Deciphering the confusing Anthem Blue Cross Doctors & Hospital networks [This story was updated in December 2014]
California insurance consumers should be extra cautious during open enrollment season (November 15, 2014 to February 15, 2015) that their doctor was not been dropped by their health plan (see related story about the thousands of California HealthNet plan members who are forced to take action by December 15th).
Don’t ask your doctor- he or she probably won’t even know it happened, due to the confusing network games that insurance companies play. For example, see the confusing Anthem Blue Cross Doctors & Hospital network references in the table below…
Provider Directory Reference Guide
|PLAN NAME AT COVERED CALIFORNIA||OR IT MAY LOOK LIKE THIS ON YOUR ID CARD||OR LIKE THIS ON THE ANTHEM WEBSITE|
|Anthem Silver 70 PPO||Anthem Silver Direct Access||Pathway X-PPO via Exchange/Silver Direct Access|
|Confused?||Call for free assistance:||1 (408) 641-8950|
For what its worth, we are providing a link to the entire directory guide from Covered California:
There are lot’s of doctors, coming and going from these networks…some accept group plans and others accept individual plans, but the names are confusing for them, too. We strongly advise you to hook up with a local Certified Agent (it’s a free service from Coverage California) and make sure you don’t make a big mistake for all of 2015.
Remember, Open Enrollment began November 15th: Changes are coming to certain PPO & HMO networks. Read a related article about CoveredCA here. If you did not use a Certified Agent last year, now is a good time to find one…they are a free service of Coverage California and are here to help.