3/12/20 Updates: The DMHC is no longer requiring Anthem to make changes to their Bronze PPO plans for groups with new and renewal dates between 1/1/20 and 4/30/20. However, they are still making changes to some of their Bronze plans effective 5/1/20. Read our news post for more information.
Required plan changes are coming May 1, 2020 from Anthem's regulator, the Department of Managed Health Care (DMHC). They’ll affect some of your clients’ CA Bronze PPO (non-HSA) plans.
Changes the DMHC is requiring Anthem to make
Members currently get three visits to their primary care doctor or specialist before paying their deductible. Starting May 1, 2020 their plan won’t include these three visits with the deductible waived.
Members will pay for the care they get until they meet their deductible when they visit their primary care doctor, specialist, and other health care professionals. They’ll pay a copay after meeting their deductible and until they meet their out-of-pocket maximum.
A change Anthem is choosing to make — and it’s to your employees’ advantage
Anthem is increasing the number of LiveHealth Online visits available at no cost to members. Plans will include 12 visits, after which they’ll cost $5 per visit.
Anthem will send your impacted clients and their employees a letter about the changes.
View the updated benefit grid here. Want immediate access to the new Evidence of Coverage? Go to your Producer Toolbox, pull up the specific group name and select Go to EmployerAccess.
For questions, please contact a member of your B&P Sales Team - 888.722.3373.