News & Updates
Anthem Blue Cross has announced a RATE PASS for some plans and a mild rate increase to some PPO plans. July 2012 quarterly rate adjustments to their 2-50 and 51-99 PPO medical plans average 0.6% statewide. Other news includes:
MEDICAL RATE ADJUSTMENTS
Average statewide rate increases by portfolio and product are provided below. Since increases vary by plan and region, any member of your b&p Sales Team will be able to provide plan specific rate increases.
EmployeeChoice = 0.7%
BeneFits = 0.4%
Quarterly Rate Adjustments
Anthem Blue Cross Small Group has issued the following quarterly rate adjustments. It should be noted that these rate adjustments are averages and vary by plan and by region.
MEDICAL BENEFIT CHANGES
Effective July 1, 2012, ALL plans in ALL medical portfolios (EmployeeElect, EmployeeChoice and BeneFits) will experience benefit changes.
:::Expansion of Women's Preventive Care Mandates
Newly expanded benefits for women's preventive care through PPACA includes the following services, drugs and supplies paid at 100% in-network:
:::Maternity Benefits (California AB210)
This bill requires that every group health insurance policy provide coverage for maternity services, including office visits. As a result, the Anthem Blue Cross Elements Hospital Basic and BeneFits Hospital Basic plans are being updated to comply with this legislation (also see Discontinued Plans).
:::Autism Benefit (California SB946)
This bill requires that all health plans and policies provide coverage for behavioral health treatment for pervasive developmental disorder or autism.
:::Solution PPO Plan Updates
The Solution 2500, 3500 and 5000 PPO plans will experience benefit changes. To view the current benefits alongside the July 1, 2012 benefits, click here.
:::EOC Language Updates
Updates to EOC language includes:
Effective July 1, 2012, Anthem Blue Cross will eliminate two (2) medical plans from their portfolios. Members will be migrated as listed below, unless the employer notifies Anthem Blue Cross of different plan elections:
Effective October 1, 2012, Anthem Blue Cross will eliminate two (2) medical plans. Due to legislated benefit changes, the plan designs scheduled to be eliminated will closely mirror existing plans. As a result, members will be migrated to those plans.
MEDICAL UNDERWRITING CHANGE
Beginning with July 1, 2012 effective dates, Anthem Blue Cross will introduce a revised Statement of Understanding. The new form will be required for all new and renewing groups. The broker and employer will both be required to sign the Statement of Understanding.
24-MONTH RAF PROGRAM
Anthem Blue Cross rolled out a 24-Month RAF Guarantee available for April 1, 2012 through September 15, 2012 new business effective dates for AB1672 qualified groups eligible for one of five (5) RAF offers. Click the link below for details.
With the exception of Prime & Complete Dental, all ancillary products will receive a rate pass for July 1, 2012 effective dates. Click here to learn about Anthem's 2012 Specialty Bonus Program.