Anthem serves Medi-Cal recipients in these counties: Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, El Dorado, Fresno, Glenn, Inyo, Kings, Los Angeles, Madera, Mariposa, Mono, Nevada, Placer, Plumas, Sacramento, San Benito, San Francisco, Santa Clara, Sierra, Sutter, Tehama, Tulare, Tuolumne and Yuba. If urgent, it will take no more than 72 hours. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Go to the Transportation page to learn more, People with specific diseases like breast or cervical cancer, tuberculosis or HIV/AIDS, Mental health and substance use disorder services, Children’s services, including dental and vision care, Disease management for asthma, diabetes and more, Sexually transmitted disease (STD) services, One eye exam and one pair of glasses every two years, Medically necessary contact lenses and eyesight aids, Up to $40 for refilling high blood pressure medication, $25 for attending an annual childhood or adolescent wellness visit, $50 for completing a breast cancer screening every two years, $25 for completing an annual chlamydia screening, $50 for completing a cervical cancer screening every three years, $25 for refilling antidepressant medication, $25 for children receiving immunizations (shots) on time. Medi-Cal: 1-800-407-4627 (TTY 711)
Make sure you tell your PCP and specialist as much as you can about your health. See your member handbook for a list of these services. Your PCP may need to send you to a specialist for some types of care or treatment. Anthem Blue Cross is the trade name of Blue Cross of California, independent licensee of the Blue Cross Association. We want you to understand your benefits and receive the best possible care. Read our latest articles. Choose Anthem for the health care you need plus extra benefits to help you live a healthier life. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Call 1-800-224-0336 (TTY 711) anytime, day or night. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. You can redeem Healthy Rewards or see what you have earned through the Benefit Reward Hub online. ©2020 copyright of Anthem Insurance Companies, Inc. Diabetes Prevention Program Referral Form, California Advance Health Care Directives (English), California Advance Health Care Directives (Spanish), Staying Healthy Assessment Forms (Medi-Cal Only), North - Request for Community Based Adult Services Fax Coversheet, South - Request for Community Based Adult Services Fax Coversheet, Request for Authorization - Psychological Testing, Facility Site and Medical Record Review (FSR/MRR) Preparation Checklist 2020, Understanding Confidentiality and Minor Consent in California, Adolescent Health Care 101: The Basics – CA Edition, Rules for Childhood and Adolescent Immunizations, Suggested Websites for Further Information on Adolescent Health Care. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Whether it’s 3 a.m. or a Sunday afternoon, health issues come up. Select. You also can visit the Denti-Cal website. See your member handbook for services that require preapproval. A big part of staying healthy is making it to all of your appointments. 996 talking about this. That’s why you can always call our 24/7 NurseLine and speak directly to a nurse. You may qualify for programs that can help you live in the comforts of your own home or community as independently as possible, for as long as possible. The Power of Community to Get us to the Other Side of COVID-19: The Fight Within Me: Donating Blood Plasma to Help COVID-19 Patients Are you a broker acting on behalf of an employer? The appeal must be received by Anthem Blue Cross (Anthem) within 365 days from the date on the notice of the letter advising of the action. Here are some resources to help. The Individual/Family market has changed quite a bit since 2014. Medical Policies and Clinical UM Guidelines, HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), If the claim is denied or final, there will be an option to dispute the claim. Earn $25 in rewards for attending a prenatal visit in the first trimester or within 42 days of enrollment in your Anthem health plan. Healthy Rewards is a no-cost, optional program for eligible members enrolled in our health plan. You also can call the Customer Care Center Monday through Friday from 7 a.m. to 7 p.m. toll free at 800-407-4627 (TTY 711), or 888-285-7801 (TTY 711) for members in Los Angeles. • Mail the completed form to: Anthem Blue Cross P. O. We have no-cost programs to connect you with someone who can help you manage the care and services you already get, plus find even more supports in your community. We want to make sure you get the care you need when you need it. We look forward to working with you to provide quality services to our members. Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Members can enroll in the Healthy Rewards program and earn dollars for making healthy choices. 60007 . For questions about dental benefits or to find a dentist, call Denti-Cal at 1-800-322-6384 (TTY 711). Anthem is a registered trademark of Anthem Insurance Companies, Inc. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Forgot your password? Children and young adults under age 21 get: To find an eye doctor or ask questions about vision benefits, call VSP at 1-800-877-7195 (TTY 711). Call or write us! If a provider does not agree with the outcome of a claim determination, the provider may appeal the decision by using the claim payment appeals process. We’re here to help. ThinkAnthem is dedicated to sharing Anthem Inc.'s insights with the health care community. We offer vision benefits to all members through Vision Service Plan (VSP). Use Availity to submit claims, check the status of claims, appeal a claim decision and much more. That means you can get these services without a referral from your PCP. Getting a preapproval may take five days or up to 14 days if we need more information from you. Box . We’ll help you every step of the way. Please call your provider relation representative or the provider help line applicable to the member’s health plan. Forgot your username? You can get these covered services without preapproval: Your benefits include a wide range of prescription and over-the-counter drugs. On the individual/family market, if you're looking for the broadest list of doctors, you're probably looking at either Anthem Blue Cross or Blue Shield. You may be eligible for Medi-Cal if you’re in one of these groups: There are no copays for covered services, including: Some services may require a referral or prior authorization before you can get them. You may also need preapproval from us to get this care. I am a federal retiree. Anthem Blue Cross Blue Cross California BCBS CA CA BCBS Anthem Blue Cross CA BCCA SISC ANTHEM BLUE CROSS ACCOUNT BLUE CROSS OF CALIFORNIA (CA) Other ID's: 00700, 23706 Call our Customer Care Center at 1-800-407-4627 (TTY 1-888-757-6034) outside L.A. County or 1-888-285-7801 (TTY 711) in L.A. County. If there is a full or partial claim rejection or the payment is not the amount expected, submit a claims appeal. Anthem Blue Cross and Blue Shield used to be the only PPO providers (we date ourselves) but they still dominate it. ©2020 copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. This is called a referral. Home Health Ambulance Other (please specify type of “other”) You have a choice in your health care. Your primary care provider (PCP) gives you routine care, like checkups and care when you’re sick. Medi-Cal is California's Medicaid program. We can help you get rides to covered health care appointments at no cost. A representative can help you sign up, check your rewards, or redeem earned rewards. Have questions? Have questions about your benefits? Dental benefits are provided through Denti-Cal for members who qualify. Some types of services are known as self-referral services. Need an account? Managing your health care can be overwhelming. Type at least three letters and we’ll start finding suggestions for you. Earn $50 in rewards for attending a postpartum visit 7 to 84 days after delivery. Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. Find out how long you’ll typically wait to see your doctor when you call for an appointment. Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Here you can find insider tips on getting more value from your health insurance plan and ask questions of your own! Your PCP will work with us to get the preapproval. This will help them make sure you get the right care. Earn up to $60 in rewards for bringing your child to at least six well-child checkups by 15 months of age. Your PCP will work with you to choose a specialist to give you the care you need. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association.