
Anthem Blue Cross of California August 4, 2015 NEXIUM® 24HR (esomeprazole 20 mg) became available as an over-the-counter (OTC) 14-day treatment for frequent heartburn in May 2014. As a result, our drug formulary (list of covered drugs) will change, effective October 1, 2015, as follows: Nexium 40 mg moves from Tier 2 to Tier 3 and has […]
Anthem Blue Cross files report on MLR rebates for California: No rebates
Anthem Blue Cross of California August 4, 2015 The Affordable Care Act (ACA or health care reform law) requires health plans to meet a minimum medical loss ratio (MLR), which varies according to market. Health insurance issuers must meet a minimum MLR of 85% in the fully insured large group market and 80% in the […]
Anthem Blue Cross on Collecting Social Security Numbers
As required by law, we will file the 1095-B form for our fully insured groups and send a copy to the plan members. When we send the IRS reports, we’ll list all individuals covered under a group’s plan by their Social Security numbers (SSNs). For some of our members and dependents, we are missing their SSNs. In these cases, the IRS requires us to collect them for reporting purposes. That’s why, starting July 24, a staggered mailing will begin and continue through October to gather this data.
Anthem Announces Definitive Agreement to Purchase Cigna Corporation
Indianapolis, Ind. and Bloomfield, Conn. – July 24, 2015 – Anthem, Inc. (NYSE: ANTM) and Cigna Corporation (NYSE: CI) today announced that they have entered into a definitive agreement whereby Anthem will acquire all outstanding shares of Cigna in a cash and stock transaction and Cigna shareholders will receive $103.40 in cash and 0.5152 Anthem […]