As you know, for the 2017 benefit year, part of our contractual mandated requirements with CoveredCA, Anthem Blue Cross is required to assign all PPO/EPO members to a Primary Care Physician (PCP).
A new member who is currently receiving treatment, or an existing member whose physician is leaving or left the Sutter Health Plus network, may request to temporarily remain with their current treating physician for certain medical conditions.
Chinese Community Health Plan announced on May 10th that the Chinese Community Health Care Association of doctors will no longer accept Chinese Community Health Plan insurance as of July 21, 2016. Chinese Community Health Care Association (CCHCA) is a non-profit association of doctors serving the San Francisco region since 1982. According to Chinese Community Health Plan, CCHCA’s exit out of health plan affects individual and family plans (including Covered California), small group plans and their Medicare Advantage plans.
The California Department of Managed Health Care (DMHC) announced today that it issued a $350,000 fine against Blue Shield of California (Blue Shield) and a $250,000 fine against Anthem Blue Cross (Anthem) for inaccurate provider directories.
Beginning today, HealthCare.gov is piloting a new beta feature that allows consumers to search plans by their preferred provider or health facility. Some consumers will be part of a pilot that allows them to use the beta Doctor Lookup feature as they compare their coverage options in window shopping or when selecting a plan.