News & Updates
Recent regulatory changes will impact Anthem Blue Cross pharmacy copays for some of Anthem's 2019 small group plans. The affected copays were different at the time some groups purchased or renewed for 2019 and as a result of these changes, affected plans will be amended effective October 1, 2019.
What is changing?
Tier 1 copays are changing effective October 1, 2019. Specifically, the Tier 1a and Tier 1b split copays will now have a single copay. The new single Tier 1 copay will be the same as the prior Tier 1b copay for most plans, while a few plans will have a completely new Tier 1 copay, please check the Anthem Blue Cross document for more information.
When will groups see this change?
Renewing groups effective October 1, 2019, will see this change at renewal. For all other scenarios, please see below.
January 2019 to September 2019 groups:
November to December 2018 groups:
Why is the change happening?
These changes are being made to address regulatory requirements. Affected group administrators and members will receive a letter outlining the changes. Included in that letter will be a table that will provide the copayments prior to October 1, 2019 and the copayment October 1, 2019 and after. Also, the Evidence of Coverage (EOC) will be amended for each affected plan.
Documents
For questions, please contact a member of your B&P Sales Team - 888.722.3373